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Section II Lithium Battery Declaration Form

This document is a shipper's declaration for lithium batteries being shipped from India to the United Arab Emirates. It details that BPL Medical Technologies Pvt Ltd is shipping lithium ion batteries that comply with Section II of PI 967, with a total net weight of less than 5 kg per package, to Unicare Medical Trading LLC. The declaration warns that damaged or defective lithium batteries cannot be shipped by air and provides contact information for the shipper and additional handling instructions if the package is damaged.

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krishnadas kota
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758 views

Section II Lithium Battery Declaration Form

This document is a shipper's declaration for lithium batteries being shipped from India to the United Arab Emirates. It details that BPL Medical Technologies Pvt Ltd is shipping lithium ion batteries that comply with Section II of PI 967, with a total net weight of less than 5 kg per package, to Unicare Medical Trading LLC. The declaration warns that damaged or defective lithium batteries cannot be shipped by air and provides contact information for the shipper and additional handling instructions if the package is damaged.

Uploaded by

krishnadas kota
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Date: 28.02.

2022

Shipper’s Declaration for Section II Lithium Cells / Batteries


WARNING: LITHIUM BATTERIES IDENTIFIED BY THE MANUFACTURER AS BEING DEFFECTIVE FOR SAFETY REASONS, OR
THAT HAVE BEEN DAMAGED, MUST NOT BE SHIPPED BY AIR.
Shipment Details:
Master Air Waybill Number: 7761 2958 9611 Origin (Optional): INDIA
House Air Waybill Number: Destination (Optional): UNITED ARAB EMIRATES
(If applicable)
Shipper’s Information: Consignee’s Information:
Name: BPL MEDICAL TECHNOLOGIES PVT LTD Name: UNICARE MEDICAL TRADING LLC

Address: 11TH KM, AREKERE, BANNERGHATTA ROAD, Address: DUBAI HEALTHCARE CITY, BLDG # 71, DISTRICT 1,

BANGALORE 2ND FLOOR - OFFICE : 1, DUBAI – 111553,UAE

Contact Number: 9632571990


Contact Number:
Select the applicable battery type(s) and fill in the blanks:
Piece (No Net Weight/ Qty
Battery Type [IMP Code] IATA Limitation per Package
of Carton)
(kg)
Cell / Battery ≤ 2.7Wh No. of Pieces: No Limit
UN3480 | PI965 Max Net Battery Weight 2.5 kg per package
Cell > 2.7 Wh but ≤ 20 Wh No. of Pieces: Max 8 Cells
[ELI]
per package
Lithium Ion Cells /
Battery > 2.7 Wh but ≤ 100 Wh No. of Pieces: Max 2 Batteries
Batteries ONLY per package
UN3481 | PI966 [ELI] Cell ≤ 20Wh or
Lithium Ion Cells / Batteries Packed with Equipment Battery ≤ 100Wh
UN3481 | PI967 [ELI] Max Net Battery Weight 5 kg per package
Lithium Ion Cells / Batteries Contained in Equipment
Cell / Battery ≤ 0.3g lithium No. of Pieces: No Limit
UN3090 | PI968 Max Net Battery Weight 2.5 kg per package
Cell > 0.3g but ≤ 1g lithium No. of Pieces: Max 8 Cells
[ELM]
per package
Lithium Metal Cells /
Battery > 0.3g but ≤ 2g lithium No. of Pieces: Max 2 Batteries
Batteries ONLY per package
UN3091 | PI969 [ELM] Cell ≤ 1g lithium or
Lithium Metal Cells / Batteries Packed with Equipment Battery ≤ 2g lithium
UN3091 | PI970 [ELM] Max Net Battery Weight 5 kg per Package
Lithium Metal Cells / Batteries Contained in Equipment

 Lithium ION batteries in compliance with Section II of PI 967


 Lithium METAL batteries in compliance with Section II of PI .
• This package does not contain any damaged and / or defective cells and / or batteries.
• This package must be handled with care. A flammability hazard exists if the package is damaged.
• Special procedures must be followed in the event the package is damaged, to include inspection and repacking if necessary.
Special Procedures: (E.g. Follow Special Procedures as per MSDS Section xx to xx in the event the package is damaged)

• Telephone Number for Additional Information: 91 9632571990


(Country Code) + Area Code + Phone Number
• Remarks:

Full Name: KRISHNA DAS


(Capital Letter)

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