VGM (Blank)
TO BE PRINTED ON COMPANY LETTER HEAD
INFORMATION ABOUT VERIFIED GROSS MASS OF CONTAINER
SR.NO. Details of Information Particulars
1* Name of the shipper
2* Shipper Registration License no (IEC No/CIN No)
Name & Designation of official of the shipper
3* authorised to sign docucments
4* 24 x 7 contact details of authorised official of shipper
5* Container No
6* Container Size (TEU/FEU/Other)
7* Maximum permissible weight of container as per the CSC physically shown on container
Plate door
8* Weighbridge registration no & Address of
weighbridge
9* (WEIGHING Method‐1/Method‐2) (METHOD 1)
Verified Gross Mass of The Container (with unit of Measure
as per weighment slip
10* KG/MT/LBS)
11* Date and time of weighing
12* Weighing slip No
13* Type (Normal/Reefer/Hazardous/Others)
14* If Hazardous UN NO.IMDG Class
Signature of Authorised person of shipper
Nam
Dat
Remarks
* Indicates Mandatory fields
** shippers not having IEC No or CIN No. may provide information as
follows Company ‐ PAN No
Individuals
Indian National ‐ AADHAR No
Foreign National ‐ Passport No & Company of issue Passport