Dangerous Cargo Application Form [PDF]

5. SIN/SUEZ/OTHER CLASS: 6. PROPER SHIPPING NAME: 7. HAZARDOUS COMPONENT: A. INNER PACKING: B. OUTER PACKING: C. PACKING
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Idea Transcript

Dangerous Cargo Application Form 1. GDR REF NUMBER 2. SVC/VSL/VOY: 3. PORT OF LOADING/ORIGINAL: A. UN: B. IMO CLASS: C. ADDTNL RISK LABEL:

5. SIN/SUEZ/OTHER CLASS: 6. PROPER SHIPPING NAME:

7. HAZARDOUS COMPONENT: A. INNER PACKING: B. OUTER PACKING: C. PACKING GROUP: 9A. GROSS WEIGHT: B. NET WEIGHT/N.E.C:846KGS 10. FLASH POINT: 11. LIQUID/SOLID/GAS: 12. MARINE POLLUTANT: 13. EMS: 14. MFAG I/MFAG II: 15 A EMS: B. TYPE:DC(X), D. PREFIX&NUMBERS:

*Please Email this Application together with MSDS to: (OPERATOER’S MAIL BOX)

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