船名(Vessel Name):
航次(Voyage Number):
装货港(Port of Loading):
卸货港(Port of Discharge):
提单号(Bill Number):
集装箱号(Container Number):
货名(Description of Goods):
本人代表 (公司名称)特此申明上述货物为普通品,不含任何国际海事组织所定义的危险货物.
(The undersigned hereby declares on behalf of ________________________________
<company’s name> that the captioned general cargo consignment contains no Dangerous Goods as defined by the International Maritime Organisation.)