空白航空运单

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②Shipper's name and address

NOT NEGOTIABLE

Air Waybill

Issued by

④Consignee's name and address

It is agreed that the goods described herein are accepted

in apparent good order and condition (except as noted) for

carriage SUBJECT TO THE CONDITIONS OF CONTRACT ON THE

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. THE SHIPPER'S

ATTENTION IS DRAWN TO THE NOTICE CONCERNING CARIER'S

LIMITATION OF LIABILITY.

Shipper may increase such limitation of liability by

declaring a higher value of carriage and paying a

supplemental charge if required. ⑥Issuing Carrier's Agent Name and City

⑦Notify Party

⑧Airport of Departure(Add. of First Carrier) and

Requested Routing

⑨Accounting Information

⑩to

⑩By first

carrier

⑩to ⑩by ⑩to ⑩by ⑾Currency

⑿Declared Value for

Carriage

⒀Declared Value for

Customs

⒁Airport of

Destination

⒂Flight/Date

⒃Amount of

Insurance INSURANCE-If carrier offers insurance and such insurance is

requested in accordance with the conditions thereof

indicate amount to be insured in figures in box

marked"Amount of Insurance"

⒄Handling Information ③Shipper's

Account Number

⑤Consignee's

Account Number ①No. of

Pieces ②Gross

Weight ③Kg/Lb ④Rate

Class ⑤Commodity

Item No. ⑥Chargeable

Weight ⑦Rate/Charge ⑧Total ⑨Nature and Quantity

of Goods

⒁Prepaid Weight charge Collect

⒀Other Charges

⒂Valuation Charge

⒃Tax

⒄Total Other Charges Due Agent Shipper certifies that the particulars on the face hereof are

correct and that insofar as any part of the consignment

contains dangerous goods, such part is properly described by

name and is in proper condition for carriage by air according

to the applicable Dangerous Goods Regulations.

________________________________

⒆ Signature of Shipper or his agent ⒅Total Other Charges Due Carrier

Total Prepaid Total Collect

⒇Executed on(date)____ at(place)___Signature of issuing

Carrier or as Agent Currency Conversion

Rates CC Charges in des. Currency

For Carrier's Use

Only at Destination Charges at Destination Total Collect Charges

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