Shipper

B/L NO.

Consignee

Combined Transport BILL OF LADING

Notify Address

For delivery of goods please apply to:

Pre-carriage by

Place of receipt

Ocean Vessel voy. No

Port of Loading

Port of Discharge

Place of Delivery

Final Destination for the Merchant’s Reference only

Container, Seal No.&

Marks & Nos.

No. of package &Description of Goods

Gross Weight

Measurement

FREIGHT&CHARGES

Revenue Tons.

Rate Per

Prepaid

Collect

Ex. Rate:

Prepaid at

Payable at

Place and date of issue

Total Prepaid

No. of Original B/L

Stamp& Signature