LCL - SOLAS - Verified Gross Mass (VGM) Declaration

LCL - SOLAS - Verified Gross Mass (VGM) Declaration

LCL - SOLAS - Verified Gross Mass (VGM) Declaration

In order to comply with the SOLAS regulation (effective July 1, 2016), please declare the verified gross mass information by completing this form, either in CAPITALS or preferably typed:

Booking Number / Click here to enter text. /
Marks and Numbers / No. and Type of Packages / Description of Goods / Verified Gross Mass (VGM)* / VGM – Unit of Measure
(Kgs or Lbs)* / Date of Weighing
(DD/MM/YY)
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* VGM information must be provided by weighing all packages, incl. pallets, dunnage, securing material, etc. using a certified method approved by the assigned authority of the country in which packing of the container was completed. Applicable only by ShipperISO 9001 or ISO 28000 or AEO certified, number mandatory.

Shipper’s Company Name (as shown on B/L) / Click here to enter text. /
Shipper’s Address (as shown on B/L) / Click here to enter text.
ISO 9001 / ISO 28000 / AEO number / Click here to enter text.
Signature and Name in CAPITALS (if electronic signature: Please specify name in CAPITALS) / Click here to enter text. /
Date (DD/MM/YY) and Time / Click here to enter text.

We, the Shipper, hereby warrant to Cma/Agility and affiliates that the information provided in this form is accurate and complete and according to the requirements of the International Convention for Safety of Life at Sea (SOLAS, link:
We further agree to indemnify and hold Cma/Agility harmless from any claims, damages, losses, penalties or expenses resulting from the incompleteness or inaccuracy of the information herein provided.

SIGNATURE AND STAMP

[1] In case you have require more than 10 lines, please add additional lines and/or use additional document(s) to submit the required information.