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Get Multimodal Dangerous Goods Form

2 transport document number 1 Shipper/Consignor/Sender 3 Page 1 of ___________ pages 4 Shipper’s reference 5 Freight forwarder’s reference 7 Carrier (to be completed by the Carrier) 6 Consignee SHIPPER’S DECLARATION I herby declare that the contents of this consignement are fully and accurately described below by the Proper Shipping Name, and are classified, packaged, marked and labeled/placarded and are in all respects in proper condition for transport according to the applicable i.

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