New Zealand Gazette – 2004 – No. 142

Page 3538

✨ Crew and Passenger Details Form



3538

NEW ZEALAND GAZETTE, No. 142

2 NOVEMBER 2004

PART C: CREW AND PASSENGER DETAILS (Person in charge first)

(Surname in block letters)

(Attach any additional details of crew members on a separate sheet)

Surname

First name(s)

Nationality

Date of birth

Passport number

Overseas contact address

Next of kin, relationship

Address/telephone of next of kin

Surname

First name(s)

Nationality

Date of birth

Passport number

Overseas contact address

Next of kin, relationship

Address/telephone of next of kin

Surname

First name(s)

Nationality

Date of birth

Passport number

Overseas contact address

Next of kin, relationship

Address/telephone of next of kin

Surname

First name(s)

Nationality

Date of birth

Passport number

Overseas contact address

Next of kin, relationship

Address/telephone of next of kin

Surname

First name(s)

Nationality

Date of birth

Passport number

Overseas contact address

Next of kin, relationship

Address/telephone of next of kin



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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

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

🏭 Trade, Customs & Industry
Customs, Small Craft, Outward Report, Departure Details, Crew, Passenger