DATE : 11 AUGUST 2015

SHIPPER ADD. & CONTACT DETAILS (AUS) HOME COUNTRY ADD. & CONTACT DETAILS

MOHAMAD HADI BIN GHAZALI SHARIFAH BINTI MOHD SALLEH1/11 HILLVIEW AVENUE, GWYNNEVILLE, LOT 15061 KAMPUNG WAKAF TENGAH,2500, NSW 21030 KUALA TERENGGANU, TERENGGANU0452644525 0199154525

PACKAGING DETAILS:

TOTAL VOLUME OF SHIPMENTS: 0.75

NUMBER OF BOXES: 6

NUMBER OF FRAGILE BOXES: 6

DELIVERY INSTRUCTION:

I __MOHAMAD HADI BIN GHAZALI_ declared that the contents in the boxes is under my name, and I will take full responsibilities if any circumstances occurs on the contents during the shipments that been handled by people that I appoint.

Signature: Received by:

…………………………….. ……………………………..

(MOHAMAD HADI GHAZALI) (Koalabelang’s Rep)

List of Contents

Name : MOHAMAD HADI BIN GHAZALI Passport # : A34084265Address and Contact #(Australia) :1/11 HILLVIEW AVENUE, GWYNNEVILLE,2500, WOLLONGONG, NSW0452644525

Address and Contact # (Home Country) :LOT 15061 KAMPUNG WAKAF TENGAH, 21030 KUALA TERENGGANU, TERENGGANU0199154525

LIST1. Glassware2. Kitchenware3. Kitchen Utensil4. Dining ware5. Dinnerware6. Casseroles7. Kitchenware8. Baking utensil

Shipper,

(signature)MOHAMAD HADI GHAZALI

No . Boxes/total boxes Contents1/6 DINNERWARE2/6 DINNERWARE3/6 DINNERWARE4/6 DINNERWARE5/6 DINNERWARE6/6 DINNERWARE