1 Shipper's Name and Address Shipper's Account Number Not negotiable Air Waybill (Air Consignment note) issued by 2 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 I t is agreed that the goods described herein are accepted in apparent good order and condition (except 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. 3 Issuing Carrier's Agent Name and City Accounting Information Agent's IATA Code Account No. Airport of Departure (Addr. of First Carrier) and Requested Routing 4 To (1) By First Carrier Routing and Destination To (2) By (3) To By Currency (4) CHGS Code WT/VAL Other Declared Value for Carriage (5) Declared Value for Customs (6) 5 PPD COLL PPD COLL Airport of Destination 6 Flight/Date For Carrier Use Only Flight/Date Amount of Insurance 9 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" 7 8 Handling information 10 No of Pieces RCP Gross Weight kg lb Rate Class Chargeable Weight Rate / Charge Total Nature and Quantity of Goods (incl. Dimensions or Volume) Commodity Item No. (7) (8) (9) (10) (11) (12) (13) 11 Prepaid Weight Charge Collect Other Charges 12 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 according to the applicable Dangerous Goods Regulations. ................................................................................................................................. Signature of Shipper or his Agent Total Other Charges Due Carrier Total Prepaid Total Collect ............................................................................................................................ 13 ................................. Executed on (date) at (place) Signature of issuing Carrier or its Agent Currency Conver s ion Rates CC Charges in Dest. Currency For Carrier's Use only at Destination Charges at Destination Total Collect Charges