SHIPPER/EXPORTER(COMPLETE NAME AND ADDRESS)

BOOKING NO. 　　�。―OCUMENT NO.)　　　EXPORT DEC.

EXPORT REFERENCES

CONSIGNEE(COMPLETE NAME AND ADDRESS/NON NEGOTIABLE UNLESS CONSIGNED TO ORDER)

FORWARDING AGENT REFERENCES(COMPLETE NAME AND ADDRESS)

NOTIFY PARTY(COMPLETE MAILING ADDRESS)

POINT AND COUNTRY OF ORIGIN

ALSO NOTIFY(NAME AND FULL ADDRESS)/DOMESTIC ROUTING

PIER OR PLACE OF RECEIPT*

PRE-CARRIAGE BY*

VESSEL/VOY(FLAG)

PORT OF LOADING

TYPE OF MOVE

CONTAINERIZED(Vessel only)

PORT OF DISCHARGE

PLACE OF DELIBERY(BY ON CARRIER)*

FINAL DESTINATION(FOR THE MERCHANT'S REFERENCE ONLY)

CONTAINER NO. 　　SEAL NO:
MARKS&NOS.

NO OF PKGS
OR CONTAINERS

H M
. .

KIND OF PACKAGS: DESCRIPTION OF GOODS

TOTAL GROSS WEIGHT KGS(POUNDS)

TOTAL MEASUREMENT CBM(CFT)

Optional Declared Value for increased freight charges to avoid Package Limitation:US$___

FREIGHT AND CHARGES

RATED AS

RATE

PER

PREPAID

COLLECT

DATE
BY_______

PLACE OF B(S)/L ISSUE

NO. OF ORIGINAL B(S)/L SIGNED

DATE OF B(S)/L ISSUE

BILL OF LADING NO.