Shipper Contact Role Shipper (Key) Shipper (Alternative) Shipper Authorised SAMSA Certificate Signatory VGM Responsible Signatory (Alternative) VGM Responsible Signatory (Key)

Shipper Contact Code

First Name

Last Name

Office Number

Office Alt

Mobile Number

Mobile Alt

Email Address

Email Address Alt

Title

ID Number

Shippers

Sites

Verification Officers

Auditors