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Dangerous Goods Manifest: (Final Page or Single Page Submission)

This dangerous goods manifest lists hazardous materials being transported by ship. It includes 14 columns with information such as the container number, proper shipping name, UN number, class of hazard, quantity, and ports of loading and discharge. The manifest is accompanied by a declaration that the dangerous goods are properly packaged, marked, labeled and stowed according to regulations. The declarant certifies that the manifest consists of a certain number of pages and that the shipment contains the materials indicated.

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Ennio Palumbo
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257 views2 pages

Dangerous Goods Manifest: (Final Page or Single Page Submission)

This dangerous goods manifest lists hazardous materials being transported by ship. It includes 14 columns with information such as the container number, proper shipping name, UN number, class of hazard, quantity, and ports of loading and discharge. The manifest is accompanied by a declaration that the dangerous goods are properly packaged, marked, labeled and stowed according to regulations. The declarant certifies that the manifest consists of a certain number of pages and that the shipment contains the materials indicated.

Uploaded by

Ennio Palumbo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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DANGEROUS GOODS MANIFEST

PAGE NO. :_______________

( Final Page or Single Page Submission )


NAME OF SHIP :

CALL SIGN :

IMO NO. / MD REFERENCE NO. (optional) :

VOYAGE
REFERENCE :

ESTIMATED DATE
OF ARRIVAL :

BERTH :

CONTAINER

PROPER SHIPPING NAME

NO.

NO. AND
KIND OF
PACKAGES

(1)

(2)

(3)

IMO
UN NO. PACKING
SUBFLASH
MARINE
DG
N.E.Q.
CLASS
GROUP SIDIARY POINT (IN POLLUTANT NET/GROSS (EXPLOSIVES)
(PRIMARY
RISK(S)
C.C.) IF
MASS
(Kg)
HAZARD)
60C or
(Kg)
BELOW
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)

STOWAGE
LOCATION

PORT OF
LOADING

PORT OF
DISCHARGE

(12)

(13)

(14)

(to be continued......)

DG Unit,
Marine Department
August 2009

DANGEROUS GOODS MANIFEST

PAGE NO. :_______________

( Final Page or Single Page Submission )


NAME OF SHIP :

CALL SIGN :

IMO NO. / MD REFERENCE NO. (optional) :

VOYAGE
REFERENCE :

ESTIMATED DATE
OF ARRIVAL :

BERTH :

CONTAINER

NO. AND
KIND OF
PACKAGES

PROPER SHIPPING NAME

NO.

(1)

(2)

(3)

IMO
UN NO. PACKING
SUBFLASH
MARINE
DG
N.E.Q.
CLASS
GROUP SIDIARY POINT (IN POLLUTANT NET/GROSS (EXPLOSIVES)
(PRIMARY
RISK(S)
C.C.) IF
MASS
(Kg)
HAZARD)
60C or
(Kg)
BELOW
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)

STOWAGE
LOCATION

PORT OF
LOADING

PORT OF
DISCHARGE

(12)

(13)

(14)

To: Director of Marine


Dangerous Goods Declaration
I CERTIFY THAT THIS DANGEROUS GOODS MANIFEST CONSISTS OF .. PAGE(S).

Declaration to be made in respect of cargoes being exported from Hong Kong


I HEREBY DECLARE THAT THE CONTENTS OF THE CONSIGNMENT ARE FULLY AND ACCURATELY DESCRIBED ABOVE BY THE PROPER SHIPPING NAME(S); THAT THE SHIPMENT IS PACKAGED IN SUCH A
MANNER AS TO WITHSTAND THE ORDINARY RISKS OF HANDLING AND TRANSPORT BY SEA HAVING REGARD TO THE PROPERTIES OF THE GOODS TO BE CARRIED AND THAT THE GOODS ARE CLASSIFIED,
DOCUMENTED, PACKAGED, MARKED, LABELLED/PLACARDED, STOWED AND SEGREGATED IN ACCORDANCE WITH THE REQUIREMENTS OF THE MERCHANT SHIPPING (SAFETY) (DANGEROUS GOODS AND
MARINE POLLUTANTS) REGULATION, MADE UNDER THE MERCHANT SHIPPING (PREVENTION AND CONTROL OF POLLUTION) ORDINANCE, CAP 413.

Declaration to be made in respect of cargoes being brought into Hong Kong as either Import Cargoes or Transit Cargoes
I HEREBY DECLARE THAT I HAVE RECEIVED FROM THE SHIPMASTER A DECLARATION THAT THE GOODS ARE CLASSIFIED, DOCUMENTED, PACKAGED, MARKED, LABELLED/PLACARDED, STOWED AND
SEGREGATED IN ACCORDANCE WITH THE REQUIREMENTS OF THE INTERNATIONAL MARITIME DANGEROUS GOODS CODE. ( Note: The Director of Marine may call for the production of this declaration.)

NAME OF COMPANY:
FAX NUMBER :
TELEPHONE NUMBER:
E-MAIL ADDRESS:

DG Unit,
Marine Department
August 2009

NAME & SIGNATURE OF PERSON:


MAKING THIS DECLARATION (Block Capitals)
TITLE OF DECLARANT:
DATE:

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