Shipper's Name and Address Shipper's Account Number Not negotiable

Air Waybill
(Air Consignment note)

issued by

Copies 1,2 and 3 of this Air Waybill are originals and have the same validity
Consignee's Name and Address Consignee's Account Number It is agreed that the goods described herein are accepted in apparent good order and condition
(exept as noted) for carriage SUBJECT TO THE CONDITIONS OF CONTRACT ON THE
REVERSE HEREOF. ALL GOODS MAY BE CARRIED BY ANY OTHER MEANS INCLUDING
ROAD OR ANY OTHER CARRIER UNLESS SPECIFIC CONTRARY INSTRUCTIONS ARE
GIVEN HEREON BY THE SHIPPER, AND SHIPPER AGREES THAT THE SHIPMENT MAY BE
CARRIED VIA INTERMEDIATE STOPPING PLACES WHICH THE CARRIER DEEMS
APPROPRIATE. THE SHIPPER'S ATTENTION IS DRAWN TO THE NOTICE CONCERNING
CARRIER'S LIMITATION OF LIABILITY. Shipper may increase such limitation of liability by
declaring a higher value for carriage and paying a supplemental charge if required.

Issuing Carrier's Agent Name and City Accouting Information

Agent's IATA Code Account No.

Airport of Departure (Addr. of First Carrier) and Requested Routing Reference Number Optional Shipping Information

To By First Carrier To By To By Currency CHGS Declared Value for Carriage Declared

Code
Routing and Destination WT/VAL Other Value for
Customs
PPD COLL PPD COLL

Airport of Destination Flight/Date For Carrier Use Only Flight/Date Amount of Insurance INSURANCE – If Carrier offers insurance, and such insurance is requested in
accordance with the conditions thereof, indicate amount to be insured in figures in box marked
"Amount of Insurance"

Handling information

SCI
(For U.S.A. use only) These commodities, technology or software were exported from the Unated States in accordance with the Export Administration Regulations. Diversion contrary to USA law prohibited
No of Rate Class Rate
Pieces
Gross kg Chargeable
Charge Total
Nature and Quantity of Goods
Commodity
Weight lb Weight (incl. Dimensions or Volume)
RCP Item No.

Prepaid Weight Charge Collect Other Charges

Valuation Charge

Tax

Total Other Charges Due Agent

Shipper certifies that the particulars on the face hereof are correct and that insofar as any part of the consignment
contains dangerous goods, such part is properly described by name and is in proper condition for carriage by
Total Other Charges Due Carrier according to the applicable Dangerous Goods Regulations.

…………………………………………………………………………………………………………………
Signature of Shipper or his Agent

Total Prepaid Total Collect

……………………………………………………………………….…………………………………………………………………
Currency Convertion Rates CC Charges in Dest. Currency Executed on (date) at (place) Signature of issuing Carier or its Agent

Charges at Destination Total Collect Charges

For Carrier's Use only
at Destination