| Shipper / Exporter | |||
| Consignee | |||
| Notify Party | |||
| Vessel | Voyage No. | ||
| Port of Loading | Port of Discharge | ||
| Place of Receipt | Place of Delivery | ||
| Bill of Lading No. | Date of Issue | ||
| Marks & Numbers | No. of Packages | Description of Goods | Gross Weight | Measurement |
| Freight & Charges | |
| Prepaid / Collect |