β¨ Outward Report (Aircraft) Form
4098
Rule 3 (1)
NEW ZEALAND GAZETTE
No. 163
Form C2A
OUTWARD REPORT (AIRCRAFT)
Te Mana Arai o Aotearoa
AIRCRAFT INFORMATION
Operator: .................................................... Owner: ....................................................
Flight Number: ............................................ Aircraft Registration Number: ............................................
Country of Registration: ............................................ Date of Departure: ............................................
Airport of Departure: ............................................ Airport of Destination of Flight: ............................................
Other Airports Visited En Route: ....................................................................................................................
CREW AND PASSENGER INFORMATION
| Traveller Status (Passenger, Crew Member, or Intransit) | Issuing State or Organisation for Passport or Official Travel Document | Passport or Official Travel Document Number | Surname | Given Names | Gender | Date of Birth |
|---|---|---|---|---|---|---|
I declare that all information contained in this Outward Report is true and correct.
Signature: .................................................... Date: ....................................................
Person in charge
Notes:
- This report should be made at the final airport of departure from New Zealand
- Any other crew or passenger documentation used or produced must contain the same information as in this form
- Attach, as necessary, additional sheets for passenger or crew details.
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Online Sources for this page:
VUW Te Waharoa —
NZ Gazette 2002, No 163
Gazette.govt.nz —
NZ Gazette 2002, No 163
β¨ LLM interpretation of page content
π Outward Report (Aircraft) Form
π Trade, Customs & IndustryAircraft, Outward Report, Crew, Passenger, Customs