Shipping Note Form – Fill Out and Use

STANDARD SHIPPING NOTE

FOR NON-DANGEROUS GOODS ONLY

1. Exporter

2. Customs reference/status

3. Booking Number

4. Exporter’s reference

6. Consignee

5. Forwarder’s reference

7. Freight Forwarder

8. International Carrier

For use of

receiving authority only

9. Other UK transport details (e.g. ICD, terminal, vehicle bkg,

ref, receiving dates

10A. Company preparing this note declares that, to the best of their belief,

the goods have been accurately described, their quantities, weights and

measurements are correct and at the time of despatch they were in good

10. Vessel/flight no. and

Port/airport of loading

order and condition; that the goods are not classified as being hazardous by

date

reference to relevant national and international regulations applicable to the

intended modes of transport.

11. Port/airport of discharge

Destination

TO THE RECEIVING AUTHORITY – Please receive for shipment the goods

described below subject to your published regulations and conditions (including

those as to liability).

12. Shipping Marks

No. and kind of packages: description of goods.

13A. Gross weight

14. Cube (m3) of goods

Non-hazardous special stowage requirements.

(kg) of goods

For use of Shipping company only

Total gross weight

Total cube of goods

of goods

16. Container identification

16A. Seal number(s)

16B. Container/vehicle

16C. Tare (kg)

16D. Total gross weight

number/vehicle registration

size/type

number

DOCK TERMINAL RECEIPT

HAULIER DETAILS

RECEIVING AUTHORITY REMARKS

17.Name and telephone number of company

Haulier’s name

Received the above number of packages/containers/trailers in

preparing this note

apparent good order and condition unless stated herein

Vehicle reg.no

Place and date

Driver’s signature

Receiving Authority signature and date

Name of contact