Customer Interaction Form (Sea)

Shipper
Consignee
1 st Notify
2 nd Notify
PLACE OF DLVRY		PORT OF DISCHARGE
Invoice No. & Date		P.O. NO. & DATE
PKGS		MARKS & NOS.
NET WT.		GROSS WT.
INVOICE VALUE		S/LINE
FREIGHT TERM		ACTIVITIES BY LASA
O/FRT		CLEARANCE
ORIGIN CHGS
DDC.CHGS		DEST CHG.
TPT.		FORWADING
PACKING		INSURANCE
IEC NO.		A/C NO.
BANKER'S NAME ADDRESS
DESCRIPTION OF GOOGS :
PLACE OF RECEPT		PRE CARRIGE
PORT OF LOADING		A.D. CODE
PNB A/C NO.		AEPC./TEXPROCIL /WC/HEPC