MAERSK (CHINA) SHIPPING COMPANY LIMITED 马士基(中国)航运有限公司 DANGEROUS GOODS DECLARATION 危险货物申报单 Shipper (name and address) 发货人(名称/地址) Reference number(s)/Booking number(s) 装箱单号/订舱单号 (Reserved for text, instruction or other matter 24-hour contact tel no. & person English speaking) 24 小时紧急联系人/电话 (具英文听说能力者) Name of carrier(or his agent) Name/means of transport 运输工具名称/方式 Port/place of departure 装货港 Gross weight (including outer packing) 毛重 Net Weight/NEC 净重/净质量 BY SEA Port /place of destination 目的港 Marks & numbers: numbers & kind of packages: description of goods INDICATE: 1.PROPER SHIPPING NAME 正确运输名称 *TECHNICAL NAME (when required) 技术名称 HYDROGEN PEROXIDE 2.IMO CLASS/PACKING GROUP /UN NO. 危品分类/包装类别/联合国编号 IMO CLASS:5.1 / II / UN NO.:2014 3. FLASHPOINT/BOILING POINT (when required) (in C) 闪点/沸点 NO 4. MARINE POLLUTANT (when required) 海洋污染 NO Additional information Special information is required for (1) goods of class 1. (2) gases (class 2). (3) certain flammable solids (class 4.1), (4) certain organic peroxides (class 5.2) (5)infections substances (class 5.2) and (6) radioactive materials (class 7). In certain circumstances (7) a container packing certificate (8) a vehicle declaration (9) a weathering certificate or (10) a certificate exampling a substance, material or article from the provisions of the IMDG code is required DECLARATION: I hereby declare that the contents of this consignment are fully and accurately described above by the correct technical name(s), proper shipping name(s) and are classified, packaged, marked and labeled. And are in all respect in proper condition or transport by (import mode(s) of transport involved) according to the international government regulations. Name/status of signatory Place and date Signature on behalf of shipper 本文来源：https://www.wddqw.com/doc/c95ac0838762caaedd33d4dd.html