BILL OF LADING FORM

(2) SHIPPER / EXPORTER (COMPLETE NAME AND ADDRESS)
(3) CONSIGNEE (COMPLETE NAME AND ADDRESS)
(4) NOTIFY PARTY (COMPLETE NAME AND ADDRESS)
(5) BOOKING NO. (5A) BILL OF LADING NO.
(6) EXPORT REFERENCES
(7) FORWARDING AGENT / F M C NO.
(8) POINT AND COUNTRY OF ORIGIN
(9) ALSO NOTIFY - ROUTING & INSTRUCTIONS

(12) INITIAL CARRIAGE BY (MODE) (13) PLACE OF INITIAL RECEIPT
(14) VESSEL VOY FLAG (15) PORT OF LOADING
(16) PORT OF DISCHARGE (17) PLACE OF DELIVERY BY ON-CARRIER
(9A) FINAL DESTINATION (OF THE GOODS NOT THE SHIP)
(10) LOADING PIER / TERMINAL (10A) ORIGINAL(S) TO BE RELEASED AT
(11) TYPE OF MOVE (IF MIXED USE BLOCK 20 AS APPROPRIATE)

PARTICULARS FURNISHED BY SHIPPER
MKS. & NOS. / CONT. NOS. NO. OF PKGS. HM~ DESCRIPTION OF PACKAGES AND GOODS GROSS WEIGHT MEASUREMENT
(18)
(19)

(20)
(21)
(22)



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