NOT RESTRICTED

SHIPPER'S DECLARATION FOR ARTICLES NOT REGULATED AS DANGEROUS GOODS

NOT RESTRICTED
Shipper Name, address, contact numbers of the shipper Air waybill No.

Page 1 of 1 Page

Shippers Reference Number

Consignee Name, address, contact numbers of the consignee

Two completed and signed copies of this Declaration must be handed to

the opearator

TRANSPORT DETAILS WARNING

NOT RESTRICTED

NOT RESTRICTED
Airport of departure Failure to comply in all respectes with the applicable Dangerous
This shipment can be Goods Regulations may be in breach of the applicable law, subject to
transported on both CEB legal penalties.
passengers and cargo aicraft

Airport of Destination

ARTICLES AND DESCRIPTION. Number and type of packages. Net Quantity per package and Flashpoint
Specify each articles seperately
NOT RESTRICTED

NOT RESTRICTED

Additional Handling Information

NOT RESTRICTED

NOT RESTRICTED

24 hr. Emergency Contact Tel. NO. _

I hereby declare that the contents of this consignment in spite of product Name/Title of Signatory
name or appearance are not Dangerous Goods restricted for air
transportation according to the applicable International and National Place and Date
Government Regulations.

Signature
(see warning above)