Verified Gross Mass Declaration (VGM)

Shipper Reference *

Certificate Number *

Pages

1 of 1

Select Weighing Method *

METHOD 1

METHOD 2

METHOD 1

Weighing the packed container using calibrated and certified weighing equipment (e.g. weighbridges, load cell sensing technologies etc).

METHOD 2

Weighing all packages and cargo items, including the mass of pallets, dunnage and other securing material to be packed in the container and adding the tare mass of the container to the sum of the single masses, using a certified method approved by the Country competent Authority (Marine and Coastguard Agency (MCA) or its authorized body).

Container Number

Container Tare (kg)

Cargo Weight (kg)

Gross Weight (kg)

Action

In accordance with the International Maritime Organization (IMO) Safety of Life at Sea (SOLAS) convention under regulation 2 of chapter VI which mandates the declaration of the Verified Gross Mass (VGM), the shipper hereby certifies all information on this Verified Gross Mass declaration is true and correct.

Place of Issue *

Date of Issue *

Signatory Company *

First Name *

Last Name *

Signature *

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