HYBRID RESOURCES

No 33A Jalan Tembikai 9,Taman Kota Masai

81700 Pasir Gudang, Johor.
Tel: 07-2563690/2552690 Fax: 07-2553690
Hotline: 1300-88-2690

FUMIGATION REQUEST FORM

PARTICULAR OF LCL / FCL

1. DATE OF FUMIGATION : 19-Jul-18

2. TIME OF FUMIGATION :

3. SHIIPPER : RSM

4. LOCATION OF FUMIGATION : RSM OLD BUILDING

5. BOOKING NO : SOR007600

6. COMMODITY : NA

7. VOLUME : 1 CRATE (1210 X 970 X 350mm)

8. CONTAINER NO : NA

9. DESTINATION : US

10. CLOSING DATE :

11. OTHERS :

12. PERSON REQUESTING : NAZRUL

13. NAME & ADDRESS OF : RAPISCAN SYSTEMS SDN BHD

COMPANY PTD 159387, 6.5KM
JLN KG MAJU JAYA
KEMPAS LAMA
81300 SKUDAI, JOHOR
14. DATE OF REQUEST : 19-Jul-18