Shipper/Consignor/Sender:

Consignee:

Shipper's Reference:

Air Waybill No.:

Transport Details

Departure Airport:

Destination Airport:

Flight/Booking Reference:

This shipment is within the limitations prescribed for:

Passenger and Cargo Aircraft

Cargo Aircraft Only

Dangerous Goods Information

Proper Shipping Name	Class/Division	UN or ID Number	Packing Group	Quantity and Type of Packing	Packing Inst.	Additional Information

Emergency Contact Name & Telephone:

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 and labelled/placarded, and are in all respects in proper condition for transport according to applicable international and national governmental regulations.

Place and Date:

Signature of Shipper/Consignor/Sender:

Name of Signatory:

Dangerous Goods Declaration