Sea Fi

*Shipper

*Company Name:

Consignee if to Order State Notify Party
please provide address details:

Check If same as above

please provide address details
if different from consignee:

*Declared Value for customs (FOB):

AUD

EDN

Pre Carriage Ex.:

*Port Of Loading:

Service Required:

Prepaid

Collect

Vessel:

*Port of Discharge:

Final Destination if on Carriage:

Freight payable at PREPAID:

B/L Issuing Port 1:

No B/LS Required:

Signed

Copies

*No. of packages:

(in words and Figures)

*Gross Mass Kg:

*Cubic M3:

*Description of goods:

Dangerous goods declaration

This shipment does not contain dangerous goods.

This shipment does contain dangerous goods and Dangerous Goods Declaration has been completed .

I certify that the contents of this consignment are properly identified by name. Insofar as any part of this consignment contains dangerous goods such part is in proper condition for carriage according to the applicable Dangerous Goods Regulations.

*Full Name:

Date:

All business transacted is subject to the Company's Standard Trading Conditions of Contract, a copy of which are available upon request
and which, in certain circumstances, excludes the Company's liability and include certain indemnities which benefit the Company.

*Verification Code:

(*) Required Fields