The Customer proceeds to provide information about the Transport Company to ECUACARGAS Temporary Deposit.

The Carrier agrees with the guidelines of the

Social Responsibility Policy

of ECUACARGAS, detailed on the company's website under the TRANSPARENCY section, and declares awareness of the same.

The Customer and/or the Customer's Representative authorizes the Transport Company to go to ECUACARGAS Temporary Deposit, as indicated below:

Client Authorization

I, the Client and/or Representative of the Client

Authorize the transportation company

To go to the ECUACARGAS Temporary Deposit on the day:

To perform

Of the goods covered by CPIC No.

Contents of the goods

Of the goods covered by MRN No.

Enter the plates of the vehicle and the semi-trailer

En caso de que la placa no se encuentre en la lista, por favor escribe y selecciona la opción OTRO

Driver's Information

Conductor {{i+1}}

Placa

Semiremolque

Nombre

Apellido

Identificación

Codigo Pais

Celular

Sketch and Location of ECUACARGAS Temporary Warehouse

The Carrier declares that they are aware of the location of the ECUACARGAS Temporary Warehouse, as indicated on the ECUACARGAS website in the contact section. The Carrier can view the map and copy the link for location reference.

Carrier's Declaration

I hereby declare that I am aware of the Management Policy in Control and Security BASC ECUACARGAS, available on the ECUACARGAS website in the Transparency section. I also declare that the information provided in this form is truthful. I agree that the notifications generated in this process can be sent via email, telephone, to the address indicated in the data box of the

Transport Company

I accept the Data Protection Policy of ECUACARGAS.

* {{error}}

Transport Company Information

data policy

Social Responsibility Policy

Transport Company