Failure to comply in all respects with the applicable
Dangerous Goods Regulations may be in breach of the
applicable law, subject to legal penalties.
Two completed and signed copies of this Declaration must be handed to the operator.
This shipment is within the limitations
(delete non-applicable )
Airport of Departure (optional):
Shipment type: (delete non-applicable)
Airport of Destination (optional):
NATURE AND QUANTITY OF DANGEROUS GOODS
Dangerous Goods Identiﬁcation
Proper Shipping Name
Class or Division
Quantity and Type of Packing
Additional Handling Information
I hereby declare that the contents of this consignment are fully and accurately
described above by the proper shipping name, and are classiﬁed, packaged
marked and labelled/placarded, and are in all respects in proper condition for
transport according to applicable international and national governmental
regulations. I declare that all of the applicable air transport requirements have
Name of Signatory
(See warning above)
Air Waybill No.
Page of Pages
Shipper’s Reference No.
SHIPPER’S DECLARATION FOR DANGEROUS GOODS