shipper’s declaration for dangerous goods … · shipper consignee air waybill no. page of pages...

Shipper Consignee Air Waybill No. Page of Pages WARNING Failure to comply in all respects with the applicable Dangerous Goods Regulations may be in breach of the applicable law, subject to legal penalties. Two completed and signed copies of this Declaration must be handed to the operator. TRANSPORT DETAILS This shipment is within the limitations prescribed for: (delete non-applicable ) Airport of Departure (optional): PASSENGER AND CARGO AIRCRAFT CARGO AIRCRAFT ONLY Shipment type: (delete non-applicable) NON-RADIOACTIVE RADIOACTIVE Airport of Destination (optional): NATURE AND QUANTITY OF DANGEROUS GOODS UN Number or Identification Number, Proper Shipping Name, Class or Division (subsidiary hazard), Packing Group (if required) and all other required information. Additional Handling Information 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. Name of Signatory Date Signature (See warning above) SHIPPER’S DECLARATION FOR DANGEROUS GOODS Shipper’s Reference No. (optional)

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Shipper

Consignee

Air Waybill No.

Page of Pages

WARNING

Failure to comply in all respects with the applicable Dangerous Goods Regulations may be in breach of the applicable law, subject to legal penalties.

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

TRANSPORT DETAILSThis shipment is within the limitationsprescribed for:

(delete non-applicable )

Airport of Departure (optional):

PASSENGER ANDCARGO AIRCRAFT

CARGOAIRCRAFT ONLY

Shipment type: (delete non-applicable)

NON-RADIOACTIVE RADIOACTIVEAirport of Destination (optional):

NATURE AND QUANTITY OF DANGEROUS GOODSUN Number or Identification Number, Proper Shipping Name, Class or Division (subsidiary hazard), Packing Group (if required) and all other required information.

Additional Handling Information

I hereby declare that the contents of this consignment are fully and accuratelydescribed above by the proper shipping name, and are classified, packagedmarked and labelled/placarded, and are in all respects in proper condition fortransport according to applicable international and national governmentalregulations. I declare that all of the applicable air transport requirements havebeen met.

Name of Signatory

Date

Signature (See warning above)

SHIPPER’S DECLARATION FOR DANGEROUS GOODS

Shipper’s Reference No.(optional)

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