Shipper'S Declaration Form (Persian)

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‫اﻇﻬﺎر ﻧﺎﻣﻪ ﻓﺮﺳﺘﻨﺪه ﮐﺎﻻ‬
Shipper’s Declaration Form
‫ﺣﻤﻞ ﺳﺮﯾﻊ‬
Cargo & Courier
TEHRAN ASEMAN
AWB NO:
:‫ﮐد ﻣﻠﯽ/ ﺷﻧﺎﺳﮫ ﻣﻠﯽ‬
‫ﻧﺎم/ ﻧﺎم ﺧﺎﻧوادﮔﯽ/ ﻧﺎم ﺷرﮐت‬
:
‫ﮐد اﻗﺗﺻﺎدی‬
:‫ﺗﺎرﯾﺦ ﺛﺑت‬
:‫ﺷﻣﺎره ﺛﺑت‬
:
:‫آدرس‬
:‫ﻣﮭر و اﻣﺿﺎ ﺷرﮐت‬
:‫ﺷﻣﺎره ﺗﻣﺎس‬
‫ﻧﺎم/ ﻧﺎم ﺧﺎﻧوادﮔﯽ/ ﻧﺎم ﺷرﮐت‬
:
:‫درس‬
‫آ‬
:‫ﺷﻣﺎره ﺗﻣﺎس‬
:‫ﺗﻌداد ﺑﺳﺗﮫ ھﺎ‬
:‫وزن‬
:‫ﻣﺎھﯾت ﮐﺎﻻ‬
Quantity of peices:
Weight:
Nature of goods:
:‫ارزش ﺑﯾﻣﮫ‬
Airport of Destination:
:‫ﻓرودﮔﺎه ﻣﻘﺻد‬
:‫ﺷﻣﺎره ﺟواز‬
Insurance Amount:
D.J. number:
:‫اﺑﻌﺎد ﮐﺎﻻ‬
:‫ﻋﻼﻣت ﺑﺳﺗﮫ ھﺎ‬
Form of Payment:
Dimensions:
Mards of Pieces:
:‫ﻧﺣوه ﭘرداﺧت‬
Charge Collect:
:‫ﭘﯾﺷﮑراﯾﮫ‬
:‫ﭘﺳﮑراﯾﮫ‬
Prepaid:
‫ﭼﻨﺎﻧﭽﻪ ﺑﻪ ﮐﺎﻻي ﺷﻤﺎ ﺧﺴﺎرﺗﯽ وارد و ﯾﺎ ﻣﻔﻘﻮد ﮔﺮدد ﺷﺮﮐﺖ ﻫﻮاﭘﯿﻤﺎﯾﯽ ﺣﻤﻞ‬
،‫ﻃﺒﻖ ﻗﻮاﻧﯿﻦ ﯾﺎﺗﺎ، ﻣﻨﺪرج در ﭘﺸﺖ ﺑﺎرﻧﺎﻣﻪ‬
.‫دﻻر ﭘﺮداﺧﺖ ﻣﯽ ﻧﻤﺎﯾﺪ‬
20
‫ﮐﻨﻨﺪه ﮐﺎﻻ ﺟﻬﺖ ﻏﺮاﻣﺖ ﺣﺪاﮐﺜﺮ ﺗﺎ ﮐﯿﻠﻮﺋﯽ‬
According to IATA regulations, issued behind the AWB, the carrier will pay only USD 1-20 /per kg
for any damaged or missed shipment.
.‫در ﺻﻮرت ﻋﺪم ﺗﺤﻮﯾﻞ ﺑﺎر ﺑﻪ دﻟﯿﻞ ﮐﺎﻣﻞ ﻧﺒﻮدن آدرس و ﻣﺪارك ﯾﺎ اﺷﺘﺒﺎه ﺑﻮدن آن ﻫﺎ، ﻫﺮﮔﻮﻧﻪ ادﻋﺎﯾﯽ از ﻓﺮﺳﺘﻨﺪه ﺳﻠﺐ ﺧﻮاﻫﺪ ﺷﺪ‬
Shipper waives any claim if the shipment remains undelivered due to incomplete /wrong address or
documents.
،‫در ﺻﻮرت ﭘﺴﮑﺮاﯾﻪ ﺑﻮدن ﮐﺎﻻ، و اﻣﺘﻨﺎع ﮔﯿﺮﻧﺪه از درﯾﺎﻓﺖ آن و ﯾﺎ ﻋﺪم ﭘﺮداﺧﺖ ﮐﺮاﯾﻪ ﺣﻤﻞ و ﺳﺎﯾﺮ ﻫﺰﯾﻨﻪ ﻫﺎي ﻣﺘﻌﻠﻘﻪ در ﻣﻘﺼﺪ ﺑﻪ ﻫﺮ ﻋﻠﺖ‬
‫روز از ﺗﺎرﯾﺦ ﺻﺪور ﺑﺎرﻧﺎﻣﻪ‬
15
‫اﻣﻀﺎ ﮐﻨﻨﺪه اﯾﻦ ﻓﺮم، ﺑﻪ ﻋﻨﻮان ﻓﺮﺳﺘﻨﺪه ﮐﺎﻻ )ﯾﺎ ﻧﻤﺎﯾﻨﺪه و ﯾﺎ ﺣﻖ اﻟﻌﻤﻞ ﮐﺎر وي( ﻣﺘﻌﻬﺪ ﻣﯽ ﮔﺮدد در ﻣﺪت‬
‫ﺗﻬﺮان آﺳﻤﺎن‬
.‫اﻗﺪام ﻧﻤﺎﯾﺪ‬
‫ﺑﻪ ﭘﺮداﺧﺖ ﮐﻠﯿﻪ ﻫﺰﯾﻨﻪ ﻫﺎي اﻧﺠﺎم ﺷﺪه و ﺧﺴﺎرت اﺣﺘﻤﺎﻟﯽ ﺷﺮﮐﺖ‬
‫ﻧﺴﺒﺖ‬
In case the shipment has been sent as charges collect and either the consignee refuses the shipment
collection or paying all concerning in destination airport, the undersigned shipper/ representative/
broker will undertake to settle the payment and all relative compensations within 15 days.

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