CGL Network. Membership Application. Combined Global Lines Network Ltd., Contact us(all fields are required) First Name: * Last Name: *

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1 CGL Network Combined Global Lines Network Ltd., Membership Application If you want to apply for membership in more than one city, please submit an application branch details form. Contact us(all fields are required) First Name: * Last Name: * Telephone: * * Company information (All fields are required) Company name: * VAT No: * Street address: * Postal code: City: * Country: * Website: * Telephone: * Date of foundation: * (e.g. 1983) Number of employees: *

2 Description of services Please indicate the services your company provides: Air Freight Sea Freight Road Freight Customs Clearance Warehousing & Distribution Project Cargo Personal Effects Dangerous Goods Perishable Shipments Other: Certification Please indicate whether your company is certified by and/or a member of any of the following organizations: IATA / CNS Customs Broker NVOCC ISO 9001/9002 Forwarders Association Chamber of Commerce FMC (US only) Other: Facilities Please provide the following information about your facilities: Main office: Owned Rented Leased Shared Warehouses: Yes No Office area (m2): Warehouse/s area (m2): Handling / Weighing Facilities: Yes No If applicable, how many vehicles does your company own?

3 Business volume To study how much business your company may bring to the network, we require you to complete the spaces below**when comparing similarly qualified candidates in the same city, we will choose the one with the largest volume. Total number of shipments from/to your city in 2013 (incoterms from EXW to DDP): Approx. percentage of your own shipments (generated by your sales force): Approx. percentage of shipments handled by other agents (routed cargo, nominations, free hands): Total No. of EXPORT shipments in 2013 (CFR, CIF, DDU and DDP only) Air Export Shipments Sea freight FCL Export No. of shipments Tons No. of shipments No. of TEUS Total No. of IMPORT shipments in 2013 (EXW and FOB only) Air Import Shipments Sea freight FCL Import No. of shipments Tons No. of shipments No. of TEUS Company Ownership Please list the individuals, entries, or other ownership structure of your company. Owner Percentage share ownership 1. % 2. % 3. % Capitalization : Specify Currency : If Public : Stock Exchange: Shares Outstanding : Price :

4 Currency : Affiliations Please list any other private trade groups to which you belong: Please describe your company s strengths, experience, services and major traffic lanes or markets: Bank Information Bank Name: * City: * Address: * Country: * Phone: * Fax: * Account Number: * Bank Credit Rating: * Your Bank or: * Reference Routing: * Source: * * Trade or industry references (Vendors and/or other agents with whom you have established credit) 1. Company Name: Type of Business: Fax: Phone: Country: Contact:

5 2. Company Name: Type of Business: Fax: Phone: Country: Contact: 3. Company Name: Type of Business: Fax: Phone: Country: Contact: Underwriter: Does your company maintain a freight liability or E&O Policy? Yes No Do you have your own house Bill of Lading? Yes No Do you carrier legal liability insurance for your house Bill of Lading?Yes No PLEASE UPLOAD A COPY OF THE LEGAL LIABILITY INSURANCE POLICY For the purpose of compiling for publication the combined total turnover of the group, Please inform us of your annual revenues from freight forwarding activities. Your figures will be held in strict confidence. Airfreight: US$ Ocean Freight: US$ Domestic Hauling : US$ Warehousing : US$ Freight forwarder liability / Errors & Omissions insurance policies In some countries freight forwarders are not obliged to be covered by liability or errors and omissions insurance, so coverage is not a requirement to join CGL Network. However, we will take it into consideration in the selection process. Is your business covered by Civil Liability insurance? Yes No Is your business covered by Errors & Omissions insurance? Yes No

6 Annual meetings Attendance at the CGL annual meetings is obligatory for members. Is this obligation likely to be a problem for your company? Yes No Other questions Attendance at the CGL annual meetings is obligatory for members. Is this obligation likely to be a problem for your company? How did you learn about CGL Network If applicable, which network/s does your company belong to? I have read and understood the CGL Network Rules and Procedures Yes No Note: Membership fees Subscription Fees : USD 300/- (once in life time) : USD 700/- per year PPP (Payment Protection Plan) : USD 450/- (mandatory) NOTE: If selected to represent CGL Network in your market, we will ask you for the following additiona information and documents to complete the application process: 1. A list of your company s current local charges for ordinary services (see Rule 3.) 2. Scanned copies of all business and professional certificates. 3. If applicable, a certificate of coverage by Civil Liability and/or Errors & Omissions insurance. Thank you for your interest in joining CGL Network We will be in contact shortly to inform you of our decision CGL Network Moving Round The Globe Register Address : - New Zealand CGL Network Combined Global Lines Network Ltd., 13B Sale Yards Road, Othahuha, Auckland New Zealand Tel : Ph: (09) FAX : (09) Skype : samkhan.is.on.skype sam@cglines.org / sam@uvlnz.com Website :

7 Corporate office : India CGL Network Combined Global Lines Network Ltd., 310, Jaydeep Emphasis, Opposite Punjab National Bank, Wagle Estate, Near LBS Check Naka, Thane (W) / India. Tel : / 7 / 8 Fax : Cell : / Skype : prem.bhanage prem@cglines.net / prem@alliancegroups.in Website : /