参考 Letter of Indemnity

LETTER OF INDEMNITY
Messrs.運送人(会員)名を記載
DATE :
Dear Sirs,
CT B/L No.
Vessel / Voyage No.
Port of Loading / Port of Discharge
□ With reference to the above-mentioned Combined Transport Bill of Lading, we would request
you to amend as follows:
Original made out
To be amended to read
訂正前の内容を記載
訂正後の内容を記載
□ In consideration of your issuing us clean Transport Documents for the goods described above,
for which remarks have been noted as follows:
Description of Goods :
Remark(s) Noted :
運送書類に書かれている運送品の明細を記載
運送品の外観上の不具合を記載
We, the undersigned, do hereby undertake to hold you free and harmless from any claim that may
arise in connection with the above-mentioned amendment(s) and/or remark(s) and indemnify you
against all consequences of your so doing. In addition, we fully guarantee that if you are unable to
collect the charges from the consignee these charges will be fully paid by us.
Yours faithfully
Name of Company(依頼者会社名を記載)
By
Authorized Signature & Title(署名権を持つ人の署名と肩書を記載)