Departmental Quality Form

SED-TOD/CFIOC (I) – 43
SUBIC BAY METROPOLITAN AUTHORITY Rev. No. 00

SEAPORT DEPARTMENT
Effectivity Date: 05-03-2019

New Seaport Administration Bldg., Waterfront Road, Corner Sampson Road,

Subic Bay Freeport Zone, Philippines 2222
Tel (+63) 47 [252-4225] Fax (+63) 47 [252-4694]

A - CLEARANCE FOR INSPECTION OF CARGOES (INITIAL)

CONTROL NO: ________________________

INFORMATION DETAILS:
Locator Containerized Cargo Mode of Transport Location of Cargo: ______________________
Port User Loose Cargo Land Sea Air Destination of Cargo: ________________________

CARGO DETAILS:
Consignee’s Name: _________________________________________
Carrier/Vessel Name: ________________________ Bill of Lading No: _________________________
Date of Arrival/Departure; _____________________ Forwarder: ______________________________
Admission No: ______________________________ Boat Note No: ____________________________
Bring-In Permit No: __________________________ Temporary Transfer No. ____________________
CARGO DESCRIPTION QTY CONTAINER NO. & SIZE CARGO DESCRIPTION QTY CONTAINER NO. & SIZE

(Attached additional sheet if necessary)

CONDITIONS FOR INSPECTION AND OTHER STIPULATIONS:
 Inspection must be represented by the SBMA Seaport Department, Consignee and Bureau of Customs.
 Unauthorized inspection which includes opening of the container and breaking of seals shall be considered a violation of the Tariff and Customs Code of the Philippines as well as other
Government Rules and Regulations on the matter.
 Cargo must be intact with no evident sign/s of tampering.
 Non-compliance with any of the above conditions shall be ground for suspension of future transactions.

For and in behalf of the Consignee:

___________________________________________ _________________ _________________________

Processor/Authorized Representative Date Contact Nos.

(To be filled out by Authorized Seaport Official Only)

INSPECTION DETAILS:
Assigned Cargo Checker: ___________________________________ Tally Sheet No: ______________________
Cargo Dispatcher’s Name: __________________________________ Date/Time of Inspection: ______________
Witnessed By: ____________________________________________
Upon verification of the required/submitted documents, the Request for Initial Inspection is hereby approved subject t to applicable rules, regulations and
laws on the matter.
RECOMMENDED BY: APPROVED BY:

MARIA CRISTINA P. PINEDA __________ JEROME M. MARTINEZ ____________

Officer-In-Charge, Terminal Division Date General Manager, Seaport Department Date

Time Submitted: ________ Time Approved: ________ Time for Inspection: ________ Time Released: ________