Dangerous Goods Declaration

Shipper
Consignee
Air Waybill No.
Reference No.
Airport of Departure
Airport of Destination

Transport Details

Flight/Date
Page of Pages

Number & Kind of Packages Proper Shipping Name Class or Division UN or ID No. Packing Group Quantity and Type of Packing Packing Inst. Authorization

Additional Handling Information
Name of Shipper
Signature
Date
Place