New Zealand Gazette – 2001 – No. 130

Page 3331

✨ Crew Details Form



CREW DETAILS (Person in charge first)

(Sumame in block letters)

(Attach any additional details of crew members on a separate sheet)

Surname Surname
First name(s) First name(s)
Nationality Date of birth Nationality Date of birth
Passport number Passport number
Overseas contact address Overseas contact address
Next of kin, relationship Next of kin, relationship
Address/telephone of next of kin Address/telephone of next of kin
Surname Surname
First name(s) First name(s)
Nationality Date of birth Nationality Date of birth
Passport number Passport number
Overseas contact address Overseas contact address
Next of kin, relationship Next of kin, relationship
Address/telephone of next of kin Address/telephone of next of kin
Surname Surname
First name(s) First name(s)
Nationality Date of birth Nationality Date of birth
Passport number Passport number
Overseas contact address Overseas contact address
Next of kin, relationship Next of kin, relationship
Address/telephone of next of kin Address/telephone of next of kin
Surname Surname
First name(s) First name(s)
Nationality Date of birth Nationality Date of birth
Passport number Passport number
Overseas contact address Overseas contact address
Next of kin, relationship Next of kin, relationship
Address/telephone of next of kin Address/telephone of next of kin


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Online Sources for this page:

VUW Te Waharoa — PDF NZ Gazette 2001, No 130


Gazette.govt.nz — PDF NZ Gazette 2001, No 130




✨ LLM interpretation of page content

🚂 Crew Details Form Template

🚂 Transport & Communications
Crew, Maritime, Passport, Next of Kin