Introduction
New Shipment
Contact Us
1-Beneficiary Party
Government Hospital
Private Hospital
Hospital Name
City
Address
Personal
Name
ID #
Address
Establishment
Name of Establishment
CR #
MDNR #
MDEL #
Other
Tel. No
Mobile No
Fax No
Email Address
Address
2-Purpose of import:
Business
Demo/Exhibtions
Research/Clinical Trials
Personal Use
Custom Made
others, specify
3- Neutral or Legal person responsible for this application:
Applicant Name
*
Tel. No
*
Mobile No
*
Fax No
*
Email Address
*
* Enter correct Email
4-Arriving Port:
Arrival Port:
-- Select one option --
King Khalid international Airport – RAP (RUH)
Dry Port – RDP (RUH)
King Abdulaziz International Airport – JAP (JED)
Jeddah Islamic Sea port -JSP (JED)
King Fahad International airport -DAP (DMM)
King Abdulaziz sea port – DSP (DMM)
King Fahad causeway- DBP (DMM)
Hadithah Port – QBP (NS)
Batha Port – BBP (ES)
>> Shortcuts Cities <<
Riyadh (RUH)
Jeddah (JED)
Dammam (DMM)
North Side (NS)
East Side (ES)
*
Date
*
Importing Licensing #
5-Bill of Lading No:
Bill of lading No:
*
6-Custom Broker
Name
*
Mobile No
*
7-Shipment Destination
Establishment warehouse
Customer, Specify
Other, Specify
8- Uplaod invoice:
Upload the document as one PDF File:
*You must brows file first