CMR International Consignment Note

Sender, Consignee & Carrier Information

1. Sender (name, address, country)

2. Consignee (name, address, country)

Reference No.

16. Carrier (name, address, country)

Delivery & Goods Information

3. Place of delivery of the goods (place, country)

4. Place and date of taking over the goods

5. Annexed documents

Goods Details

6. Marks and numbers	7. Number of packages	8. Method of packing	9. Nature of the goods	10. Statistical number	11. Gross weight (kg)	12. Volume (m³)	Action

Payment Information

13. Sender's instructions (Customs and other formalities)

14. Directions as to freight payment

Freight paid

Freight to be paid

19. Special agreements

20. To be paid by

15. Cash on delivery

Additional Information

17. Successive carriers (name, address, country)

18. Carrier's reservations and observations

21. Established in/on

Vehicle Information

Signatures

22. Signature and stamp of the sender

Click to sign

23. Signature and stamp of the carrier

Click to sign

24. Signature and stamp of the consignee

Click to sign

CMR INTERNATIONAL CONSIGNMENT NOTE