SHIPPER/EXPORTER(COMPLETE NAME AND ADDRESS) BOOKING NO.(DOCUMENT NO.)EXPORT DEC. EXPORT REFERENCES CONSIGNEE(COMPLETE NAME AND ADDRESS/NON NEGOTIABLE UNLESS CONSIGNED TO ORDER) FORWARDING AGENT REFERENCES(COMPLETE NAME AND ADDRESS) NOTIFY PARTY(COMPLETE MAILING ADDRESS)
POINT AND COUNTRY OF ORIGIN ALSO NOTIFY(NAME AND FULL ADDRESS)/DOMESTIC ROUTING PIER OR PLACE OF RECEIPT* PRE-CARRIAGE BY* VESSEL/VOY(FLAG) PORT OF LOADING TYPE OF MOVE CONTAINERIZED(Vessel only) Yes No PORT OF DISCHARGE PLACE OF DELIBERY(BY ON CARRIER)* FINAL DESTINATION(FOR THE MERCHANT'S REFERENCE ONLY) PARTICULARS FURNISHED BY SHIPPER
CONTAINER NO.SEAL NO: MARKS&NOS. NO OF PKGS OR CONTAINERS H M . . KIND OF PACKAGS: DESCRIPTION OF GOODS TOTAL GROSS WEIGHT KGS(POUNDS) TOTAL MEASUREMENT CBM(CFT)Optional Declared Value for increased freight charges to avoid Package Limitation: US$___ TOTAL NO. OF PACKAGES OR COMTAINERS(IN WORDS)
FREIGHT AND CHARGES RATED AS RATE PER PREPAID COLLECT DATE BY_______ PLACE OF B(S)/L ISSUE NO. OF ORIGINAL B(S)/L SIGNED DATE OF B(S)/L ISSUE T O T A L BILL OF LADING NO.
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