SHIPPER/EXPORTER(COMPLETE NAME AND ADDRESS) | BOOKING NO.(DOCUMENT NO.)EXPORT DEC. |
| EXPORT REFERENCES |
CONSIGNEE(COMPLETE NAME AND ADDRESS/NON NEGOTIABLE UNLESS CONSIGNED TO ORDER) | FORWARDING AGENT REFERENCES(COMPLETE NAME AND ADDRESS) |
NOTIFY PARTY(COMPLETE MAILING ADDRESS)
| POINT AND COUNTRY OF ORIGIN |
ALSO NOTIFY(NAME AND FULL ADDRESS)/DOMESTIC ROUTING |
| PIER OR PLACE OF RECEIPT* | PRE-CARRIAGE BY* |
VESSEL/VOY(FLAG) | PORT OF LOADING | TYPE OF MOVE | CONTAINERIZED(Vessel only) Yes No |
| PORT OF DISCHARGE | PLACE OF DELIBERY(BY ON CARRIER)* | FINAL DESTINATION(FOR THE MERCHANT'S REFERENCE ONLY) |
PARTICULARS FURNISHED BY SHIPPER
CONTAINER NO.SEAL NO: MARKS&NOS. | NO OF PKGS OR CONTAINERS | H M . . | KIND OF PACKAGS: DESCRIPTION OF GOODS | TOTAL GROSS WEIGHT KGS(POUNDS) | TOTAL MEASUREMENT CBM(CFT) |
| | | | | |
| |
| Optional Declared Value for increased freight charges to avoid Package Limitation: US$___ |
TOTAL NO. OF PACKAGES OR COMTAINERS(IN WORDS)
| FREIGHT AND CHARGES | RATED AS | RATE | PER | PREPAID | COLLECT | DATE BY_______ |
| | | | | | |
| PLACE OF B(S)/L ISSUE |
| NO. OF ORIGINAL B(S)/L SIGNED |
| DATE OF B(S)/L ISSUE |
| | T O T A L | | | BILL OF LADING NO. |