Date:  

Broker:  

Exporter:  

Client reference:  

Exporter code:  

Entry number (if known):  

Vessel/ Flight:  

Date of export:  

Indicate if the lodgement has been submitted through the TSW interface:

Replacement entry lodged:

Yes No

Replacement entry / reference number:

 

Reason for replacement entry:

 

Field to be altered:

e.g. Voyage Number

Passed as:

e.g. Voyage 001

Instead of:

e.g. Voyage 002

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contact name:  

Phone:  

Facsimile:  

Exporter / Broker Email address:  

Signature of Exporter/Broker: