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.
Question | Answer |
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Form Name | Multimodal Transport Document Form |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | multimodal transportation, Tare, 177TMSCXXDGS, 15-MAR-2011 |
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 |
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2 Transport document number |
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ABC CO.,LTD. |
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MSCUxxxxxxx |
BL No. |
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SUITE 01.5TH FLOOR,MARINE TOWER 1 PU DONG |
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3 Page 1 of |
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4 Shipper's reference |
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AVENUE SHANGHAI 200120,CHINA |
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shipper |
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5 Freight forwarder's reference |
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6 Consignee |
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7 Carrier (to be completed by the carrier) |
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CDE CO.,LTD. |
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SHIPPER'S DECLARATION |
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VIALE ANCONA,22 |
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I hereby declare that the contents of this consignment are fully and accurately described |
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30173 |
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below by the Proper Shipping Name, and are classified, packaged, marked and |
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TEL: +39 041 250 0911 |
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labeled/placarded and are in all respects in proper condition for transport according to the |
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EDI |
DG CARGO CONSIGNEE. |
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applicable international and national government regulations. |
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此处填写 |
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8 This shipment is within the limitations prescribed for: |
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9 Additional handling information |
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(Delete |
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PASSENGER AND CARGO |
CARGO AIRCRAFT |
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AIRCRAFT |
ONLY |
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此为 |
上 |
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10 Vessel/flight No. and date |
11 Port/place of loading |
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MSC XIAN D1101R |
SHANGHAI,CN |
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12 Port/place of discharge |
13 Destination |
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VENICE |
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VENICE |
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14 Shipping marks |
Number and kind of packages; description of goods |
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Gross mass (kg) |
Net mass (kg) |
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Cube (m^3) |
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此处应填写 |
中的 |
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24 DRUMS |
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6868 KGS |
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6120KGS |
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25CBM |
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PSN: SODIUM FLUORIDE, SOLID |
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EDI |
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Sub. Name, |
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SODIUM FLUORIDE GRANULAR |
此为EDI 中的 |
/ |
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BL |
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, |
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CLASS:6.1 |
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UN:1690 |
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FLASH POINT:NO |
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14 |
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, |
EDI |
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PG:III |
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MARINE POLLUTANT:NO |
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15 Container identification |
16 Seal number(s) |
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17 Container/vehicle & type |
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18 Tare mass (kg) |
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19 Total gross mass (including |
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No./vehicle registration. No. |
465421 |
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1X20’ |
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2200KGS |
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tare) (kg) |
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MSCU2628040 |
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9068KGS |
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CONTAINER/VEHICLE PACKING CERTIFICATE |
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21 RECEIVING ORGANIZATION RECEIPT |
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I hereby declare that the goods described above have been |
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Received the above number of即为正确运输品packages/containers/trailers名 |
in apparent good order and |
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packed/loaded into the container/vehicle identified above in |
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condition, unless stated hereon: RECEIVING ORGANIZATION REMARKS: |
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accordance with the applicable provisions.+ |
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技术 化学品名,亦是显示在 |
在上的品名 |
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注意 这些为 |
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项中所必须列明的内容 且须与 |
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一致 |
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MUST BE COMPLETED AND SIGNED FOR ALL |
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CONTAINER/VEHICLE LOADS BY PERSON |
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RESPONSIBLE FOR PACKING/LOADING |
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20 Name of company |
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Haulier's name |
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22 Name of company (OF |
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SHIPPER PREPARING THIS |
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, |
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Vehicle reg. no. |
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NOTE) |
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DING MING WAREHOUSE |
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ABC CO.,LTD. |
BL |
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EDI |
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且须 |
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Signature and date |
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shipper |
上 |
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Name/status of declarant |
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BL |
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Name/status of declarant |
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MR WU JIA HUA |
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shipper |
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MISS LI |
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Place and date |
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此处盖 |
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Place and date |
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SHANGHAI, |
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SHANGHAI, |
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Signature of declarant |
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DRIVER'S SIGNATURE |
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Signature of declarant |
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DANGEROUS GOODS: |
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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 |
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under applicable national and international government regulations. For the purposes of the IMDG Code se 5.4.1.1 |
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此为 |
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章 |
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+ For the purposes of the IMDG Code, see此仓5.处库4.2盖章. 装箱 |
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此处手写签名 |
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