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Shipper Registration Form

This document is a shipper registration form from the Marine Department of Malaysia for verifying the gross mass of packed containers. It requires shippers to select one of two methods for obtaining the verified gross mass and provide relevant documentation. Method 1 involves weighing at a designated station, while Method 2 uses weighing facilities at port terminals or submitting documentation including a registration form, company registration certificate, authorized officer ID, equipment certification, and quality management certificate. Shippers must declare the information and documents submitted are true, and the department may refuse or cancel applications for incorrect information.

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siti rabaah fadzil
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350 views1 page

Shipper Registration Form

This document is a shipper registration form from the Marine Department of Malaysia for verifying the gross mass of packed containers. It requires shippers to select one of two methods for obtaining the verified gross mass and provide relevant documentation. Method 1 involves weighing at a designated station, while Method 2 uses weighing facilities at port terminals or submitting documentation including a registration form, company registration certificate, authorized officer ID, equipment certification, and quality management certificate. Shippers must declare the information and documents submitted are true, and the department may refuse or cancel applications for incorrect information.

Uploaded by

siti rabaah fadzil
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MARINE DEPARTMENT MALAYSIA

SHIPPER REGISTRATION FORM


FOR VERIFIED GROSS MASS OF A PACKED CONTAINER (REV. 2)
NEW RENEWAL AMENDMENT CANCELATION

Company’s Name :

Company’s Address :

Telephone & Fax No. : Tel: Fax:


Email Address :
Full name of a Duly Authorised Officer¹ :

Please tick (√) on box of selected method for obtaining the verified gross mass of a packed container.
Please submit complete application to the nearest Marine Department Regional Office (Shipper
Registration Office) for manual submission or email to our officer in-charge (kindly refer to the list of
Shipper Registration Office).

METHOD 1 METHOD 2

Weighing Station : (please stated) Weighing Station : (please stated)

OR
Using Port Terminal Facilities only² Please attach the following documents :
(submission of Form D is not required). 1 A complete registration form.
2 A copy of Company Registration Certificate.
3 A copy of Malaysian Identity Card of Duly
Please attach the following documents : Authorised Officer.
1 A complete registration form. 4 A copy of Form D³ of weigh equipment for
2 A copy of Company Registration Certificate. obtaining the verified gross mass of a
3 A copy of Malaysian Identity Card of Duly packed container.
Authorised Officer. 5 A copy of Quality Management Certificate⁴.
4 A copy of Form D³ of weigh equipment for
obtaining the verified gross mass of a
packed container.

DECLARATION
I/We hereby declare that the above information and submitted documents are true. If any of those
information or documents submitted is found to be incorrect, the Marine Department has the right to
refuse or cancel the application.

Applicant’s signature;

.................................................. Company’s
Full Name : stamp
Designation :
Mykad No. :
Date :

¹ Duly Authorised Officer is the appointed person to sign the shipping document (min. One person).
²Port Terminal Facilities means Port Terminal weighing equipments (i.e Weigh Bridge).
³Form D is the ‘Perakuan Penentuan Timbang dan Sukat, Akta Timbang dan Sukat 1972’.
⁴Quality Management Certificate (i.e ISO 9001).

For more information visit our website at www.marine.gov.my or http://shipper.marine.gov.my

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