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CR (CARRIER RISK) OR (OWNER RISK)

ISSUE BRANCH

CERTIFICATE NO.

ISSUED ON

BOOKS BRANCH

CONSIGNMENT NO.

CN DATE

REASON

PACKAGES

BOOKING WEIGHT

PACKING TYPE

BOOKING FROM

BOOKING TO

GOODS

VOG

CONSIGNOR

CONSIGNEE

WHOM TO PAY

CLAIM AMOUNT

SETTLED AMOUNT

WHOM TO ISSUE

REMARKS