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Sample Pickup
NOTE : If your ship is not registered in our system, please contact us at viswasamplelogistics@theviswagroup.com and we will be happy to assist you.
Get Ship
Ship Name:
IMO No:
Sample Type
Fuel Oil
Lube Oil
CLO
Sweep
Please check Sample type and enter No. Of Sample.
Requestor Information
Please enter Name
Please enter Designation
Please enter Company Name
Please enter Phone Number
Please enter Valid Email
PickUp Information
Please select Pickup Country
Please enter Pickup company
Please enter Pickup address
Please enter Pickup address line 2
Please enter Pickup City
Please enter Pickup zipcode
Please enter Pickup phone Number
Please enter Valid Pickup email
Please enter EIN/SSN/VAT/GST/PAN CARD No.
Please select Pickup date
Please enter Pickup time
Destination Lab
Select Destination Lab
Open Modal
Open Modal
Clear Form
Submit
LO Pre Login
Ship
No. Of Samples
PO Number
Fetch Data
Ship Name :
IMO Number:
PO Number:
No. Of Samples:
ID
Equipment
Ref Oil
Sample Point
Type
Bottle No
Date
Unit
OU No
Oil Added
Schedule Sample Pickup
Save
Clear Form
Your pickup request has been accepted and here is details
Invoice Number
Airway Bill No
Pick Up Date
Alert: Please fill DHL Instruction form and submit to Pickup person.
Alert: Please submit copy of GST Certificate/PAN Card to pickup person.
Alert Message:
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