| SHIPPER/EXPORTER(COMPLETE NAME AND ADDRESS) | BOOKING NO.(DOCUMENT 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) Yes No |
| PORT OF DISCHARGE | PLACE OF DELIBERY(BY ON CARRIER)* | FINAL DESTINATION(FOR THE MERCHANT'S REFERENCE ONLY) | |
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