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Shipper’s Name and Shipper’s Account Number Not Negotiable
Address
Air Waybill
issued by
Copies 1, 2 and 3 of this Air Waybill are originals and have the same validity.
Consignee's Name and Consignee's Account Number It is agreed that the goods declared herein are accepted in apparent good order and condition
(except as noted) for carriage SUBJECT TO THE CONDITIONS OF CONTRACT ON THE
Address REVERSE HEREOF. ALL GOODS MAY BE CARRIED BY ANY OTHER MEANS INCLUDING
ROAD OR ANY OTHER CARRIER UNLESS SPECIFIC CONTRARY INSTRUCTIONS ARE
GIVEN HEREON BY THE SHIPPER, AND SHIPPER AGREES THAT THE SHIPMENT MAY
BE CARRIED VIA INTERMEDIATE STOPPING PLACES WHICH THE CARRIER DEEMS
APPROPRIATE. THE SHIPPER’S ATTENTION IS DRAWN TO THE NOTICE CONCERNING
CARRIER’S LIMITATION OF LIABILITY. Shipper may increase such limitation of liability by
declaring a higher value for carriage and paying a supplemental charge if required.
Issuing Carrier’s Agent Name Accounting Information
and City
Agent's IATA Code Account No.
Airport of Departure (Addr. of First Carrier) and Reference Number Optional Shipping
Requested Routing Information
To By First Routing and to by to by Curren CHG WT/VAL Other
Declared Value for Declared Value for
S PPD COLL PPD COLL
Carrier Destination cy Carriage Customs
Airport of Destination Requested Flight/Date Amount of INSURANCE - If carrier offers insurance, and
Insurance such insurance is requested
in accordance with the conditions thereof,
Handling
indicate amount to be insured in
Information
figures in box marked “Amount of Insurance”.
SCI
No. of Rate Class
Gross kg Chargeable Rate Nature and Quantity of Goods
Pieces Commodity Charge Total
Weight lb Weight (incl. Dimensions or Volume)
RCP Item No.
HOLD FOR PICKUP
Prepaid Weight Charge Collect Other
Charges
Valuation Charge
Tax
Total Other Charges Due Agent I hereby certify that the particulars on the face hereof are correct and that insofar as any part of the
consignment contains dangerous goods. I hereby certify that the contents of this consignment are
fully and accurately described above by proper shipping name and are classified, packaged,
Total Other Charges Due Carrier marked and labeled, and in proper condition for carriage by air according to applicable national
governmental regulations.
Signature of Shipper or his Agent
Total Prepaid Total Collect
Currency Conversion CC Charges in Dest.
Rates Currency Executed on (date) at (place) Signature of Issuing Carrier
or its Agent
For Carrier’s Use only Charges at Total Collect Charges
at Destination Destination
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