FBCCC Form No. 1
(Revised 1982)
APPLICATION FOR WAIVER UNDER P.D. No. 1466
No. ______________
Date: ________________
Freight Booking and Cargo Consolidation Center The Consular Office
Philippine Shippers´ Council Foreign Service of the Philippines
Makati, Metro Manila
Dear Sirs:
We hereby apply for a waiver on the use of Philippine flag vessels pursuant to Presidential
Decree No. 1466 and certify that the information we have given hereunder are true and correct and the
supporting attachments are authentic:
A. Exporter/Importer: Name _____________________________________ TAN ___________
Address ______________________________________________ Tel No/s _____________
B. Cargo Description: Number and Kind of Packages _______________________________
__________________________________________________________________________
Gross Weight (kg./tons) ______________________ Measurments (m3)_________________
Date Cargo Available for Loading ______________ Port of Loading ___________________
Required Arrival Date at Destination_____________ Port of Discharge _________________
Shipment Terms: FOB C&F CIF Invoice Value __________________
P/O No./Date _______ L/C No. _________ Expiry Date _______ Shipping Period ________
C. Agent Bank ___________________________ Address ______________________________
D. Importer/Exporter: Name ____________________________________ TAN ____________
Address __________________________________________________ Tel. _____________
E. Reason/s for Waiver: Rule IX-A, Instance No. ______________________ Elaborate/attach
supporting papers: __________________________________________________________
__________________________________________________________________________
F. Alternative Shipping Arrangements Proposed:
Name of Vessel _____________________ Voyage __________ Foreign Flag ___________
Shipping Agent _____________________ Tel No/s ________________________________
Estimated Date & Port of Loading ___________________________ ETD ______________
ETA at Destination ____________________________ Total Net Freight _______________
APPROVED/DISAPPROVED Very truly yours,
____________________________________
Printed Name & Signature of Exporter/Importer
________________________________ _______________________________________________
Date____________________________ Official Designation
N.B. Filing Fee of _________________
Paid under OR No. ________________ _______________________________________________
Dated___________________________
Printed Name & Signature of Customs Broker/Freight Forwarder
_______________________________________________
Official Designation Company Name
TIN