Dangerous Goods Packing Certificate

Shipper Information
Name Address
Reference No. Contact Number
Consignee Information
Name Address
Transport Details
Carrier Vehicle/Flight/Vessel No.
Port of Loading Port of Discharge
Details of Dangerous Goods
UN/ID No. Proper Shipping Name Class or Division Packing Group Quantity & Packing Type
Certificate Statement
I hereby certify that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, packaged, marked and labelled/placarded, and are in all respects in proper condition for transport by ____________ according to the applicable international and national governmental regulations.
Name of Packer
Signature
Date
Place