HASCO DG BOOKING APPLICATION
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REFERENCE NUMBER. (BKG NO)
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APPROVED
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1
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VESSEL NAME / VOYAGE NUMBER :
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2
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NUMBER SIZE AND TYPE OF CTRS :
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3
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PORT OF LOADING :
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4
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TRANSHIPMENT PORT (IF ANY) :
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5
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TRANSIT PORTS
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6
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PORT OF DISCHARGE :
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7
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FINAL DESTINATION :
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8
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IMO CLASS / UN NUMBER :
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9
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PACKING GROUP
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10
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UN PACKING CODE
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11
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NUMBER AND TYPE OF OUTER PACKING :
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12
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NUMBER AND CAPACITY OF INNER PACKING :
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13
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LIMITED QUANTITY : (YES/NO)
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14
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PROPER SHIPPING NAME
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15
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TECHNICAL NAME (IF N.O.S)
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16
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GROSS / NET WEIGHT (KGS):
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17
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FLASH POINT (IN CENTIGRADE):
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18
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SUBSIDIARY RISK :
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19
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MARINE POLLUTANT : (YES/NO)
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20
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INTERNAL COMPATIBILITY/ SEGREGATION :
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21
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EMS AND MFAG NO. :
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22
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MSDS/SHIPPER’S DECLARATION
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MSDS
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23
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EMERGENCY TEL NO. AND CONTACT PERSON :
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24
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SHIPPER
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25
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CONSIGNEE
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