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.