Shipper's Name and Address

Consignee's Name and Address

Issuing Carrier's Agent Name and City

Agent's AITA Code

Account No.

Airport of Departure (Addr. of First Carrier) and Requested Routing

To

By First Carrier

to

by

to

by

Airport of Destination

Flight Date

For Carrier Use Only

Flight Date

Not Negotiable

Air Waybill

Issued By

Copies 1, 2 and 3 of this Air Waybill are originals and have the same validity

It 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 PALCES WHICH THE CARRIER DEEMS APPROPRIATE THE SHIPER'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.

Accounting Information:

Reference Number

Optional Shipping Information

Currency

CHGS Code

WT/VAL

PPD

COLL

Other

PPD

COLL

Declared Value for Carriage

Declared Value for Customs

Amount of Insurance

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."

Handling Information

SCI

No. of Pieces RCP

Gross Weight

kg
lb

Rate Class

Commodity Item No.

Chargeable Weight

Rate / Charge

Total

Nature and Quantity of Goods (inc. Dimensions or Volume)

Prepaid Weight Charge Collect
Valuation Change
Tax
Total Other Charges Due Agent
Total Other Charges Due Carrier

Total Prepaid

Total Collect

Currency Conversion Rates

CC Charges in Dest. Currency

For Carrier's Use only at Destination

Charges at Destination

Other Charges

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 property described by name and is in proper condition for carriage by air according to the applicable Dangerous Goods Regulations.

Signature of Shipper of his Agent

Executed on (date)at (place)Signature of Issuing Carrier or its Agent

Total Collect Charges