Shipper/exporter

No & date of invoice

For account & Risks of Mrss

Payment

Notify party
Port of loading

Final destination

Carrier

Sailing on or board

Marks & No of
packages

Description of goods

Remark

Quantity Unit

Unit price

Total:
In figure
In words

Signature

Amount


HEAD OFFICE
No 7 Ly Thuong Kiet Str.,
HANOI-VIETNAM

CABLE BAOVIET-HANOI
Telex: 411283-BV-VT
Tel: 854922 - 862642
Fax: 844257180

KNT

KTVT

GIẤY CHỨNG NHẬN BẢO HIỂM
Insurance certificate
No. . . . . . . . . . . . . . . . . .
Name and address of the assured: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.....................................................................................................................................

Tổng công ty bảo hiểm Việt nam nhận bảo hiểm hàng hoá xuất nhập khẩu kê khai dưới đây theo quy định của
Quy tắc chung bảo hiểm hàng hoá vận chuyển bằng đường biển (QTC 1990):
The Vietnam insurance company, hereby agree to insure the following import/export Cargo subject to the
General Condition of Marine Insurance on Goods (GCMG 1990):
B/L No


Number of
pieces/packages

Weight

Goods insured

Amount insured
(and so value)

Tổng số tiền bảo hiểm:
Phí bảo hiểm
Total amount insured . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Premium. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Điều kiện bảo hiểm
Tỷ lệ phí bảo hiểm
Condition of insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tên tàu vận chuyển
Ngày khởi hành
Name of Vessel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sailing on or about . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Đi từ
Chuyển tải
Đến
From . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transhipment . . . . . . . . . . . . . . . . . . . . . . . . . . . To . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Nơi và cơ quan giám định
In the event of loss, apply for survey to .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Hà nội, Ngày Dated .........tháng ............năm .......
Tổng công ty bảo hiểm Việt Nam
The Vietnam insurance company



PACKING LIST
Date.. . . . . . . . . . . . . . . . . . . . . . . . . . .

Seller: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Add.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tel:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Buyer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Add.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Tel:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Contract No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date on.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Port of loading

Port of Discharging

Final Destination

.................................. ........

...................... ....................

..................... .....................

Vessel's name

Sailing on about:

..................... ............................. ......


Item

Description of goods

...................................................... .................

No of Bag/pack

MT/Bag

Net Weight
(MT)

For Exporter

G.Weight
(MT)


No. . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . 2011

EXCHANGE FOR

.....................

At.. . . . . . . . . . . . . . . . . . . . . . . . . . sight of this SECOND of exchange (First of the same tenor and date being
unpaid) Pay to the order of


....................................... ...................................

the sum of

(Say: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . )
Value received as per our Invoice(s) No(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dated . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Drawn under

............................ ........................................ ..............................

Irrevocable without recourse L/C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dated . . . . . . . . . . . . . . . . . . . . . . . . . . . .

To . . . . . . . . . . . . . . . . . . . . . . . . .

For . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.......................................

.................................

No. . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . 2011

EXCHANGE FOR

.....................

At.. . . . . . . . . . . . . . . . . . . . . . . . . . sight of this FIRST of exchange (SECOND of the same tenor and date
being unpaid) Pay to the order of


............................................. ......................

the sum of

Value received as per our Invoice(s) No(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dated . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Drawn under

............................ ........................................ ..............................

Irrevocable without recourse L/C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dated . . . . . . . . . . . . . . . . . . . . . . . . . . . .

To . . . . . . . . . . . . . . . . . . . . . . . . .
.......................................

For . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.................................


Shipper :

FBL

NT

No . . . . . . . . . . . . . . . . . . . NT

NEGOTIABLE

FIATA


MULTIMODAL TRANSPORT BILL OF LADING
Issue subject to UNCTAD/ICC Rules for
Multimodal Transport Document (ICC Publication 481)
Consignee:

Carrier:

ABC

Notify address

Lines

Place of receipt
Ocean vessel

Port of loading

Port of discharge

Place of delivery

Mark and number

Number and kind of packages/description of goods.

Gross weight

Measurment


ABOVE PARTICULARS AS DECLARED BY SHI PPERS
Declaration of interest of the consifnor
In timely delivery (Clause 6.2)

Declared value for ad valorem rate a ccording to
the declaration of the consignor (Clause 7 and 8).

The goods and instructions are accepted and dealt with subject to the Standard Conditions printed overleaf.
Taken in apparent good order and condition, unless otherwise noted herein, at the place of receipt for transport and delivery as men tioned above.
One of these Multimodal Transport Bills of Lading must be surrended duly endorsed in exchange for the goods. In Witness whereof the original
Multimodal Transport Bills of Lading all of this tenor and date h ave been signed in the number stated below, one of which being accomplished the
other(s) to be void.
Freight amount

Freight payable at

Place and date of issue

Cargo insurance throught the undersigned
 not covered
Covered according to attached Policy

Number of Original FBL's

Stamp and signature

For delivery of goods please apply to