Box 1 - Sender
Name:
Nigel
Totterdell
Company:
Building:
Street:
District:
Town/City:
Country:
Bulgaria
Postal Code
NE11 9SY
eMail:
Box 2 - Consignee
Name:
Nigel
Totterdell
Company:
Gordian Digital Trade Solutions
Building:
Street:
District:
Town/City:
Country:
Helvetica Li
Postal Code
NE11 9SY
eMail:
Box 3 - Taking Over the Goods
Contact:
Company:
Building:
Street:
District:
Date Arrival:
Time Arrival:
Time Departure:
Town/City:
Country:
Postal Code
eMail:
Box 4 - Delivery of Goods
Contact:
Company:
Building:
Street:
District:
eMail:
Town/City:
Country:
Postal Code
Opening Time:
Closing
Time:
Box 5 - Senders Instructions
Box 6 - Carrier
Name:
Nigel
Totterdell
Company:
Building:
Street:
District:
Town/City:
Country:
Helvetica Li
Postal Code
NE11 9SY
eMail:
Box 7 - Successive Carriers
Box 8 - Carrier's Reservations
and Observations
Box 9 - Documents Handed to Transporter
Document Type
Reference:
Marks/No
Number
Packaging
Nature of Goods
Gross
Weight
(Kg)
Vol.
(m3)
Box 10 thru 15
Transported Goods
XYZ6579
12
Fish
20
2000
ABC3456
11
Biscuits
100
100
MNO12345
10
Soap
100
200
Box 16 - Special Agreements
Box 17 - To be Paid By
Sender
Consignee
Currency
Carriage Charges
Supplementary Charges
Customs Duties
Other Charges
Box 18 - Other useful particulars
Box 19 - Cash on Delivery
Amount:
Currency:
Box 20 - CMR Declaration
This Carriage is subject, notwithstanding any clause to the contrary, to the Convention on the Contract for the International Carriage of Goods by Road(CMR)
Box 21 - Established In
Established in:
on
Box 22 - Signature of Sender
Box 23 - Signature of Carrier
Box 24 - Goods Received
Company:
Building:
Street:
District:
Town/City:
Country:
Postal Code
Date Arrival:
Time Arrival:
Time Departure: