Consignee (If 'To Order' so indicate)
Notify Party (No responsibility shall attach to MTO or his agent for failure to notify)
Amount of Receipt
Freight payable at
Port of Discharge
Place of Delivery
Marks & Number / Container Nos  |  Number & kind of packages / Description of Goods  |  Gross Weight  |  Measurement

Total No. of Containers / Packages
Other particulars (if any)