New Zealand Gazette – 2004 – No. 142

Page 3525

✨ Customs Inward Report Form



SCHEDULE

Rule 4(a)

Form C1

NEW ZEALAND CUSTOMS SERVICE

INWARD REPORT

(SHIPS AND BOATS OTHER THAN SMALL CRAFT)

To: Mana Arai o Aotearoa

PART A: ARRIVAL DETAILS

| Name of ship | | Port of arrival |
|--------------| |-----------------|
| Date of arrival | Time of arrival | Port arrived from |
| Name of person in charge | | Name and address of ship’s agent in New Zealand |
| 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

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 142


Gazette.govt.nz — PDF NZ Gazette 2004, No 142




✨ LLM interpretation of page content

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

🏭 Trade, Customs & Industry
Customs, Inward Report, Rules, Regulations, Form C1, Ships, Boats, Arrival Details, Cargo, Crew, Passengers, Declaration, Supporting Documents