New Zealand Gazette – 2002 – No. 30

Page 794

✨ Crew Details Form



CREW DETAILS (Person in Charge First)

(Surname 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 2002, No 30


Gazette.govt.nz — PDF NZ Gazette 2002, No 30




✨ LLM interpretation of page content

🏭 Outward Report Form for Small Craft (continued from previous page)

🏭 Trade, Customs & Industry
Customs, Small Craft, Outward Report, Form C2B, Registration, Departure, Crew Details