DEPARTMENT OF MATERIALS ENGINEERING Indian Institute of Science, Bangalore – 560 012 Centre for Advanced Study supported by University Grants Commission

Shippers Certification for Non-hazardous Cargo

DHL/AWB No. Airport of Departure: Airport of Destination: Bangalore International Airport Dallas/Fort Worth International (IATA Code: BLR) Airport (IATA Code: DFW) MAWB No. This is to certify that the articles/ substances of this shipment are properly described by name that they are not listed in the current edition of IATA/ Dangerous Goods Regulation (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 not to be dangerous, i.e not restricted. Furthermore the shipper confirms that the goods are in proper condition for transportation on passenger carrying aircraft (DGR, 8.1.23) of International Air Transport Association (IATA) Proper description of goods/ give technical name Net Quantity Marks and Number of Packages (Trade names not permitted, Per package specify each article separately) Shipper & Consignee address on Packages:  Shipper:

 Consignee

Total No. of Packages: ONE Name and address of the shipper: Full Name:

Designation: Professor, Department of Materials Engineering Signature & Company Stamp:

 To be completed in duplicate duly signed & stamped by shipper ONE copy to be filed with AWB copy at ORIGIN & ONE copy to accompany DEST:AWB Attach lab analysis report, Material Safety Data Sheet (MSDS) for bulk drugs/ medicines/ chemicals/ cosmetics Please certify that no hidden dangerous are stored or filled in any components or spare-parts, eg. Plastic components, transformer spares, electrical and electronic appliances etc/ For plastic and rubber (specify) PVC, etc. films (non-nitro-cellulose base) etc.

 Please note that MSDS is available at www.msdssearch.com DEPARTMENT OF MATERIALS ENGINEERING Indian Institute of Science, Bangalore – 560 012 Centre for Advanced Study supported by University Grants Commission

Identification of the substances/ Preparation and of the Section No. 1 company/ Undertaking Product name: Trade name: Manufacturer: Emergency Tel. No.: Section No. 2 Composition/ Information of ingredients Substance preparation: Chemical Name: CAS Number: EC Number: HS Code Number: Section No. 3 Hazards identification

Section No. 4 First aid measures Health hazard: Nil Inhalation: Nil Ingestion: Nil Skin contact: Nil Eye contact: Nil Section No. 5 Fir fighting measures Extinguishing media suitable: Protection of fire fighters: Section No. 6 Accidental release measure Personal precautions: Environmental precautions: Methods for cleaning up: Section No. 7 Handling and storage Handling: Steps to be taken in case material is releases or spilled: Storage: Section No. 8 Exposure controls/ Personal protection Engineering measures: Hygiene measures: Personal protective equipment: Respiratory system: Skin and body: Hands: Eyes: Section No. 9 Physical and chemical properties Physical state: Color: Odour: Molecular weight: Boling point: Flash point: Vapour pressure: Specific gravity @ 20C: Refractive index @ 20C: Flammability: Solubility: Section No. 10 Stability and reactivity Stability: Materials to avoid: DEPARTMENT OF MATERIALS ENGINEERING Indian Institute of Science, Bangalore – 560 012 Centre for Advanced Study supported by University Grants Commission

Hazardous reaction products: Section No. 11 Toxicological information

Section No. 12 Ecological information

Section No. 13 Disposal consideration

Section No. 14 Transport information Hazard class: UN/NA Number: Packing group: Reportable quantity: Section No. 15 Regulatory information

Section No. 16 Other information and disclaimer Intended use:

Department of Materials Engineering IISc Bangalore-560012, India