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  • Shippers Dec Columns Color Printer

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    JYOTI SHARMA
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    This document is a shipper's declaration for dangerous goods that must be provided to airlines when transporting hazardous materials. It includes information such as the air waybill number, shipper and consignee details, transport details specifying if it is cargo or passenger aircraft, and a table to list the dangerous goods being shipped including the UN/ID number, proper shipping name, class or division, packing group, type of packaging, and quantity. The shipper must declare that the dangerous goods are properly classified, packaged, and labeled according to applicable regulations.

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    This document is a shipper's declaration for dangerous goods that must be provided to airlines when transporting hazardous materials. It includes information such as the air waybill number, shipper and consignee details, transport details specifying if it is cargo or passenger aircraft, and a table to list the dangerous goods being shipped including the UN/ID number, proper shipping name, class or division, packing group, type of packaging, and quantity. The shipper must declare that the dangerous goods are properly classified, packaged, and labeled according to applicable regulations.

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

    Shippers Dec Columns Color Printer

    Uploaded by

    JYOTI SHARMA
    This document is a shipper's declaration for dangerous goods that must be provided to airlines when transporting hazardous materials. It includes information such as the air waybill number, shipper and consignee details, transport details specifying if it is cargo or passenger aircraft, and a table to list the dangerous goods being shipped including the UN/ID number, proper shipping name, class or division, packing group, type of packaging, and quantity. The shipper must declare that the dangerous goods are properly classified, packaged, and labeled according to applicable regulations.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    SHIPPER'S DECLARATION FOR DANGEROUS GOODS (Provide at least three copies to the airline.

    )
    Shipper
    Air Waybill No.

    Page of Pages
    Shipper's Reference Number
    (optional)

    Consignee
    This shipper's declaration was prepared using a FedEx Express template.
    It must be used ONLY for:
    * Class 7 radioactive shipments
    * Shipments using an 023 air waybill (IP1, IXF or ATA service)
    * Shipments originating from a non-US location

    Two completed and signed copies of this Declaration must WARNING


    be handed to the operator

    TRANSPORT DETAILS Failure to comply with all respects with the applicable
    This shipment is within the Airport of Departure Dangerous Goods Regulations may be in breach of
    limitations prescribed for:
    (delete non applicable)
    the applicable law, subject to legal penalties.
    PASSENGER CARGO
    AND CARGO AIRCRAFT
    AIRCRAFT ONLY
    Shipment type: (delete non-applicable)
    Airport of Destination: NON-RADIOACTIVE RADIOACTIVE

    NATURE AND QUANTITY OF DANGEROUS GOODS

    Dangerous Goods Identification


    UN Quantity and Packing
    Class
    Pack- Authorization
    or
    Proper Shipping Name or Division
    ing
    type of packaging Inst.
    ID (Subsidiary
    Risk) Group
    No.

    Additional Handling Information

    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 Place and Date
    respects in proper condition for transport according to applicable
    International and National Governmental Regulations. I declare that
    all of the applicable air transport requirements have been met. Signature
    (see warning above)
    Emergency Telephone Number

    FOR RADIOACTIVE MATERIAL SHIPMENT ACCEPTABLE FOR PASSENGER AIRCRAFT, THE SHIPMENT CONTAINS RADIOACTIVE MATERIAL INTENDED FOR USE IN OR
    INCIDENT TO RESEARCH, MEDICAL DIAGNOSIS, OR TREATMENT. ADR EUROPEAN TRANSPORT STATEMENT: CARRIAGE IN ACCORDANCE WITH 1.1.4.2.1

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