Jakarta, 17th October 2013

Your Ref. : 576/13/35881/C

Our Ref. : AR/2131006/xx
W. K. WEBSTER (INTERNATIONAL) PTE. LTD.
20 Cecil Street,
#22-03 Equity Plaza,
Singapore 049705.
Attention: Ms. Cici Chen.
Dear Madam,
PRELIMINARY LOSS ADVICE
Ini klo instruksi langsung dari WKW - In accordance to your survey instructions
dated 11th October 2013,
Ini klo kita yang lapor ke WKW pake agent first advice - We refer to our Agent First
Advice of Claim Form dated 11th October 2013, we have carried out a site survey to
the affected cargo and would now report briefly as follows:
INSURANCE POLICY

No.: AFUZB0024213Q002142F;
dated 9th July 2013,
issued by China Pacific Property Insurance Co., Ltd.

ASSURED

Rhein Enterprise Limited.

INVOICE

USD 46,000 (CNF Air Jakarta);

invoice no.: RPLIN1306057,
dated 8th July 2013,
issued by Rhein Enterprise Limited

AIR WAYBILL
:
diganti aja antara Bill of
Lading / Air Waybill

No.: 7917343;
dated 9th July 2013,
issued by Jet Speed Global Logistics Limited.

SHIPPER

Rhein Enterprise Limited

(alamat abis koma dibikin garis baru)
Suite A2,
12/F.,
Ritz Plaza,
122 Austin Road TST,
Kowloon,

AR/2131006/..
Preliminary Loss Advice
Page No. 2

Hongkong.
CONSIGNEE

PT. Tatarasa Primatama,

Ruko Sentra Niaga,
Puri Indah Blok T2/23,
Puri Kembangan,
Jakarta 11610,
Indonesia.
Notify Party:
Same as the Consignee.

CARGO

4 ctns or 20 kgs (0.5 kg / poly bags, 2 poly bags / tin; 5

tins/ctns) of Netilmicin Sulfate, USP26 Freeze Dried
Sterile White Material.

CONVEYANCE

Airfreight flight no.: KA663.

PORT AND DATE OF

LOADING

Fuzhou, China, on 9th July 2013.

PORT AND DATE

TRANSHIPMENT

OF :

TRANSHIPMENT
CONVEYANCE

To be advised. (cek dokumen klo ada transit)

Airfreight flight no.: CX777.

OF :

Soekarno Hatta Airport, Jakarta, Indonesia on 10th

July 2013.

DATE AND PLACE OF

15th July 2013 at the Consignees warehouse, Jl.

Sutera Niaga III No. 1, Alam Sutera, Serpong,
Tangerang, Banten, 15325, Indonesia.

LOSS FIRST OBSERVED

15th July 2013, upon delivery.

NOTICE OF LOSS

11th October 2013 (88 days delay due to the

Consignee try to send the entire cargo to their
Customer, however the damaged cargo was rejected
by their Customer).

DATE AND PLACE OF

SURVEY

17th October
warehouse.

ESTIMATION OF LOSS

USD 6,868 (invoice value).

PORT AND
ARRIVAL

DATE

2013

at

the

above

Consignees

AR/2131006/..
Preliminary Loss Advice
Page No. 3

REMARKS
Survey
Following receipt of the notification of loss from the Consignee and your survey
instruction on 11th October 2013, we immediately contacted Mr. Sjaifu (the
Consignees Import Department staff) to arrange our survey.
On the scheduled date, 17th October 2013, we attended the above Consignees
warehouse where we met with and interviewed Mr. Sjaifu and Mr. Mulyadi Sirin (as
pharmacist). They then presented us to the affected cargo stored in their warehouse.
Mr Mulyadi informed us that they found the damage upon delivery to their
warehouse on 15th July 2013. They then sent the entire cargo to their customer on
22nd July 2013. However, the damaged cargo was rejected by their customer.
Some documents were handed over to us during our survey.
Nature and Extent of Damage
During survey we found that 3 tins @ 1kg of the cargo were dented.
Cause of Loss
Under investigation.
Remarks
We are collecting supporting documents from the Consignee and will report more
detail in the next Report.
Yours faithfully,
For and on behalf of PT. DHARMA NILAITAMA

Ir. Robertus Ismono, ICAP

Ahmad Siroji, S.Ik