1) Reference number :
2) Name of vessel & Voyage number :
3) Loading / discharging port (Transship port) :
4) Term of this shipment (CY/CY) : EXW
5) Proper shipping name under IMDG code :
6) Proper chemical name (If applicable) :
7) Quantity and type of inner and outer package :
Out package :
Inner package :
8) Gross and net weight in unit KGS. :
Gross Weight :
Net Weight :
9) Number, size and type of container :
10) Class / UN number :
11) Label, subsidiary risk label, marks :
12) Packing group :
13) Flash point in unit deg C (If applicable) :
14) MPA group :
15) EMS (Emergency schedule) :
16) Marine pollutant or not :
17) Emergency contact :
18) HARMONIZE CODE :
19) S/Q NO. :