shippers declaration for dangerous goods - air seychelles · a shipper’s declaration for...

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SHIPPER’S DECLARATION FOR DANGEROUS GOODS Shipper Air Waybill No. Page of Pages Shipper’s Reference Number (optional) Consignee Two completed and signed copies of this declaration must be handed to the operator. WARNING Failure to comply in all aspects with the applicable Dangerous Goods Regulations may be in breach of the applicable law, subject to legal penalties. TRANSPORT DETAILS This shipment is within the limitations prescribed for: ( Delet e non-applicable) Airport of Departure: PASSENGER AND CARGO AIRCRAFT CARGO AIRCRAFT ONLY Airport of Destination Shipment Type (Delet e non-applicable) NON-RADIOACTIVE RADIOACTIVE NATURE AND QUANTITY OF DANGEROUS GOODS Dangerous Goods Identification UN Class or Pack-ing Quantity and Pack Author- or Proper Shipping Name Division Group Type of Inst. ization ID (Subsidiary Risk) Packing No. Additional Handling Information Emergency Contact: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, and are classified, packaged, marked and labelled/placarded, and are in all respects in proper condition for transport according to applicable international and national governmental regulations. I declare that all of the applicable air transport requirements have been met. QAF CGO 028 Name/Title of Signatory Place and Date: Signature ( see warning above)

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Page 1: Shippers Declaration for Dangerous Goods - Air Seychelles · A SHIPPER’S DECLARATION FOR DANGEROUS GOODS Shipper Air Waybill No. Page of Pages Shipper’s Reference Number (optional)

SHIPPER’S DECLARATION FOR DANGEROUS GOODS Shipper

Air Waybill No.

Page of Pages

Shipper’s Reference Number

(optional) Consignee

Two completed and signed copies of this declaration must be handed to the operator.

WARNING

Failure to comply in all aspects with the applicable

Dangerous Goods Regulations may be in breach of the

applicable law, subject to legal penalties.

TRANSPORT DETAILS

This shipment is within the

limitations prescribed for:

(Delete non-applicable)

Airport of Departure:

PASSENGER

AND CARGO

AIRCRAFT

CARGO

AIRCRAFT

ONLY

Airport of Destination Shipment Type (Delete non-applicable)

NON-RADIOACTIVE RADIOACTIVE

NATURE AND QUANTITY OF DANGEROUS GOODS

Dangerous Goods Identification

UN Class or Pack-ing Quantity and Pack Author-

or Proper Shipping Name Division Group Type of Inst. ization

ID (Subsidiary Risk) Packing

No.

Additional Handling Information

Emergency Contact:

I hereby declare that the contents of this consignment are fully and accurately

described above by the proper shipping name, and are classified, packaged,

marked and labelled/placarded, and are in all respects in proper condition for

transport according to applicable international and national governmental

regulations. I declare that all of the applicable air transport requirements have

been met.

QAF CGO 028

Name/Title of Signatory

Place and Date:

Signature

(see warning above)

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