Page Number
	
1.1.	Name of ship
	1.2.	 IMO number	1.3.	 Call sign	
1.4.	 Voyage number	2.  Flag State of ship	3.  Port of loading	4.  Port of discharge
	
5. Booking/
Reference Number	6. Marks & Numbers 
Container Id. No(s).
Vehicle  Reg. No(s).	7. Number and kind of packages	8. Proper Shipping Name	9.Class	10. UN No.	11. Packing Group	12. Subsidiary Risk(s)	13.Flashpoint
(in ºC.c.c.)	14. Marine Pollutant	15.Mass (kg)
Gross/Net	16.
EmS	17. Stowage position on board	

													

Additional information
	
18.1.	Name of master
	19.1.	Shipping Agent	
18.2.	Place and date
	19.2.	Place and date	
Signature of master
	Signature of Agent