To: DHL JAPAN Inc.
Account Number :
From:
Date:
Subject: Declaration & Indemnity Letter - Lithium Battery Shipments
We
hereby confirm that all lithium battery (including lithium ion battery and lithium metal
battery) shipments meet the latest edition of International Air Transport Association (IATA) Dangerous
Goods Regulations (DGR) requirements and it is safe for air transportation as per the requirement
stated in Section II of the relevant packing instructions.
We will provide the relevant Material Safety Data Sheet (MSDS) of our lithium batteries as evidence of
the compliance of our lithium batteries to IATA DGR if requested by DHL or the airlines.
All packed lithium battery shipments are in compliance with the latest edition of IATA DGR, including
(where applicable) Section II of Packing Instructions 965, 966, 967, 968, 969 & 970.
Our lithium battery shipment Air Waybills will be declared with below mentioned words (in italics) in
the “Full Description of Contents” section in compliance with IATA DGR as appropriate:
a. “Lithium Ion Batteries” or “Lithium Metal Batteries”
b. “in compliance with Section II of”
c. ““PI965” or “PI966” or “PI967” or “PI968” or “PI969” or “PI970”
Specifically, where applicable, we declare that all of our packed lithium battery shipments:
a. do not fall under IATA DGR Special Provisions A154; and/or
b. comply with IATA DGR Special Provisions A164.
The abovementioned Special Provisions A154 and A164 are set out in Appendix A of this declaration.
We, the undersigned, certify that the contents of this shipment is (i) not classified as hazardous
material, dangerous goods or prohibited articles by IATA , ICAO (International Civil Aviation
Organisation), International Maritime Dangerous Goods Code, any applicable governmental
department or other relevant organization, and (ii) does not fall within the definitions of dangerous
substances by applicable laws, regulations, requirements or international logistics industry codes from
time to time.
In the event that DHL incurs extra costs on the transportation of this shipment, preparation of airway
bills, and other documentation in connection with this shipment, we will reimburse such cost to DHL
upon invoice.
We acknowledge that we will be liable for damages resulting from any misstatement or omission of
shipping information. We understand that the air and road carriage of this shipment by DHL is based
on the shipment documentation, and this certification that we have provided. We will fully indemnify
DHL against any liabilities, fines, costs, expenses incurred by DHL and/or any legal proceedings,
claims, actions against DHL in connection with DHL handling our lithium battery shipments.
This declaration is to be effective from
until the account invalid.
Signature and Company Rubber Stamp:
Name of shipper:
Name of authorized signatory:
Title of authorized signatory:
Date of declaration:
Statement:
CONFIRMATION: By signing this certificate, the above Authorized Signatory confirms that he/she is liable for accuracy of the
declarations contained herein.
Ref:2-2
APPENDIX A
IATA DANGEROUS GOODS REGULATIONS SPECIAL PROVISIONS A154 AND A164
SPECIAL PROVISION A154
Lithium batteries identified by the manufacturer as being defective for safety reasons, or that have
been damaged, that have the potential of producing a dangerous evolution of heat, fire or short circuit
are forbidden for transport (e.g those being returned to the manufacturer for safety reasons).
SPECIAL PROVISION A164
Any electrical battery or battery powered device, equipment of vehicle having the potential of a
dangerous evolution of heat must be prepared for transport so as to prevent:
a) a short circuit (e.g. in the case of batteries by the effective insulation of exposed terminals; or
in the case of equipment, by disconnection of the battery and protection of exposed
terminals); and
b) unintentional activation
* Source: IATA DG Regulations manual 2013, Special Provisions (section 4.4)
Ref:2-2