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  • Shippers Declaration Column Format Fillable

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    inu iswandanu
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    1) The shipment contains compressed gas (nitrogen and hydrogen cyanide) in 9 wooden boxes, with 5 boxes containing 11 kg each and 4 boxes containing 10 kg each. 2) The shipment is classified as class 2.2 (non-flammable, non-toxic gas) and is within limitations for cargo aircraft. 3) The 24-hour contact number provided is +6282176765085.

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    1) The shipment contains compressed gas (nitrogen and hydrogen cyanide) in 9 wooden boxes, with 5 boxes containing 11 kg each and 4 boxes containing 10 kg each. 2) The shipment is classified as class 2.2 (non-flammable, non-toxic gas) and is within limitations for cargo aircraft. 3) The 24-hour contact number provided is +6282176765085.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    180 views1 page

    Shippers Declaration Column Format Fillable

    Uploaded by

    inu iswandanu
    1) The shipment contains compressed gas (nitrogen and hydrogen cyanide) in 9 wooden boxes, with 5 boxes containing 11 kg each and 4 boxes containing 10 kg each. 2) The shipment is classified as class 2.2 (non-flammable, non-toxic gas) and is within limitations for cargo aircraft. 3) The 24-hour contact number provided is +6282176765085.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    SHIPPER’S DECLARATION FOR DANGEROUS GOODS

    Shipper
    Air Waybill No.
    Muhamad Ryandi Ramdhani Juhana (0812918957560)
    BANDAR UDARA SULTAN THAHA JAMBI. INDONESIA Page 1 of 1 Pages
    Shipper’s Reference No. 081291895756
    (optional)
    Consignee
    PT.TRUSUR UNGGUL PERKASA TEKNUSA
    JL.Lap tembak Raya No.64G CIBUBUR
    JAKARTA INDONESIA
    up.Muhamad Ryandi Ramdhani Juhana (081291895756)

    Two completed and signed copies of this Declaration must be handed to the operator.
    WARNING

    Failure to comply in all respects with the applicable


    TRANSPORT DETAILS Dangerous Goods Regulations may be in breach of the
    This shipment is within the limitations Airport of Departure (optional): applicable law, subject to legal penalties.
    prescribed for:

    (delete non-applicable )
    JAMBI, SULTAN
    THAHA AIRPORT
    PASSENGER AND CARGO
    CARGO AIRCRAFT XXX
    AIRCRAFT ONLY

    Airport of Destination (optional): Shipment type: (delete non-applicable)


    JAKARTA NON-RADIOACTIVE RADIOACTIVE
    XXXXXXXXXXX
    NATURE AND QUANTITY OF DANGEROUS GOODS

    Dangerous Goods Identification

    UN or Proper Shipping Name Class or Division Packing Packing


    Quantity and Type of Packing Authorization
    ID No. (subsidiary hazard) Group Inst.

    UN 1956 Compresed gas n.o.s. CLASS 2.2 5 Wooden Boxes X 11 kg 200


    (Nitrogen,hydrogen cyanide) 4 Wooden Boxes X 10 kg

    Additional Handling Information

    24-HOUR TEL NUMBER :+6282176765085 (INU ISWANDANU)

    I hereby declare that the contents of this consignment are fully and accurately Name of Signatory
    described above by the proper shipping name, and are classified, packaged INU ISWANDANU 2158/DG.A2/DKP
    marked and labelled/placarded, and are in all respects in proper condition for
    transport according to applicable international and national governmental Date 11 SEPTEMBER 2021
    regulations. I declare that all of the applicable air transport requirements have
    been met.
    Signature
    (See warning above)

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