Bill of Lading No.

Consignee (if "To order", so indicated)*

Customer reference No

Notify Party (No claim shall attach for failure to notify)*

Export reference No.

Notify Party2 (No claim shall attach for failure to notify)

Pre-carriage by

Place of receipt*

Ocean Vessel*

Port of loading*

Port of discharge*

Place of delivery*

Number of Orginal BL's*

Marks and Number*

Gross Weight*

No of pkgs*

Net Weight*

Description of goods*

Measurement

Container Number

All fields marked* are required