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New Zealand Gazette – 2004 – No. 142

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✨ Customs Clearance Form

Rule 4(c)

Form C3B

New Zealand Customs Service Emblem

CERTIFICATE OF CLEARANCE

(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. |

This is to certify that .................................
being the person in charge of the above named craft has complied with the provisions of Section 34 of the Customs and Excise Act 1996, and is hereby granted this Certificate of Clearance from New Zealand.

...............................................
Signature of Customs officer

Stamp

NOTES

You are required to depart immediately for your next overseas port as specified in this certificate. You are not to go to any other place in New Zealand. Every person who commits an offence against this requirement is liable on conviction to imprisonment for a term not exceeding 12 months or to a fine not exceeding $15,000.
In an emergency you must contact the New Zealand Customs Service on Freephone: 0800 654279 or via a coast radio station on VHF ch16, 2182khz, 4125khz, 6215khz, or 8291khz.

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

🏭 Customs (Certificates of Clearance) Rules 2004 (continued from previous page)

Domain🏭 Trade, Customs & Industry
Dated25 October 2004
KeywordsCustoms, Certificates of Clearance, Rules, Forms, Comptroller, Regulations

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