|
|
 |
PREVIOUS PAGE | TABLE
OF CONTENTS
APPENDIX B ^
FORM FOR CARGO INFORMATION
(Recommended layout)
Note: This form is not applicable if the cargo to be loaded requires a declaration under the requirements of SOLAS 1974, chapter VII, regulation 5; MARPOL 73/78, Annex III, regulation 4; and the IMDG Code, General Introduction section 9.
| Shipper |
Reference number(s) |
| Consignee |
Carrier |
| Name/means Port/placeof transport of departure |
Instructions or other matters |
| Port/place of destination |
| General description of the cargo(Type of material/particle size)
**For solid bulk cargo
|
Gross mass (kg/tonnes)
General cargo
Cargo unit(s)
Bulk cargo |
| Specification of bulk cargo*Stowage factorAngle of reposeTrimming proceduresChemical
properties**if potential hazard
* If applicable
**e.g., IMO class, UN No. or BC No. and EmS No.
|
| Relevant special properties of the cargo |
Additional certificate(s)*
Certificate of moisture content and transportable moisture limit
Weathering certificate
Exemption certificate
Other (specify)
* if required |
DECLARATION
I hereby declare that the consignment is fully and accurately described and that the given test results and other specifications are correct to the best of my knowledge and belief and can be considered as representative for the cargo to be loaded. |
Name/status, company/organization of signatoryPlace and dateSignature on behalf of shipper
|
As an aid to paper documentation, Electronic Data Processing (EDP) or Electronic Data Interchange (EDI) techniques may be used.
This form meets the requirements of SOLAS 1974, chapter VI, regulation 2;
and the BC Code, section 4, subsection 4.1
PREVIOUS PAGE | TABLE
OF CONTENTS
|
