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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
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Shipper Name and AddressShipper's Account Number
Consignee Name and AddressConsignee's Account NumberNot Negotiable
Air Waybill
Issued By
Copies 1, 2 and 3 of this Air Waybill are originals and have the same validity. 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, AND SHIPPER AGREES THAT THE SHIPMENT MAY BE CARRIED VIA INTERMEDIATE STOPPING PLACES WHICH THE CARRIER DEEMS APPROPRIATE THE SHIPPER'S ATTENTION IS DRAWN TO THE NOTICE CONCERNING CARRIER'S LIMITATION OF LIABILITY. Shipper may increase such limitation of liability by declaring a higher value for carriage and paying a supplemental charge if required. Accounting InformationIssuing Carrier's Agent Name and CityAgent's AITA CodeAccount No.
Airport of Departure (Addr. of First Carrier) and Requested RoutingToBy First CarriertotobybyCurrencyCHGS
CodeWT/VALOther
PPDPPDCOLLCOLLDeclared Value for CarriageDeclared Value for CustomsAirport of DestinationFlight DateFlight DateFor Carrier Use OnlyAmount of InsuranceINSURANCE - If carrier offers insurance, and such insurance is requested
in accordance with the consitions thereof, indicate amount to be insured in figures in box marked"Amount of Insurance". SCIHandling Information
No. of
Pieces
RCP GrossWeight
kg lbRate Class
Commodity
Item No.
Chargeable
Weight
RateCharge
TotalNature and Quantity of Goods
(Inc. Dimensions or Volume)PrepaidWeight ChargeCollectOther Charges
Valuation Charge
TaxTotal Other Charges Due Agent
Total Other Charges Due Carrier
Total PrepaidTotal Collect
Currency Convertion RatesCC Charges in Dest. CurrencyFor Carriers Use only
at DestinationCharges at DestinationTotal Collect Charges
Executed on (date)at (place)Signature of Issuing Carrier or its AgentSignature of Shipper or his 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 property decribed by name and is in proper condition for carriage by air
according to the applicable Dangerous Goods Regulations.