Dangerous Good Declaration
Please fill in details print out or fill in details and Submit.
1) Shipper |
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2) Reference number
(s) |
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3) Consignee |
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4) Carrier |
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Container packing certificate/vehicle declaration.
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5) Name/status, company/organization of signatory |
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Place and date: |
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Signature on behalf of packer |
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Vessel & voyage |
6) Port of Loading |
7) Additional Information |
8) Port of Discharge |
9) Goods delivered as: |
Marks & numbers |
Number and kind of packages |
Unit Quantity** |
Gross Mass (kg)** |
Cubic Vol. (m3) |
Type of unit: |
*Proprietary/trade names alone are not sufficient. If applicable: |
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10) ADDITIONAL INFORMATION |
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DECLARATION |
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Yours faithfully |
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Signatory's Company: ____________________________________ |
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11) Name of authorised signatory |
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Place and date of issue |
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Signature for and on behalf of shipper |
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Email:* |
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Please feel free to contact us at Australia Trade & Shipping. |
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Phone: |
Adelaide: |
+61 8 8464 0840 |
Lismore: |
+61 2 6619 1699 |
Click Here to contact the WebmasterI wish a safe and prosperous journey for you and your loved ones. |