.RARR LOGISTICS — DANGEROUS GOODS DECLARATION (TEMPLATE)
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WARNING: Failure to declare dangerous goods accurately is a
legal offence and may result in prosecution and full liability
for any resulting damage or loss.

Shipper: ________________________________________________________
Consignee: ______________________________________________________

Air/Sea/Road waybill no: ______________   Date: ______________

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 UN no | Proper shipping name | Class | Packing group | Qty | Pkg type
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       |                      |       |               |     |
       |                      |       |               |     |
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Additional handling information:
________________________________________________

Emergency contact (24h): ________________________________________

I hereby declare that the contents of this consignment are fully
and accurately described above by the proper shipping name, are
classified, packaged, marked, and labelled, and are in all
respects in proper condition for transport according to
applicable international and national regulations.

Name / title: ______________   Signature: ______________   Date: ___