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SHIPPER'S DECLARATION FOR DANGEROUS GOODS

SHIPPER'S DECLARATION FOR DANGEROUS GOODS shipper PHONE NUMBER: DSN: AIR WAYBILL NO SHIPPER'S REFERENCE NUMBER TCN: PAGE PAGES OF CONSIGNEE COMPLETED AND SIGNED COPIES OF THIS DECLARATION MUST BE HANDED TO THE OPERATOR WARNING Failure to comply in all respects with applicable Hazardous Materials/ DANGEROUS GOODS Regulations may be in breach of the applicable law, subject to legal penalties TRANSPORTATION DETAILS THIS SHIPMENT IS WITHIN THE LIMITATIONS PRESCRIBED FOR: (DELETE NON-APPLICABLE) CARGO AIRCRAFT ONLY PASSENGER AND CARGO AIRCRAFT AIRPORT OF DEPARTURE: NON-RADIOACTIV RADIOACTIV SHIPMENT TYPE: (DELETE NON-APPLICABLE) AIRPORT OF DESTINATION: NATURE AND QUALITY OF DANGEROUS GOODS DANGEROUS GOODS QUANTITY AND TYPE of PACKING PACKING AUTHORIZATION UN or ID NO. PROPER SHIPPING CLASS or DIVISION PACKIN G ADDITIONAL HANDLING EMERGENCY TELEPHONE NUMBER: 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 labeled/placarded, and are in all respects in proper condition for transport according to applicable international and national government regulations.

shipper's declaration for dangerous goods shipper phone number: dsn: air waybill no shipper's reference number tcn: page of pages consignee

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  Good, Declaration, Dangerous, Shipper, Shipper s declaration for dangerous goods

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