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