集装箱重量声明
书
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（供参考之式样）
集裝箱重量聲明書(供參考之式樣)
預訂編號
船舶名稱 航次編號
名稱
托運人 地址
電話
編號 集裝箱編號 驗證總重量(千克)
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? 本聲明的載貨集裝箱總重量資料是本托運人按照《國際海上人命安全公約》第
VI章第2條所述的方法一而取得的結果。
? 本聲明的載貨集裝箱總重量資料是本托運人按照《國際海上人命安全公約》第
VI章第2條所述的方法二而取得的結果,該方法已獲得澳門海事及水務局承
認,托運人登記編號為“DSAMA-VGM___________” 。
( 從上面選出合適的聲明,並加上 ? 號。)
聲明人姓名:____________________ (正楷), ____________________(簽署),為
______________________________(托運人公司)所授權
日期:____________________
CONTAINER MASS DECLARATION (For reference only)
Booking No.
Name of Voyage No. Vessel
Name
Address Shipper Phone
Number
Item No. Container No. Verified Gross Mass, VGM
(KGS)
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? The verified gross mass of the packed container(s) declared in this shipping
document was obtained in accordance with Method 1 stipulated in SOLAS Chapter
VI Regulation 2.
? The verified gross mass of the packed container(s) declared in this shipping
document was obtained in accordance with Method 2 stipulated in SOLAS Chapter
VI Regulation 2. The procedure of this method has been recognized by the Marine
and Water Bureau of Macao Special Administrative Region of China, with
registration number “ DSAMA-VGM ___________ ”.
(Select the appropriate statement in the above by ticking in the respective box.)
Declared by: _______________________(Print name), __________________________(Signature)
authorized by ___________________________________________________(Shipper company)
Date:____________________
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