単身プラン申込書 Tracking # DATE Shipping Instruction 受付 From ご 依 頼 主 To 送 り 先 Date Shipper's Full name ご氏名(漢字) : e-mail address 2 Address ご住所 : 緊急連絡先名 : Tel : Tel : 配達先未定の場合でも、 実家などの住所及び連絡先電話番号 を必ず記入して下さい (If address is not confirmed, please fill up temp address and contact no.) 〒 Address ご住所 1 Tel : : Name for emergency 緊急連絡先名 : Tel : Date of Delivery Carton : Moving Date お引越希望日 プラン : 1st choice 2nd choice 3rd Choice 第一候補日 第二候補日 第三候補日 1st choice 2nd choice 3rd choice 第一候補日 第二候補日 第三候補日 Pack Plan Info : S Pack M Pack L Pack Y M D : 年 月 日 : Y 年 M 月 D 日 Date Of Issue パス発効日 PASS : Date Of Expiry パス有効期限 お 客 様 の 情 報 014001-001- e-mail address 1 資材配達希望日 日 程 お客様番号 Japanese Citizenship 日本国籍 : Foreign Nationality 外国籍 : Yes No はい いいえ Japan visa is obtained Japan visa is Applying VISA 取得済み VISA 申請中 Date of Entry to Singapore Y M D シンガポール入国年月日 年 月 日 Departure Date Y M D シンガポール出発日 年 月 日 Arrival Date Y M D 日本 到着予定日 年 月 日 Employment Pass Dependent Pass Student Pass Permanent Resident Other____________ Flight # 便名 Arrival Airport 到着空港 特別指示事項 (Special Instructions ) Please refer to the following terms and conditions regarding: International House-removal service provided by YAMATO TRANSPORT (S) PTE. LTD. (hereinafter "Yamato") 1. Yamato's liablity range is limited to the one stop transportation from the address as specified by Shipper to the address as specified by Consignee. 2. Yamato's above stated services terms and conditions includes not only matters provided herein, but also articles of Yamato's standard freight transport, port transport, warehouse handling and articles prescribed by affiliated shipping company, airline company and railway. Matters not provided for in the aforesaid articles shall be subject to the laws or custom of both Origin and Destination. 3. In case any damages to and/or loss of Cargo attributable to Yamato, Yamato’s liability for any damage to and/or loss of the Cargo shall be limited to the value of the Cargo as indicated by Shipper on the Packing List & Invoice upon acceptance of the Cargo by Yamato. 4. Valuables such as cash, securities, precious metals, jewelry etc, will not be accepted as Cargo for above service. Yamato’s liability for any damage to and/or loss of the Cargo, even works of art, document, antiques, shall be limited to the value of the Cargo as indicated by the Shipper on the Packing List & Invoice. Any individual emotion or subjective value shall not be included in the compensation amount. 5. In the event that Shipper fails to fulfil payment obligations for the transportation expenses, advances, advances by Yamato or any other party on behalf of the Shipper , Yamato may not comply to deliver the Cargo or procure the shipping documents. Yamato is not liable for any damage or loss caused by the aforementioned event. 6. Yamato shall keep all Confidential Information as confidential which is made known to Yamato by the Shipper (=Consignee), or which Yamato becomes aware of as a result of or in connection with this transport. Yamato shall not disclose any Confidential Information to any other party even after this transportation is completed. I hereby agree to the terms and conditions stated above, and delegate YAMATO TRANSPORT (S) PTE. LTD all authories regarding customs procedures. 依頼人御署名 / Shipper's Signature 日付 / Date ヤマト担当者 日付 / Date
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