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DG CARGO APPLICATION

1 BOOKING NO
2 VESSEL NAME AND VOYAGE NUMBER
3 PLACE OF RECEIPT
4 PORT OF LOADING
5 PORT OF DISCHARGE
6 FINAL DESTINATION
7 T/S PORT
8 NO OF UNITS
9 PROPER SHIPPING NAME
10 TECHNICAL / CHEMICAL / PESTICIDE NAME
11 UN NUMBER
12 IMO CLASS
13 SUBSIDIARY RISK 1
14 SUBSIDIARY RISK 2
15 PACKING GROUP
16 FLASH POINT
17 NUMBER AND TYPE OF OUTER PACKING
18 NUMBER AND TYPE OF INNER PACKING
19 IS OUTER PACKING U. N TEST MARKED
20 LABEL
21 GROSS WEIGHT
22 NET WEIGHT
23 NET EXPLOSIVE WEIGHT
24 LIMITED QUANTITY
25 RESIDUE LAST CONTAINED
26 WASTE
27 CONTROL TEMPERATURE
28 EMERGENCY TEMPERATURE
29 SADT
30 CARRIAGE TEMPERATURE
31 FUMIGANT
32 FUMIGATION DOSAGE
33 FUMIGATION DATE
34 MARINE POLLUTANT
35 SEVERE MARINE POLUTANT
36 EMS NO
37 ERG NO
38 ERAP NO
39 MPA (PSA) GROUP
40 POISONOUS INHALATION
41 REPORTABLE QUANTITY
42 HAZ APPROVAL NO
43 EMERGENCY CONTACT NAME (OUTBOUND)
44 EMERGENCY CONTACT NUMBER (OUTBOUND)
45 EMERGENCY CONTACT NAME (INBOUBD)
46 EMERGENCY CONTACT NUMBER (INBOUND)
47 SOLID OR LIQUID
48 PRIMARY CLASS PLACARD
49 PLACARD
50 SUBSIDIARY RISK 2 PLACARD
51 MARKS AND SIGNS

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