澳大利亚非木质包装声明模板 2016Non wood material packing dec

公司名称

公司地址 公司电话

PACKING DECLARATION

Vessel Name: ……船名…………Voyage Number:…………航次………………

Consignment identifier or numerical link……箱号/封号…………

PROHIBITED PACKAGING MATERIAL STATEMENT

(Prohibited packaging material such as straw, bamboo, peat, hay, chaff, used fruit & vegetable cartons)

Have prohibited packaging materials or bamboo products been used as packaging or

Q1

dunnage in the consignment covered by this document? A1

YES

NO

√

TIMBER PACKAGING/DUNNAGE STATEMENT

(Timber packaging/dunnage includes: crates, cases, pallets, skids, and any other timber used as a shipping aid.)

Has solid timber packaging/dunnage been used in consignments covered by this document? (Solid timber does NOT include reconstituted timber, plywood or veneer) Q2a

A2a

YES

NO

√

TREATMENT CERTIFICATION (ONLY IF TIMBER/DUNNAGE IS DECLARED IN QUESTION 2) Q3

All timber packaging/dunnage used in the consignment has been (Please Indicate below) Treated and Marked in compliance with ISPM 15 Or Treated

(If Treated, a valid treatment certificate is required at time of importation) Or Not Treated

CONTAINER CLEANLINESS STATEMENT (for FCL/X consignments only - statement to be removed from document when not relevant)

The container(s) covered by this document has/have been cleaned and is/are free from material of animal and/or plant origin and soil.

Signed: ...............................手写..签名...........................

(Company Representative)

Printed name:. .. .........名字（打印）..................

Date of issue:....日/月/年......................................

(DD/MM/YYYY)

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