EXPORTER CLEARING INSTRUCTIONSExporterExporter (Full Customs Address) Consignee

Exporters ReferenceExporters Customs CodeExporters VAT Number

CARGO DETAILSMarks and Numbers No. of Packages Description of goods Gross Mass Cubic

CLEARANCE REQUIRED (MARK WITH AN “X”)ELG - Export of Local Goods Carnet ShipmentEIG - Export of Imported Goods WE - Export from WarehouseEIG - Temporary Import / Export ZE - Export from Warehouse

MODE OF TRANSPORT AND TARIFF DETERMINATION (MARK WITH AN “X”)Sea Freight Valuation

Method 1 4

Air Freight 2 5Road Freight 3 6VDN NoTariff CodeTariff CodeTariff Code

DOCUMENTS ENCLOSED / REQUIRED (MARK WITH AN “X”)Shippers Commercial Invoice Export CertificatePacking List EURI / SADC CertificateMSDS Certificate Certificate of OriginCertificate of Analysis Insurance CertificateSGS Test Report ITAC PermitPhyto Certificate Depth of Agriculture CertificateFumigation Certificate Other (Specify)

OTHER DETAILSDo you require an estimate Yes NoFumigation Yes NoDo you require marine insurance Yes No

DELIVERY ADDRESS & SPECIAL REQUIREMENTS / INSTRUCTIONS

I, _________________________ an employee of the Importer/Exporter, certify that i have the authority to issue instructions and that all information and documents was given to Pioneer Freight by myself. I hereby authorise Pioneer Freight to clear the mentioned goods and I declare that Pioneer Freight will be held responsible for any delays, penalties or any other problem that may occur due to faulty documentation or information given to them.Name Designation Signature

All business is conducted in terms of our Standard Trading Terms & Conditions (copy available on request)(AS AGENTS ONLY)