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New Zealand Gazette – 2004 – No. 142

Page 3537

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✨ Customs Outward Report Form

2 NOVEMBER 2004 CUSTOMS EDITION 3537

Rule 4(c) Form C2B

NEW ZEALAND COAT OF ARMS

OUTWARD REPORT

(SMALL CRAFT)

To: Mana Arai o Aotearoa

PART A: REGISTRATION DETAILS

| Name of small craft | | Registration number | | Date of registration |
|---------------------| |----------------------| |-----------------------|

| Country of registration | | Port of destination |
|-------------------------| |----------------------|

| Sail number | | Home port |
|------------| |-----------|

| Name of person in charge | | Total number of persons on board |
|----------------------------| |----------------------------------|

PART B: DEPARTURE DETAILS

| Port of departure | | Date of departure | | Time of departure |
|-------------------| |-------------------| |-------------------|

| Next overseas port | | Intended date of return to New Zealand | | Intended port of return |
|--------------------| |-----------------------------------------| |------------------------|

Intended itinerary	1. 2.
	3. 4.

COMMERCIAL CARGO

(Please record on a separate sheet and attach if additional space is required.)

List all goods carried in or on the craft from a point outside New Zealand, whether in the course of international trade or for sale or supply in those goods, but excluding the personal effects of crew and passengers and stores for craft.

FIREARMS (Specify makes, models, and serial numbers.)

[ ] YES
[x] NO

CONTROLLED DRUGS/MEDICINES ON BOARD (Name and quantity.)

[ ] YES
[x] NO

STORES ON BOARD

Spirits	Quantity

Beer

Wine

Cigarettes/tobacco

SMALL CRAFT STATUS

Tick box that applies:

[ ] Visiting overseas craft
[ ] Departing New Zealand craft
[ ] Craft being permanently exported

Have you sold or otherwise disposed of any equipment from your craft while in New Zealand?

[x] YES □ Please provide details
[ ] NO

OFFICIAL USE ONLY

| Rotation number |

| TIE number | New Zealand Safety Certificate number | Export Entry number |

VUW Te Waharoa — NZ Gazette 2004, No 142

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

Parliament House (depicted) was completed in 1918 and remains the primary seat of Parliament.

✨ LLM interpretation of page content

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

Domain🏭 Trade, Customs & Industry
KeywordsCustoms, Small Craft, Outward Report, Departure Details, Cargo, Firearms, Controlled Drugs, Stores

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