Ref

No (No Referensi)

CLIENT INQUIRY FORM

(Formulir Permintaan Pelanggan)

Date (Tanggal)

SECTION 1 - GENERAL INFORMATION (Informasi Umum)

How is the inquiry received?
(Bagaimana permintaan diterima?)

Phone
(Telepon)

Email / Letter
(Email / Surat)

Select the type of service

(Pilih jenis jasa)

Land Transportation (Pengangkutan Darat)

(Complete Sections / Lengkapi: 1, 2, 4, 5, 6)

Office Visitation
(Kunjungan Kantor)
Freight Forwarding (Ekspedisi)
(Complete Sections / Lengkapi: 1, 3, 4, 5, 6)

SECTION 2 - CUSTOMER INFORMATION (Informasi Pelanggan)

Existing Client (Pelanggan Terdaftar)

New Client (Pelanggan Baru)

(Complete ONLY Name/ID column) (HANYA lengkapi kolum nama / ID)

(complete BLP/002/Rev1 Form (Client Database Form))

(Lengkapi BLP/002-Rev1 Form)

Name / ID (Nama / ID)

Address (Alamat)
Phone (Telepon)

Fax

Contact Person (Kontak)

Email

Contact No (No Kontak)

SECTION 3 - LAND TRANSPORTATION (Pengangkutan Darat)

TRIP

Charges (Biaya)

TON

M3

HOUR

OTHER (Specify)

SECTION 4 - FREIGHT FORWARDING (Ekspedisi)

Service Types
(Jenis Jasa)

Document
(Dokumen)

Shipping
(Pelayaran)

Land Transport
(Pengangkutan Darat)

Stevedoring
(PBM)

SECTION 5 - CARGO DESCRIPTION (Deskripsi Muatan)

Cargo Types
(Tipe Muatan)

FCL
Heavy Equipment / machineries
Loose Cargo
Heavy Structure

Is it a Dangerous Goods?
(Apakah barang muatan berbahaya?)

YES

Total Cargo Size (Ukuran Muatan)

Gross Weight (Berat) (kg)
Size (Ukuran) (m)
Volume (cbm) / (m3)

NO

Estimated Cargo Value

(Perkiraan Nilai Muatan)

SECTION 6 - Collection & Delivery Details (Informasi Penjemputan & Pengantaran)

Collection Details (Informasi Pengambilan)
Date (Tanggal)

DAY

MTH

YR

Address (Alamat)
Operating Hours (Jam Operasi)
Contact Name (Kontak)
Contact Number (Telepon)
Loading equipment required? (Diperlukan alat untuk muat?)
Delivery Details (Informasi Pengantaran)
Date (Tanggal)

YES

DAY

NO

MTH

YR

Address (Alamat)
Operating Hours (Jam Operasi)
Contact Name (Kontak)
Contact Number (Telepon)
Loading equipment required? (Diperlukan alat untuk muat?)

YES

NO

SECTION 7 - PAYMENT DETAIL (Informasi Pembayaran)

PRICE
(Harga)
Number of Unit
(Jumlah Unit)

SGD

Unit Type
(Tipe Unit)

USD

10 wheeler (ban)
6 wheeler (ban)

RP

TERMS OF PAYMENT
(Masa Pembayaran)
Trailer Type
(Tipe Trailer)

DAY
(Hari)

Skeletal
Platform
Low-bed / U-bed

This document is generated automatically and do not need any signature.

CANCELLATION POLICY:
* Any cancellation informed on the actual day will incur minimum charge.
* Any cancellation informed after fleet arrival will be charge 100%

BLP 001 - Rev 1