Dangerous Goods Inquiry Request Format

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Dangerous Goods Inquiry Request Format

Dangerous Goods Application Request Format

1) Booking reference no.

2) Vessel and Voyage no.

3) Port of Loading :

4) Port of Discharging :

5) Final Destination :

6) Number/Size/Type of container

7) Proper Shipping Name :

8) Technical/Chemical Name :

9) UN No. :

10) IMO Class :

11) Subsidiary risk(s)

12) Outer Package Type / Number :

13) Inner Package Type / Number :

14) Gross weight :

15) Net weight :

16) Packing Group (I, II, III) :

17) Flash Point :

18) Marine Pollutant :

19) Limited Quantity

20) EMS :

21) Emergency Contact No. :

22) Remarks Sample of Dangerous Goods Application Request on specific vessels/voyages

1ST LEG VESSEL

1) Booking reference no. : BMELC13000950

2) Vessel and Voyage no. : RHL CONSCIENTIA Voy.0002N

3) Port of Loading : MELBOURNE

4) Port of Discharging : SINGAPORE

5) Final Destination : LAEMCHABANG

6) Number/Size/Type of container : 1 x 20’GP

7) Proper Shipping Name : FLAMMABLE LIQUID, N.O.S.

8) Technical/Chemical Name : XYLENE, AROMATIC HYDROCARBONS

9) UN No. : 1993

10) IMO Class : 3

11) Subsidiary risk(s) : ---

12) Outer Package Type / Number : 1A1 / 80 x STEEL DRUMS

13) Inner Package Type / Number : ---

14) Gross weight : 16,800 KGS

15) Net weight : 14,080 KGS

16) Packing Group (I, II, III) : III

17) Flash Point : 25’C

18) Marine Pollutant : NO 19) Limited Quantity : N/A

20) EMS : F-E, S-E

21) Emergency Contact No. : MR.SANTHOSH (+61) 03 9254 1000

22) Remarks : ---

2nd LEG VESSEL

1) Booking reference no. : BMELC13000950

2) Vessel and Voyage no. : APL AMMAN Voy.050N

3) Port of Loading : SINGAPORE

4) Port of Discharging : LAEMCHABANG

5) Final Destination : LAEMCHABANG

6) Number/Size/Type of container : 1 x 20’GP

7) Proper Shipping Name : FLAMMABLE LIQUID, N.O.S.

8) Technical/Chemical Name : XYLENE, AROMATIC HYDROCARBONS

9) UN No. : 1993

10) IMO Class : 3

11) Subsidiary risk(s) : ---

12) Outer Package Type / Number : 1A1 / 80 x STEEL DRUMS

13) Inner Package Type / Number : ---

14) Gross weight : 16,800 KGS

15) Net weight : 14,080 KGS

16) Packing Group (I, II, III) : III

17) Flash Point : 25’C

18) Marine Pollutant : NO

19) Limited Quantity : N/A

20) EMS : F-E, S-E

21) Emergency Contact No. : MR.SANTHOSH (+61) 03 9254 1000

22) Remarks : ---

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