ITL NO.

CUSTOMER'S DETAILS BROKER ARRIVAL NOTICE/PAYMENT ISSUES

IMP. NAME: NAME: NAME:
EXP. ADDRESS: ADDRESS: ADDRESS:
SALESMAN CODE: Cep/Cid/Est Cep/Cid/Est Cep/Cid/Est
CPF/CNPJ CPF/CNPJ CPF/CNPJ
LOCAL CODE: IMPORT
CTC1: CTC1: CTC1:
CREATE DATE: TEL/FAX: TEL/FAX: TEL/FAX:
MOBILE: MOBILE: MOBILE:
UPDATE DATE: E-MAIL: E-MAIL: E-MAIL:

Customer's type: CTC2: CTC2: CTC2:

0 Trading company TEL/FAX: TEL/FAX: TEL/FAX:
0 Broker MOBILE: MOBILE: MOBILE:
0 Co-loader E-MAIL: E-MAIL: E-MAIL:
x Ultimate consignee EXPORT
0 Shipper CTC3: CTC3: CTC3:
TEL/FAX: TEL/FAX: TEL/FAX:
MOBILE: MOBILE: MOBILE:
E-MAIL: E-MAIL: E-MAIL:

COMPLEMENTARY INFORMATIONS:
1. Main activity:
2. Foundation date: SALESMAN'S SIGNATURE: ___________________
3. Number of employees:
4. Gross income: DATA KEYING BY :
5. Import volume / POL:
6. Export volume / POD: MANAGER'S SIGNATURE: ___________________
7. Other commentary: