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Page 1: Form Loi Doc

( Shipper’s Letterhead )

Re : Correction Advice

We, __________________________________(shipper name) hereby confirm being

the shipper of the following shipment.

BL Number : ________________________

Vessel Name : ________________________

Volume : ________________________

Consignee : ________________________

With reference to the above mention Bill of Lading, we would request to

amend data as per following:

Original reads:

Amended to:

We undersigned do hereby under take to hold you free and harmless from

any claim that may arise connection with the above mentioned request and

to indemnity you against all consequences of your so doing.

Thank You

Jakarta, May_______2009

Best Regards,

(Stamp Rp6,000 & company chop)

_______________________

Name : ___________________ (authorised signature)

Designation : ___________________________

Page 2: Form Loi Doc

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