New Zealand Gazette – 2004 – No. 138

Page 3396

✨ Customs Inward Report Form



SCHEDULE

Rule 4(a)

Form C1

NEW ZEALAND CUSTOMS SERVICE

INWARD REPORT

(SHIPS AND BOATS OTHER THAN SMALL CRAFT)

Te Mana Arai o Aotearoa

PART A: ARRIVAL DETAILS

Name of ship Port of arrival
Date of arrival Time of arrival
---------------------------------- -------------------------------------
Port arrived from Name and address of ship’s agent in New Zealand
---------------------------------- -------------------------------------
Name of person in charge
---------------------------------- -------------------------------------
IMO number
---------------------------------- -------------------------------------
Gross register tonnes
---------------------------------- -------------------------------------
Period of stay in New Zealand

IF CARRYING CARGO, BRIEF DESCRIPTION

LIST SUBSEQUENT PORTS OF CALL WITHIN NEW ZEALAND (Please record on a separate sheet and attach if additional space is required.)

Next New Zealand ports Estimated date and time of arrival
1.
2.
3.
4.
5.

LIST PREVIOUS OVERSEAS PORTS

| 1. |
| 2. |
| 3. |

Total number of crew on arrival Total number of crew disembarking in New Zealand
Total number of passengers on arrival Total number of passengers disembarking in New Zealand

DECLARATION

I hereby declare that this Inward Report, comprising parts A, B, C, and D, is true and correct.

Signature of Person in Charge or Owner ...........................
Date ...........................

PART B: SUPPORTING DOCUMENTS CHECK LIST

NOTE: The following documents should be attached to this report (if applicable):

Individual crew declarations attached YES □ NO □ Passenger list attached YES □ NO □
Transit passenger list attached YES □ NO □ Controlled drugs and firearms list attached YES □ NO □

OFFICIAL USE: Documentation Required for Inward Report Produced.

Signature of Customs officer: ...........................
Date: ...........................



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Online Sources for this page:

VUW Te Waharoa — PDF NZ Gazette 2004, No 138


Gazette.govt.nz — PDF NZ Gazette 2004, No 138




✨ LLM interpretation of page content

🏭 Customs (Inward Report) Rules 2004 (continued from previous page)

🏭 Trade, Customs & Industry
Customs, Inward Reports, Rules, Regulations, Forms