船舶载运危险货物/污染危害性货物申报单DeclarationFormHazardousGoodsCarriedByShip(包装/固体散装污染危害性货物)(Packaged/SolidinBulk)船名:××号航次:××××次进港þ始发港:天津抵港时间:2016-5-11Ship’sname:VoyageNo:ArrivalPortofDeparture:TimeofArrival:国籍:中国经营人:XX有限公司出港作业泊位:装货时间:2016-5-11Nationality:Manager:DepartureBerth:TimeofLoading:货物正确运输名称ProperShippingNameoftheGoods类别/性质Class/,本轮具备装载上述货物的适装条件,货物配装符合要求,货物资料齐全。申报内容正确无误。Iherebydeclarethat,ordancewiththeprovisionsofthesafetransportationofdangerousgoodsbyshipsandpollutionprevention,theshiphasmettherequirementsoffitnessforcarryingtheabovedeclaredgoods;ordingtotherequirements;、资料::小明船舶/代理人(盖章)王二Master/declarer:Ship/Agent(Seal):船长证书编号/申报人员培训备案编号:日期:2016-5-11CertificateNo:FJHSJ-XM-×××Date:主管机关签证栏RemarksbytheAdministration(公章)紧急联系人姓名、电话、传真、电子邮箱:EmergencyContactPerson’sName,Tel,FaxandE-mail:此申报单一式三份,其中两份申报人留持和分送港口作业部门,一份留主管机关存查。Thisdeclarationshouldbemadeintripartite,oneiskeptbytheAdministrationforfile,andtwoforthedeclarerandportoperatorrespectively《船舶载运危险货物/污染危害性货物申
船舶载运危险货污染危害性货物申报单 来自淘豆网m.daumloan.com转载请标明出处.
