Shipper Declaration for non-hazardous commodities

To: Hapag-Lloyd (China) Ltd

From (Company Name and Person of contact):

Telephone No.:

VSL/VOY :
S/O Nr :
Port of Loading :
Port of Discharge :
Commodity :

We hereby declares that the above mentioned consignment tendered for handling and or
carriage by Hapag-Lloyd under Hapag-Lloyd's standard Bill of Lading terms and
conditions are fully and accurately described by their proper shipping names and are
properly and adequately packed, marked and in a suitable condition for sea
transportation. We also declare and confirm that the consignment does not contain any
commodities, substances, materials or articles that can be classified as dangerous or can
be identified as marine pollutants under the current edition of the International Maritime
Dangerous Goods (IMDG) Code or the national law or regulations of any importing or
destination country(ies).

We accept the risks and the responsibility for any consequences arising from a breach of
or non-compliance with this declaration and we also agree that Hapag-Lloyd will be
indemnified from all demands, claims, liabilities, actions and expenses, including legal
expenses and attorney's fees, which may grow out of or be connected with such
understanding or may result from any breach of this agreement herein contained.

______________________________ ________________________
Company Chop & Signature Date

** Additional declaration for Battery is required (including IMDG special provision

number and protection against short circuit)