VERIFIED GROSS MASS (VGM) DECLARATION
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QUICK SILVER SHIPPING INDIA PVT. LTD.
(As per SOLAS Chapter VI, Regulation 2)

Booking Reference:  ___________________________________
Container Number:   ___________________________________
Container Size/Type:[  ] 20' GP  [  ] 40' GP  [  ] 40' HC  [  ] Other: _____
Seal Number:        ___________________________________

Shipper Details:
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Company Name:       ___________________________________
Address:            ___________________________________
IEC Number:         ___________________________________

VGM Details:
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Method Used:        [  ] Method 1 (Weighing packed container)
                    [  ] Method 2 (Weighing all contents + tare weight)

Tare Weight (kg):   ___________________________________
Cargo Weight (kg):  ___________________________________
Dunnage/Securing Material (kg): ________________________
TOTAL VGM (kg):     ___________________________________

Weighbridge Details (if Method 1):
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Weighbridge Name:   ___________________________________
Weighbridge Cert No:___________________________________
Location:           ___________________________________

Declaration:
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I, the undersigned, hereby declare that the Verified Gross Mass (VGM)
of the packed container stated above has been obtained by the method
indicated and is accurate. I understand that providing incorrect VGM
may result in the container being denied loading.

Authorized Person:  ___________________________________
Designation:        ___________________________________
Date:               _____ / _____ / _________
Signature:          ___________________________________

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Document: QS-VGM-v2.0
Effective: January 2024
Quick Silver Shipping India Pvt. Ltd.