Requesting Consignee Acceptance Form 2

<h2 style="text-align: center;">
                <u>
                    The fields are
  filled in print, and this statement is not considered as final consent to
  release.
                </u>
            </h2>
            <h2 style="text-align: center;">
                <u>
                    Note that the
  Arabic language is the official language in the Kingdom.
                </u>
            </h2>
            <h2 style="text-align: center;">
                The statement
                clarifies the names of the chemical substances intended to be imported under
                shipping bill number
                <br>
                (.....................................).
                        </h2>
            <table dir="ltr">
                <thead>
                    <tr>
                        <th>
                            الرقم التسلسلي<br> CAS NUMBER
                        </th>
                        <th>
                            الاسم العلمي بالإنجليزية<br>Scientific Name in English
                        </th>
                        <th>
                            الكمية<br>
                            Quantitative
                        </th>
                        <th>رقم الفسح<br>
                            No. Glades</th>
                        <th>تاريخه<br>
                            History</th>
                        <th>مصدر الفسح<br>
                            Generating</th>
                    </tr>
                </thead>
                <tbody>
                    <tr>
                        <td></td>
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                    </tr>
                    <tr>
                        <td></td>
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                        <td></td>
                    </tr>
                    <tr>
                        <td></td>
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                    </tr>
                    <tr>
                        <td></td>
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                    </tr>
                    <tr>
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                    </tr>
                    <tr>
                        <td></td>
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                        <td></td>
                        <td></td>
                    </tr>
                </tbody>
            </table>
            <p  style="text-align: center; margin: 0 70px; font-size: 14px;">
                <b>
                    I, the importer / ................................................, undertake that the materials listed above are approved for shipment to King Abdulaziz International Airport in Jeddah. I also commit to placing a label carrying their scientific name, UN code, and warning signs on the outer shipping containers of these materials, according to the classification of dangerous goods (the nine categories), and attaching a chemical safety data sheet (MSDS) for each chemical material included in the shipment, in accordance with national and international safety and aviation regulations.
                </b>
            </p>

<p style="font-size: 14px;  margin: 0 70px" dir="ltr">
                <b>
                    Sender's signature: ............................................................
                    <br><br>
                    Importer's Chamber of Commerce authentication stamp.
                </b>
            </p>
            <p style="font-size: 14px;  margin: 0 70px" dir="ltr">
                <b>
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Declaration and Accounting Division Date:    /        /   144    AH

</b>
            </p>
            <p dir="ltr">
                <b>
                    Name of the specialized employee: ...........................................................                                             
                </b>
                <b style="margin-right: 100px;">The stamp</b>
            </p>

<p dir="ltr">
                <b>
                    His signature: .......................................................................
                </b>
            </p>