Dangerous Goods Declaration Form
Shipper Name
Shipper Address
Consignee Name
Consignee Address
Air Waybill Number
Departure Airport
Destination Airport
Transport Details
Page of Pages
Nature and Quantity of Dangerous Goods
Additional Handling Information
I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name and are classified, packaged, marked, labeled/placarded, and in all respects in proper condition for transport according to the applicable international and national governmental regulations.
Name of Signatory
Status/Title of Signatory
Place and Date
Signature