January 2024 Version



PACKING DECLARATION

Vessel name: Voyage number:
Consignment identifier or numerical link:
BOL: CONTAINER:
UNACCEPTABLE PACKING MATERIAL STATEMENT
(Packaging material such as straw, peat, hay, chaff, used fruit & vegetable cartons are not permitted)
Q1 Have unacceptable packaging materials been used as packaging or dunnage in the consignments covered by this document?
TIMBER/BAMBOO PACKAGING/DUNNAGE STATEMENT
(Timber/bamboo packaging/dunnage includes: crates, cases, pallets, skids, and any other timber or bamboo used as a shipping aid)
Q2 Has timber/bamboo packaging/dunnage been used in consignments covered by this document?


CONTAINER CLEANLINESS STATEMENT (for FCL/X consignments only - statement to be removed from document when not relevant).
The container(s) covered by this document has/have been cleaned and is/are free from material of animal and/or plant origin and soil.
Signed: Printed name:
(Company Representative) (Employee Name)
Date of issue:
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