Consignor Information (Sender)
Account No
Name
Address
Phone Number
Fax Number
Email Address
Payment Methode
Cash
Charge
Consignee Information (Receipient)
Name
Attention of (Name/Dept)
Address
Phone Number
Ext. Number
Mobile Phone
Package Information
Type of Service
Document
Parcel
Same Day
Insurance
Others
Total Pieces
Total Weight (Kg)
Description of Contents
Special Instructions
Pickup Information
Pickup Date (dd-mm-yyyy)
Range for Pickup Time
From
to
Contact Person
Package Insurance 0.35 x value of your package.
Non-negotiable consignment note subject to standard conditions of carriage. The carrier specifically limits its liability to a maximum of 10 times agreed weight rate or max Rp. 1.000.000,- per consignment for any cause.