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FCL LCL PACKING DECLARATION

[Boxes to be marked in the appropriate place]

Vessel Name: …Voyag Number:… ……………………..

Consignment identifier or numerical link …………………

PROHIBITED PACKAGING MATERIAL STATEMENT

(Prohibited packaging material such as straw, bamboo, peat, hay, chaff, used fruit & vegetable cartons)

Have prohibited packaging materials or bamboo products been used as packaging or

Q1

dunnage in the consignment covered by this document? A1

YES

NO

√

TIMBER PACKAGING/DUNNAGE STATEMENT

(Timber packaging/dunnage includes: crates, cases, pallets, skids, and any other timber used as a shipping aid.) Q2a. A2a

Has timber packaging/dunnage been used in consignments covered by this document? YES

NO

√

ISPM 15 STATEMENT

All timber packaging/dunnage used in the consignment has been treated and marked in

Q2b

compliance with ISPM15 A2b

YES

NO

BARK STATEMENT

(Bark is the external natural layer covering trees and branches. This statement is only required if timber/packaging dunnage is declared using the timber or ISPM 15 statements. A bark statement is required for all timber packaging/dunnage including ISPM 15 compliant packaging/dunnage.) Q3 A3

Is all timber packaging/dunnage used in this consignment free from bark? YES

NO

WALL LINED CONTAINER STATEMENT (for FCL/X consignments only - statement to be removed from document when not relevant)

Q4 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. A4

YES

NO

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: ............................................................

(Company Representative)

Printed name:.............

Date of issue:...........