DECLARATION OF DANGEROUS GOODS IN CONTAINER & CONTAINER PACKING CERTIFICATE( FOR MULTIMODAL TRANSPORT )

1. VESSEL AND VOYAGE NUMBER ( IF APPLICABLE) : 船名 / 航次
2. PLACE OF RECEIPT ( IF APPLICABLE ) : 收貨地
3. PORT OF LOADING : 裝貨港
4. PORT OF TRANSHIPMENT ( IF NECESSARY) : 轉運港
5. PORT OF DISCHARGE : 卸貨港
6. PORT OF DELVERY ( IF APPLICABLE) : 交貨地
7. TYPE, SIZE AND NUMBER OF CONTAINERS : 櫃型 / 櫃號
8. NUMBER AND KIND/TYPE OF OUTER PACKAGES : 外包裝及件數
9. NUMBER AND KIND/TYPE OF INNER PACKAGE : 內包裝及件數
10. IMDG CLASS : 危險級別
11. IMDG UN. NO : 聯合國編號
12. IMDG PACKAGING GROUP : 包裝級別
13. PROPER SHIPPING NAME ( for “N.O.S” please specify the technical name) : 聯合國正確運輸品名
    PSN – PROPER SHIPPING NAME
    N.O.S. – NOT OTHERWISE SPECIFIED
14. TECHNICAL NAME : 技術名稱 (俗稱), means a description of the goods sufficient to identify their dangerous characteristics, including any proper name described in the IMDG Code
15. PACKAGE QUANTITY: GROSS AND NET WEIGHT IN KILOS OR IN LITRES G.R. WT, NT. WT) : 數量 – 淨/毛重(公斤)或(公升)
16. FLASH POINT ( FOR SUBSTANCE WITH FLAMMABLE HAZARDOUS RISK) : 可燃液體的閃點
17. LABEL/SUBLABEL ( IF APPLICABLE) : 危標 / 副危標
18. MARINE POLLUTANT ( IF APPLICABLE): 是否為海洋污染物
19. MPA ( IF CARGO IN TRANSITTING OR TRANSSHIPPING AT SINGAPORE) : MPA (maritime and port authority of Singapore) 新加坡海事及港務管理局
20. SPECIAL REQUIREMENTS ( IF APPLICABLE) :
21. EMERGENCY CONTACT NUMBER AS REQUIRED BY REGULATIONS FOR EMERGENCY SOURCE INFORMAITON CONTACT : 緊急聯絡人/電話