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    Allnex

    Uploaded by

    Arif Tawil Priono
    DGEX Indonesia

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Allnex

    Uploaded by

    Arif Tawil Priono
    242 views1 page
    DGEX Indonesia

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

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    DGEX Indonesia

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    242 views1 page

    Allnex

    Uploaded by

    Arif Tawil Priono
    DGEX Indonesia

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    SHIPPER'S DECLARATION FOR DANGEROUS GOODS

    Shipper
    PT. JVD Indonesia (DGEX Indonesia), Soewarna Integrated Air Waybill No.
    Business Park, Warehouse Area, Blok B, Lot 7-8, Unit E-10
    Tangerang 19110 Indonesia, Tel: (+6221) 5591 1067, For: Page 1 of 1 Pages
    PT. Allnex Resins Indonesia, Jl. Rungkut Industri II /47
    Surabaya 60293, East Java - Indonesia Shipper's Reference Number 2786-220518-A112
    Phone : +62 31 842 0391, Fax : +62 31 847 1247 (optional)

    Consignee
    Allnex (Thailand) Ltd.
    Hemaraj Eastern Industrial Estate
    2 Soi G.2 Pakornsongkrohrat RD
    Huaypong Muang, Thailand
    Telp: +66-(0)-38685 351 Ext.307/+66-(0)92265 3041
    Attn : Somporn Chaichomphu
    Two completed and signed copies of this Declaration must WARNING
    be handed to the operator.
    TRANSPORT DETAILS Failure to comply in all respects with the applicable
    This shipment is within the Airport of Departure: Dangerous Goods Regulations may be in breach
    limitations prescribed for: of the applicable law, subject to legal penalties.
    (delete non-applicable)
    PASSENGER CARGO Soekarno-Hatta, Indonesia
    AND CARGO AIRCRAFT
    AIRCRAFT ONLY

    Airport of Destination : Bangkok, Thailand Shipment type : (delete non-applicable)


    NON-RADIOACTIVE RADIOACTIVE

    NATURE AND QUANTITY OF DANGEROUS GOODS


    Dangerous Goods Identification
    UN Class Quantity and Packing
    Pack- Authorization
    Or Or Division type of packing Inst.
    Proper Shipping Name ing
    ID (Subsidiary
    Group
    No. Risk)
    UN 1866 Resin solution 3 III 1 Fibreboard Box x 1 L 355
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    —————————————————————————————————————————————————————————————
    Additional Handling Information

    24 Hour Emergency Contact Number: +62 877 7189 5355, +62 812 1047 2002, Contact Person: Muhammad Chaidir
    SKP No: 011375/ DG.A2/ DKP / V /2017

    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 Muhammad Chaidir / Operation Executive
    condition for transport according to applicable International and national Place and Date
    governmental regulations. I declare that all of the applicable air transport
    Jakarta, May 22, 2018
    requirements have been met.
    Signature
    (see warning above)

    Copyright © 2018 DGEX Indonesia

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