REPUBLIC OF THE PHILIPPINES

SUGAR REGULATORY ADMINISTRATION

NORTH AVENUE DILIMAN, QUEZON CITY
PERMIT TO SHIP SUGAR TO THE UNITED STATES – 2020

DISTRICT: MILL COMPANY:

SERIAL NUMBER: PLANTER’S NUMBER: CODE:

DEGREES OF POLARIZATION COMMERCIAL WEIGHT

(Issued under planter’s rights to plantation owner’s Export Marketing allotment held by
planter’s name):

Mr./Ms. ________________________________________________________________

THIS CERTIFIES that subject to laws of the Republic of the Philippines and to regulations
which have been or may be promulgated thereunder, the quantity of centrifugal sugar of the
2020-2021 Crop set forth herein and covered by the Official Sugar Warehouse Receipt (Quedan)
– 2020, bearing the same serial number as this permit may be shipped to the United States.
This permit is valid only if, upon presentation of the Official Sugar Warehouse Receipt (Quedan)
– 2020 for the withdrawal of the physical sugar, the same permit is still attached to the
Warehouse receipt portion bearing the same serial number of this permit.

AUTHORIZATION FOR THE SRA ADMINISTRATOR

By: _________________________________

ISSUED ON:

ISSUED AT:

Production for the weekn ended ________________________________________

THIS CERIFIES that the sugar covered by this permit and by Official Sugar Warehouse Receipt
(Quedan) – 2020 bearing the same serial number was sold to:

DELIVERY CERTIFICATION

DATE KILOS (50-kg) BAGS BY AUTHORIZED MILL

WAREHOUSE RECEIPT AGENT