"ملف ١٦/٣٦ III قيود على شحن البضائع من البحرين" [ظ‎‎٤‎٨‎١] (١٠٨٣/٩٦٢)

APPLICATION FOR EXPORT LICENCE
ISO
( To be prepared in triplicatie; one to be retained by the exporter; ona for record in the Agency; and
one to be given to the Director of Customs, Bahrain.)^
l
NAME OF APPLIANT — SI* — 6*1 £* 6 ^
and
ADDRESS
— f —^ • ; : —.— a
The undersigned hereby makes application fdr a licence to export the undermentioned goods from the
port ol Bahrain in respect of which the information /urnished herein is certified to be true and correct*
Nature, quantity, a nd
Value of the goods:
Country of origin.
ISame and address of
consignee
Name and address of
ultimate purchaser
( if other than con
signee and if known )
Name of ship or
country-craft
B«te of shipment
port at which goods
will be unloaded -
(if known )
Jfl
L..rrr=r. 1944 ,
D a t e d ~
H.B.M.s pol itical Agent, Bahraia.
( Signature of Applicant )
m f ' —— -
equirements,
DIRECTOR OF CUSTOMS, BAHRAIN.
( Signature of Applicant )
CERTIFIED that the goods listed above, for which an Export Licence is applied for, are surplus
local requirements,
to
political « % cm. , uauiaimt
the "entries below this line to be left blank by the Applicant )
DECISION
LICENCE NO ..Dated.... „... 4 ..|. granted for the export of
^ _____
t