Customer Application Form

Customer Application Form
Address *
Address
City
State/Province
Zip/Postal
Country

NAME OF DIRECTORS/OFFICERS/PARTNERS/PRINCIPALS

BANK REFERENCE

All Shipment Agreemant and Arrangement Issued Through PT Kay Ocean Indonesia Bill of Lading will be Subject to theTterms & Conditions. All and any Business Undertaken by PT Kay Ocean Indonesia Transport is Transacted in Accordance to the Indonesian Logistics Association Standard Trading Conditions, a copy of which is Available Upon Request.

I Hereby Certify that the Information Contained in this Credit Application is Complete and Accurate.