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VGM DECLARATION (FORM) BY SHIPPER

SL. DETAILS OF INFORMATION PARTICULARS


BERGEN PIPE SUPPORTS INDIA PVT
1* Name of the Shipper LTD
2* Shipper Registration/License No.(IEC No/CIN No)** 0410046418
GURUSWAMY RAMAN, SR.MANAGER
3* Name and designation of official of the FINANCE
shipper authorized to sign document
4* 24 x 7 contact details of authorized official of shipper +91 7995551768
5* Container No. TCLU2199857
6* Container Size (TEU/FEU/Other) 1 x 20’
Maximum permissible weight of container as per the
7* CSC plate 30480.00 KG

8* Weighbridge registration no. & Address of Weighbridge SELF


Gross Weight 3848 Kgs
+
Tare Weight 2230.00 Kgs
9* Verified gross mass of container(method-1/method -2)*** = Total = 6078 KGs
10* Date and time of weighing 26/10/2023
11* Weighing slip no. NA
12 Type(Normal/Reefer/Hazardous/others) NORMAL
13 If Hazardous, UN No,IMDGclss NA

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