Dear Customer, you must complete this form in full.

The customer has reviewed the provisions of Resolution SENAE-SENAE-2021-0132-RE dated Guayaquil, November 15, 2021, detailing complementary regulations for the exception regime of household goods and tools or work equipment.

The customer has reviewed Annex II 'List of goods of the returning Ecuadorian migrant/foreigner for application' that is part of Resolution SENAE-SENAE-2021-0132-RE dated Guayaquil, November 15, 2021.

I declare that the personal goods that have entered ECUACARGAS Temporary Warehouse are personal and can be used. Therefore, if, due to transport conditions, they have suffered impacts, damages, etc., I authorize ECUACARGAS Temporary Warehouse personnel to notify me of any incidents during unloading.

Customer Information

Customs Agent Information Designated by the Customer

Carrier Information Designated by the Customer

Customer's Unloading Authorization

The customer authorized unloading of household goods to:

I did it by my own means:

Therefore, I, the Customer, absolve any responsibility for damages, dents, impacts, broken or damaged goods, which may be verified during the unloading and/or loading of the operation within the ECUACARGAS Temporary Warehouse. I have nothing to claim from ECUACARGAS in the future.

Declaración del Cliente

Por la presente declaro conocer la Política de Gestión en Control y Seguridad BASC ECUACARGAS, que se encuentra en el sitio web de ECUACARGAS en la sección de Transparencia. Asimismo declaro que la información proporcionada en este formulario es veraz. Acepto que las notificaciones que se generan en este trámite puedan ser cursadas por vía correo electrónico, vía telefónica, a la dirección indicada en el casillero de datos del cliente y datos del Agente de Aduana.

Acepto la política de protección de datos de ECUACARGAS.

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