MAERSK(CHINA)SHIPPINGCOMPANYLIMITED马士基(中国)航运有限公司DANGEROUSGOODSDECLARATION危险货物申报单Shipper(nameandaddress)发货人(名称/地址)Referencenumber(s)/Bookingnumber(s)装箱单号/订舱单号Nameofcarrier(orhisagent)(Reservedfortext,instructionorothermatter24-hourcontacttelno.&personEnglishspeaking)24小时紧急联系人/电话(具英文听说能力者)Grossweight(includingouterpacking)毛重Name/meansoftransport运输工具名称/方式Port/placeofdeparture装货港Port/placeofdestination目的港NetWeight/NEC净重/净质量Marks&numbers:numbers&kindofpackages:descriptionofgoodsINDICATE:1.PROPERSHIPPINGNAME正确运输名称*TECHNICALNAME(whenrequired)技术名称2.IMOCLASS/PACKINGGROUP/UNNO.危品分类/包装类别/联合国编号3.FLASHPOINT/BOILINGPOINT(whenrequired)(inC)闪点/沸点4.MARINEPOLLUTANT(whenrequired)海洋污染AdditionalinformationSpecialinformationisrequiredfor(1)goodsofclass1.(2)gases(class2).(3)certainflammablesolids(class4.1),(4)certainorganicperoxides(class5.2)(5)infectionssubstances(class5.2)and(6)radioactivematerials(class7).Incertaincircumstances(7)acontainerpackingcertificate(8)avehicledeclaration(9)aweatheringcertificateor(10)acertificateexamplingasubstance,materialorarticlefromtheprovisionsoftheIMDGcodeisrequiredDECLARATION:Iherebydeclarethatthecontentsofthisconsignmentarefullyandaccuratelydescribedabovebythecorrecttechnicalname(s),propershippingname(s)andareclassified,packaged,markedandlabeled.Andareinallrespectinproperconditionortransportby(importmode(s)oftransportinvolved)accordingtotheinternationalgovernmentregulations.Name/statusofsignatoryPlaceanddateSignatureonbehalfofshipper
