*Proprietary/trade names alone are not sufficient. If applicable:
(1) the
word 'WASTE' should precede the name;
(2) 'EMPTY UNCLEANED' or 'RESIDUE - LAST CONTAINED'
should be added';
(3) 'LIMITED QUANTITY' should be added.
** When required in 9.3 of the General introduction to the IMDG Code;
*** When required |
10) ADDITIONAL INFORMATION
In certain circumstances special information/certificates are required, see IMDG Code,
General Introduction, paragraphs 9.7.1/9.7.2.
Any additional information should be entered in section 7 above, overleaf or attached to
this form |
DECLARATION
I hereby declare that the contents of this consignment are fully and accurately described
above by the correct technical name (s) ( proper shipping name(s)), and are classified,
packaged, marked and labelled/placarded, and are in all respects in proper condition for
transport according to the applicable international and national government regulations. |
Yours faithfully |
Signatory's Company: ____________________________________ |
11) Name of authorised signatory |
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Place and date of issue |
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Signature for and on behalf of shipper |
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Email:*
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