0% found this document useful (0 votes)
89 views3 pages

Blank Form ELC

This document is a declaration form for enhanced liability coverage provided by GD Express for shipments under their Single Parcel Shipper Program. It lists the shipper and recipient details, goods being shipped, and the standard conditions of the enhanced coverage. The coverage is for all risks from collection until delivery, excluding various risks like war, strikes, mechanical breakdown, and damage from information technology viruses. It also provides claims contact information.

Uploaded by

NorizanNoor
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as RTF, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
89 views3 pages

Blank Form ELC

This document is a declaration form for enhanced liability coverage provided by GD Express for shipments under their Single Parcel Shipper Program. It lists the shipper and recipient details, goods being shipped, and the standard conditions of the enhanced coverage. The coverage is for all risks from collection until delivery, excluding various risks like war, strikes, mechanical breakdown, and damage from information technology viruses. It also provides claims contact information.

Uploaded by

NorizanNoor
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as RTF, PDF, TXT or read online on Scribd
You are on page 1/ 3

Enhanced Liability Coverage

Declaration Form
(For Single Parcel Shipper Program Only)

For Consignment Note No: { }


SHIPPER RECIPIENT
1 2
Name Name
Address Address

Person to Contact / Tel No PTC / Tel No

BILL TO
3
Name

Client Acc No
Address

PTC / Tel No
Payment Mode

ELC Surcharge
(RM)
Full Description of Sub-Total Value
Goods Invoice/ DO/ No. of Unit Value (RM)
4 5 CO / PO No 6 Unit 7 (RM) 8 (Rate) 9
No. 1

8
Total Invoice Value
Total ELC Surcharge RM
9 Type of Consignment

/
Document Parcel

10
I (name)_______________________________________NRIC No._______________________________ certify that
the particulars and quantity of goods specified in this document are the goods which are submitted for clearance for
export out of Malaysia. The goods does not contain any hazardous or prohibited item.

____________________________________
____________________________________
Signature Date
Name:

Designation:

For office use only:

Status of Application: ( ) Approve ( ) Reject ( ) Refer:


____________________________________________

Rate : _____________

Approved by : ________________________ Total Surcharge : ___________

Name of Officer : _________________________ Date of Approval : _____________

Standard Conditions of Enhanced Liability


Coverage
Conditions:
1. Against All Risks from the time of collection / received by the Company until delivered to
the consignees. Warranted that no liability shall attach for claims other than concealed
breakage or damage following acceptance from the Company or its authorized
representative at the destination against signature on consignment note unless
exception be taken on such receipt.
2. All items must be opened and examined upon receipt. The Company shall not accept any
liability for damages once duly acknowledge by receiver.
3. Excluding War & Strikes as stated in item 10 of GD Express Consignment Note.
4. In the event of loss or damage to any part or parts of an covered machine caused by a
peril covered by the contract the sum recoverable shall not exceed the cost of
replacement or repair of such part of parts plus charges for forwarding and refitting, if
incurred, but excluding duty unless the full duty is included in the amount covered, in
which case loss, if any, sustained by payment of additional duty shall also be
recoverable. Provided always that no case shall the liability exceed the covered value of
the complete machine.
5. In the event of loss or damage to any part of the interest covered caused by a peril
covered by the Contract the sum recoverable shall not exceed such proportion of the
cost of replacement or repair of such part or parts as the covered value bears to the
value of a new item plus charges for forwarding and refitting, if incurred, but excluding
duty unless the full duty is included in the amount covered, in which case loss, if any,
sustained by payment of additional duty shall also be recoverable. Provided always that
in no case shall the liability exceed the covered value of the complete item.
6. Excluding Rusting, Oxidation, Decolourisation, Bending, Chipping, Marring and
Scratching
7. Excluding Mechanical, Electrical and Electronic Derangement or breakdown unless
caused by violent, external, accidental and visible means
8. Senders shall ensure appropriate packing of consignments to make sure that the
contents are sufficiently protected during normal pallet and parcel processing and
mechanical sorting as well as to prevent the consignments from causing damage or
injury to other shipments, Gdex or any third party. Every consignment must be packed
and closed in a manner benefiting the weight, the size and the nature of the contents as
well as the mode and duration of conveyance. The packing and closing must protect the
contents against crushing or damage by repeated handling and must also be such that it
is impossible to tamper with the contents without leaving clear traces thereof. On the
packing or the wrapping, the consignment must have sufficient space for service
instructions and for affixing labels. If, in connection with the posting of a consignment,
Gdex finds out that the consignment is not packed or wrapped in an appropriate
manner, the company is – at its own option – entitled to either reject the consignment
or the consignment is sent at the sender’s risk. For fragile articles and liquid substances
senders are required only to use packing, which has been approved by Gdex. Fragile
articles include technical equipment, such as computer, data processing and laser
equipment, etc., chinaware, articles of glass and similar fragile objects as well as
furniture, prams, etc. which by reason of their shape or structure do not readily lend
themselves to loading with other parcels.
9. Any item consists of articles in a pair or set the Company shall not be liable to pay more
than the proportionate value of any particular part of parts which may be lost, without
reference to any special value which such article or articles may have as part of such
pair or set.
10. In no case shall this contract cover any loss, damage, expense or liability or
whatever nature which might otherwise be recoverable under this cover arising out of or
in any way connected with, whether directly or indirectly, the use or operation of any
computer, computer system, computer software, program or process or any electronic
system where any such loss, damage, expense or liability arises, whether directly or
indirectly, as a consequence of (1) the date to the year 2000 or any other date change
and/or (2) any change or modification of or to any such computer. Computer software,
program or process or any electronic system in relation to any such date change.
Excluding loss, damage or liability, or whatever nature which might otherwise be
recoverable under this cover arising out of or in any way connected with, whether
directly or indirectly, the functionality or operation of any computer software,
programme or process or any electronic system where any such loss, damage or liability
arises, whether directly or indirectly, caused by or arising from courier process.
11. Any loss or damage or expenses caused by or arising from information
technology viruses are excluded.
12. Excluding loss or damage pertaining to failure of computer software and/or
computer data.
13. Excluding loss, damage or liability, whether directly or indirectly, resulted from
terrorism.
14. Radioactive Contamination, Chemical, Biological, Bio-Chemical and
Electromagnetic Weapons Exclusion.
15. This cover is act as an enhancement liability after Gdex Normal Shipment
Terms and Condition.
·1
Claims: - In the event of loss/ claim, kindly respond to our Claims & Compensation Unit (CCI)
immediately at Tel No: 03-77872222 with ext: 2404/ 2402 or Fax No: 03-7787 6640 or
E-mail: [email protected]

You might also like