| 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. | |||||
