SHIPPER'S DECLARATION FOR DANGEROUS GOODS
SHIPPER'S DECLARATION FOR DANGEROUS GOODS
|Shipper |Air Waybill No.: |
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| |Page of Pages |
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| |Shipper's Reference Number (optional) |
| | |
|Consignee |.[pic]. |
| |German Armed Forces |
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|Two completed and signed copies of this Declaration must be handed |WARNING |
|to the operator. |Failure to comply in all respects with the applicable Dangerous |
| |Goods Regulations may be in breach of the applicable law, subject to|
| |legal penalties. This Declaration must not, in any circumstances, be|
| |completed and / or signed by a consolidator, a forwarder or an IATA |
| |cargo agent. |
|TRANSPORT DETAILS | |
|This shipment is within the limitations |Airport of Departure: | |
|prescribed for: | | |
|(delete non-applicable) | | |
| | | | |
| | | | |
|Airport of Destination: |Shipment type: (delete non-applicable) |
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| | | |
|NATURE AND QUANTITY OF DANGEROUS GOODS |
|Dangerous Goods Identification |Quantity and |Pack-in|Authorization |
| |type of packing |g | |
| | |Inst. | |
|Proper Shipping Name |Class |UN |Pack-ing |Subsi-diar| | | |
| |or |or |Group |y Risk | | | |
| |Divi-si|ID - No. | | | | | |
| |on | | | | | | |
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|Additional Handling Information |
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|I hereby declare that the contents of this consignment are fully and |Name/Title of Signatory |
|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 |Place and Date |
|governmental regulations. | 25.11.2003[pic]25.11.2003 |
| |Signature |
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| |(see warning above) |
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