Shipper DG Form

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Shipper’s Declaration As Non-Dangerous Goods

Date:
TO : The Export Manager
DNATA / Emirates Sky Cargo
P.O.Box 686,Dubai
U.A.E.

Subject: Nature of Goods

Dear Sir,

I/We hereby confirm that the shipment under Air Way Bill #
does not contain any dangerous substances as per the current IATA Dangerous Goods
Regulations. I/We also confirm that it is safe for carriage by air. I/We fully understand that
I/We will be liable for any damage caused by the goods due to inadequate declaration of
nature of goods. To provide a clearer idea, I/We are giving more specific details on the
attached sheet, which in true and according to my/our knowledge.

Yours faithfully,

SHIPPER

Air waybill no.: Destination: Date:


Description of Goods:
Purpose of Goods (Used for):
Relationship with Goods:
(Owner/Trader/Transporting CO./Forwarder/Manufacturer/Agent/Other-Specify)

Solids : KGs
Liquids : KGs Flash point above C

These do not pose any danger of:


Explosion Flammability Poisoning
Corrosion Radiation Magnetic Effect

Shipper Name: Signature:


Address: Date:
Tel/Fax/Mob:

Consignee Name: Signature:


Address: Date:
Tel/Fax/Mob:

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