Transcription of SHIPPER’S DECLARATION FOR DANGEROUS GOODS Shipper …
1 ShipperConsigneeAir Waybill of PagesWARNINGF ailure to comply in all respects with the applicable DANGEROUS GOODS Regulations may be in breach of the applicable law, subject to legal completed and signed copies of this DECLARATION must be handed to the DETAILSThis shipment is within the limitationsprescribed for:(delete non-applicable )Airport of Departure (optional):PASSENGER ANDCARGO AIRCRAFTCARGOAIRCRAFT ONLYS hipment type: (delete non-applicable)NON-RADIOACTIVERADIOACTIV EA irport of Destination (optional).
2 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 Handling InformationI 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.
3 I declare that all of the applicable air transport requirements havebeen of SignatoryDateSignature (See warning above) Shipper S DECLARATION FOR DANGEROUS GOODSS hipper s Reference No.(optional)
