COMPANY’S LETTER HEAD
Application for Certificate of Exemption
_______________________
Date
SENEN M. PERLADA
Director-in-Charge,
International Coffee Organization Certifying Agency
DTI-International Bldg.
375 Sen. Gil Puyat Ave., Makati City
Dear Sir:
We would like to request for a Certificate of Exemption from the issuance of
Coffee Export Clearance and Certificate of Origin for our sample size coffee
shipment for promotional/personal/other purpose of the following coffee products;
Coffee Form : ________________________________
Brand (if any) : ________________________________
Net Weight
( 60 kgs GBE or less ) : ________________________________
Sender’s Name : ________________________________
Company : ________________________________
Address : ________________________________
Name of Consignee : ________________________________
Company : ________________________________
Address : ________________________________
________________________________
Country of Destination : ________________________________
Attached is our invoice/packing list to support our application. (Optional)
Thank you for your assistance.
Very truly yours,
______________________________
Name & Position