New Zealand Gazette – 2002 – No. 33

Page 988

✨ Crew Details Form



988

NEW ZEALAND GAZETTE

No. 33

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 33


Gazette.govt.nz — PDF NZ Gazette 2002, No 33




✨ LLM interpretation of page content

🚂 Crew Details Form

🚂 Transport & Communications
Crew, Details, Form, Surname, First name, Nationality, Passport, Next of kin