1. SHIPPER DETAILS
- Company Name: __________
- Address: ____________
- Contact Person: __________
- Mobile: _____________
- Email: ______________
- IEC / GST No.: ___________
2. CONSIGNEE DETAILS
- Company Name: __________
- Address: ____________
- Contact Person: __________
- Mobile: _____________
- Email: ______________
3. NOTIFY PARTY
- Company Name: __________
- Address: ____________
- Contact: ____________
- Email: ______________
4. SHIPMENT DETAILS
- POL (Port of Loading): ________
- POD (Port of Discharge): ________
- Final Destination: __________
- Shipping Line: ___________
- Vessel / Voyage: ___________
- Booking No.: ___________
- Container No.: ___________
- Container Type/Size: _________
- No. of Containers: __________
5. CARGO DETAILS
- Description of Goods: _________
- HS Code: ____________
- No. of Packages: __________
- Gross Weight: ___________
- Net Weight: ____________
- CBM: ______________
- Marks & Numbers: ___________
6. BILL OF LADING INSTRUCTIONS
- BL Type: ☐ Original ☐ Sea Waybill ☐ Telex Release
- Freight: ☐ Prepaid ☐ Collect
- BL Required: ☐ Master BL ☐ House BL
- Number of Originals: __________
- Special BL Instructions: ________
7. DOCUMENTS REQUIRED
☐ Commercial Invoice
☐ Packing List
☐ Certificate of Origin
☐ Shipping Bill
☐ Purchase Order
☐ Other: ______________
8. SPECIAL INSTRUCTIONS / REMARKS
DECLARATION
We confirm that the above Shipping Instructions and cargo details are true and correct and authorize UNIQUE INTERNATIONAL to process the shipment/documentation accordingly.
Authorized Person: __________
Designation: _____________
Company Stamp: ___________
Date: _______
Signature: ______
Custom Broker • Freight Forwarder • Consultants
“A Perfect House of Handling”
FIRST-TIME SHIPPER KYC & CUSTOMER ONBOARDING FORM
Purpose: Customer identification, KYC verification, shipment assessment and compliance before providing customs, freight forwarding, logistics or related services.
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1. CUSTOMER / COMPANY DETAILS
Company / Firm Name: ______________
Constitution:
☐ Proprietorship ☐ Partnership ☐ LLP ☐ Pvt. Ltd. ☐ Ltd. ☐ Other: ____
Registered Address:
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Office / Factory Address:
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GSTIN: __________
PAN: __________
IEC: ___________
CIN / LLPIN, if applicable: ___________
Udyam / MSME No., if applicable: __________
Website: _________________
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2. AUTHORISED PERSON / CONTACT DETAILS
Name: __________________
Designation: ________________
Mobile / WhatsApp: ______________
Email: _________________
Alternate Contact Person: ____________
Mobile / Email: _______________
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3. BUSINESS & SHIPMENT PROFILE
Nature of Business: ______________
Type of Customer:
☐ Importer ☐ Exporter ☐ Manufacturer ☐ Trader ☐ Other
Commodity / Product: ______________
HS Code(s), if known: ______________
Country of Origin: _______________
Country of Destination: ____________
Port of Loading: _______________
Port of Discharge: _______________
Mode: ☐ Sea ☐ Air ☐ Road ☐ Courier
Shipment Type: ☐ FCL ☐ LCL ☐ Break Bulk ☐ Air Cargo
Container / Cargo Details: ___________
Approx. Weight: _______________
No. of Packages: ______________
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4. KYC DOCUMENT CHECKLIST
Please provide clear and valid copies of the applicable documents:
- [ ] PAN Card
- [ ] GST Registration Certificate
- [ ] IEC Certificate
- [ ] Address Proof
- [ ] Company Incorporation / Registration Certificate
- [ ] Partnership Deed / LLP Agreement, where applicable
- [ ] Authorisation Letter / Board Resolution, where applicable
- [ ] Authorised Person's Identity Proof
- [ ] Bank Proof / Cancelled Cheque
- [ ] Purchase Order / Sales Contract, where applicable
- [ ] Commercial Invoice / Proforma Invoice
- [ ] Packing List
- [ ] Import / Export Licence or NOC, where applicable
- [ ] Commodity-specific certificates / permissions, where applicable
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5. BANK / PAYMENT DETAILS
Bank Name: _________________
Account Name: ________________
Account No.: ________________
IFSC: __________________
Branch: __________________
Billing / Payment Contact: ___________
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6. CUSTOMER DUE DILIGENCE / VERIFICATION
For office use only
KYC documents received: ☐ Yes ☐ No ☐ Pending
GST verified: ☐ Yes ☐ No
IEC verified: ☐ Yes ☐ No ☐ Not Applicable
PAN verified: ☐ Yes ☐ No
Business address verified: ☐ Yes ☐ No
Authorised person verified: ☐ Yes ☐ No
Commodity / HS Code reviewed: ☐ Yes ☐ No
Restricted / prohibited goods check: ☐ Clear ☐ Further verification required
Credit terms approved: ☐ Yes ☐ No ☐ Advance Payment
KYC Status: ☐ Approved ☐ Pending ☐ Rejected
Verified By: ________________
Date: ________
Remarks:
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7. CUSTOMER DECLARATION & UNDERTAKING
We hereby declare that the information and documents furnished by us to UNIQUE INTERNATIONAL are true, complete, genuine and accurate to the best of our knowledge.
