Multimodal Transport Document Form PDF Details

Are you looking for a convenient and efficient way to manage your transport document needs? With multimedia technology becoming increasingly prevalent, it’s now possible to use a single document form that includes your customs declarations, shipping documents, safety or hazardous materials notifications, and more. Let’s take a closer look at how this multi-modal transport document form can help streamline your logistics processes.

QuestionAnswer
Form NameMultimodal Transport Document Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesmultimodal transportation, Tare, 177TMSCXXDGS, 15-MAR-2011

Form Preview Example

MULTIMODAL DANGEROUS GOODS FORM

This form may be used as a dangerous goods declaration as it meets the requirements of SOLAS 74, chapter VII, regulation 5; MARPOL 73/78, Annex III, regulation 4.

(Booking Number:_177TMSCXXDGS***** )

1 Shipper/Consignor/Sender

 

 

2 Transport document number

 

 

 

 

 

 

 

ABC CO.,LTD.

 

 

 

MSCUxxxxxxx

BL No.

 

 

 

 

SUITE 01.5TH FLOOR,MARINE TOWER 1 PU DONG

 

 

 

 

 

 

 

 

 

 

 

 

3 Page 1 of

 

pages

 

4 Shipper's reference

 

 

 

AVENUE SHANGHAI 200120,CHINA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TEL:0086-21-61043333

 

 

 

 

 

 

 

 

 

 

 

 

BL

 

shipper

 

 

 

 

 

 

5 Freight forwarder's reference

 

 

 

 

 

 

 

 

 

 

 

 

6 Consignee

 

 

 

 

7 Carrier (to be completed by the carrier)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CDE CO.,LTD.

 

 

 

SHIPPER'S DECLARATION

 

 

 

 

 

 

 

VIALE ANCONA,22

 

 

I hereby declare that the contents of this consignment are fully and accurately described

30173 MESTRE-VENEZIA

 

 

below by the Proper Shipping Name, and are classified, packaged, marked and

 

TEL: +39 041 250 0911

 

 

labeled/placarded and are in all respects in proper condition for transport according to the

 

 

EDI

DG CARGO CONSIGNEE.

 

applicable international and national government regulations.

 

 

 

 

 

 

 

 

 

 

 

此处填写

 

 

 

 

 

 

 

8 This shipment is within the limitations prescribed for:

 

9 Additional handling information

 

 

 

 

 

(Delete non-applicable)

 

 

 

 

 

 

 

 

 

 

 

 

PASSENGER AND CARGO

CARGO AIRCRAFT

 

 

 

 

 

 

 

 

 

 

 

 

AIRCRAFT

ONLY

 

 

 

 

 

 

 

 

 

 

 

此为

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10 Vessel/flight No. and date

11 Port/place of loading

 

 

 

 

 

 

 

 

 

 

 

MSC XIAN D1101R

SHANGHAI,CN

 

 

 

 

 

 

 

 

 

 

 

12 Port/place of discharge

13 Destination

 

 

 

 

 

 

 

 

 

 

 

VENICE

 

 

VENICE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14 Shipping marks

Number and kind of packages; description of goods

 

Gross mass (kg)

Net mass (kg)

 

 

Cube (m^3)

 

此处应填写

中的

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24 DRUMS

 

 

 

6868 KGS

 

 

6120KGS

 

25CBM

 

 

 

 

PSN: SODIUM FLUORIDE, SOLID

 

EDI

 

Sub. Name,

 

 

 

 

 

 

 

 

 

 

SODIUM FLUORIDE GRANULAR

此为EDI 中的

/

 

 

BL

 

,

 

 

 

 

CLASS:6.1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UN:1690

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FLASH POINT:NO

:

14

 

 

,

EDI

 

 

 

 

PG:III

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MARINE POLLUTANT:NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15 Container identification

16 Seal number(s)

 

17 Container/vehicle & type

 

18 Tare mass (kg)

 

 

19 Total gross mass (including

No./vehicle registration. No.

465421

 

1X20’

 

 

 

2200KGS

 

 

tare) (kg)

 

MSCU2628040

 

 

 

 

 

 

 

 

 

 

 

9068KGS

 

CONTAINER/VEHICLE PACKING CERTIFICATE

 

21 RECEIVING ORGANIZATION RECEIPT

 

 

 

 

I hereby declare that the goods described above have been

 

Received the above number of即为正确运输品packages/containers/trailers

in apparent good order and

packed/loaded into the container/vehicle identified above in

 

condition, unless stated hereon: RECEIVING ORGANIZATION REMARKS:

 

accordance with the applicable provisions.+

 

 

技术 化学品名,亦是显示在

在上的品名

 

注意 这些为

 

项中所必须列明的内容 且须与

 

一致

 

MUST BE COMPLETED AND SIGNED FOR ALL

 

 

 

CONTAINER/VEHICLE LOADS BY PERSON

 

 

 

RESPONSIBLE FOR PACKING/LOADING

 

 

 

20 Name of company

 

 

Haulier's name

 

 

 

 

 

 

22 Name of company (OF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SHIPPER PREPARING THIS

 

 

 

 

,

 

Vehicle reg. no.

 

 

 

 

 

NOTE)

 

DING MING WAREHOUSE

 

 

 

 

 

 

ABC CO.,LTD.

BL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EDI

 

 

 

且须

 

Signature and date

 

 

 

 

 

shipper

 

 

 

 

 

 

 

 

 

 

 

Name/status of declarant

 

 

 

 

 

 

 

BL

 

Name/status of declarant

 

 

 

 

 

 

 

 

 

 

MR WU JIA HUA

 

 

 

 

 

 

 

 

shipper

 

 

MISS LI

 

Place and date

 

 

 

 

 

 

 

 

此处盖

 

 

Place and date

 

SHANGHAI, 15-MAR-2011

 

 

 

 

 

 

 

 

 

SHANGHAI, 15-MAR-2011

Signature of declarant

 

 

DRIVER'S SIGNATURE

 

 

 

 

 

Signature of declarant

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DANGEROUS GOODS:

 

 

 

You must specify: Proper Shipping此为装箱仓库名称Name, hazard class, UN No., packing group, (where assigned) marine pollutant and observe the mandatory requirements

under applicable national and international government regulations. For the purposes of the IMDG Code se 5.4.1.1

 

此为

一致

此处手写签名

+ For the purposes of the IMDG Code, see此仓5.处库4.2盖章. 装箱

 

此处手写签名