Containerized Hazardous Goods Manifest

Vessel & Voyage Information

Vessel Name

Voyage Number

Port of Loading

Port of Discharge

Shipper & Consignee

Shipper

Consignee

Container Details

Container Number

Seal Number

Container Type

Gross Weight

Hazardous Goods Listing

UN Number	Proper Shipping Name	Class	Packing Group	Quantity & Kind of Packages	Net Weight	Flash Point	EMS	Contact Info

Additional Remarks

Prepared By

Name

Date

Signature