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SHIPPER'S CERTIFICATION FOR NON-HAZARDOUS CARGO

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					                   SHIPPER’S CERTIFICATION FOR NON-HAZARDOUS CARGO



 SEA SHIPMENT NO.                   PORT OF LOADING                     PORT OF DISCHARGE



This is certify that the articles/substance of this shipment are properly described by name, that they are
not listed in the current edition of IATA Dangerous Goods Regulations (DGR) Alphabetical list of
Dangerous Goods, nor do they correspond to any of the Hazard Classes appearing in the DGR Section
3 classification of Dangerous Goods and that they are known to be not Dangerous i.e. not restricted,
further more the shipper confirms that the goods are in proper condition for transportation or passenger
carrying aircraft (DGR para 8.1.23).


      MARKS AND                 PROPER DESCRIPTION OF GOODS                     NET QUANTITY PER
      NUMBERS OF                    (Trade Names not permitted)                     PACKAGE
       PACKAGES                SPECIFY EACH ARTICLE SEPARATELY




       NAME AND ADDRESS OF SHIPPER




                                                                 SIGNATURE WITH SEAL

TO BE COMPLETED IN DUPLICATE

Distribution:

    1) one copy to accompany the SSB
    2) one copy to filled at sea port of departure (with SSB copy) Form 3254, Version 1987.

				
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Jun Wang Jun Wang Dr
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