✨ Outward Report Form
3822
NEW ZEALAND GAZETTE, No. 132
9 NOVEMBER 2006
Schedule
Form C2
OUTWARD REPORT
(SHIPS AND BOATS OTHER THAN SMALL CRAFT)
PART A: DEPARTURE DETAILS
| Name of ship | Port of departure |
|---|---|
| Date of departure | Port of destination |
| Name of person in charge | Name and address of ship’s agent in New Zealand |
| IMO number | |
| Gross register tonnes | |
| Segregated ballast tanks total tonnage (Tankers only) |
LIST OF PORTS VISITED WHILE IN NEW ZEALAND ON THIS VOYAGE (Please record on a separate sheet and attach if additional space is required.)
| New Zealand ports visited | Date of arrival | Date of departure |
|---|---|---|
| 1. | ||
| 2. | ||
| 3. | ||
| 4. | ||
| 5. |
LIST OVERSEAS PORTS EN ROUTE TO PORT OF DESTINATION (Please record on a separate sheet and attach if additional space is required.)
| Total number of crew on departure | Total number of crew embarked in New Zealand | Total number of passengers on departure | Total number of passengers embarked in New Zealand |
|---|---|---|---|
CARGO
Has cargo been loaded onto the craft in New Zealand, whether originating in New Zealand, or transhipped in New Zealand for export? YES ☐ NO ☐
If YES, state the number of Outward Cargo Reports intended to be given and the names of the persons who will be giving them.
Please record on a separate sheet and attach if additional space is required.
Number
TANKERS ONLY: Total tonnage of persistent (P) and non persistent (NP) oil carried.
| New Zealand ports visited | P oil carried on arrival | P oil loaded | NP oil carried on arrival | NP oil loaded |
|---|---|---|---|---|
| 1. | ||||
| 2. | ||||
| 3. | ||||
| 4. | ||||
| 5. |
DECLARATION
I hereby declare that this Outward Report, comprising parts A, B, and the electronically lodged outward Crew and Passenger lists are true and correct.
Signature of Person in Charge ................................................... Date ........................................
PART B: SUPPORTING DOCUMENTS CHECK LIST
NOTE: The crew and passenger lists are to be sent electronically (if applicable), all other identified documents should be attached to this report (if applicable):
| Crew list sent electronically | YES ☐ NO ☐ | Passenger list sent electronically | YES ☐ NO ☐ |
|---|---|---|---|
| Craft stores requisitions attached | YES ☐ NO ☐ | Controlled drugs and firearms list attached | YES ☐ NO ☐ |
OFFICIAL USE: Documentation for Outward Report produced and Certificate of Clearance issued.
Signature of Customs officer ................................................... Date ........................................
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Online Sources for this page:
VUW Te Waharoa —
NZ Gazette 2006, No 132
Gazette.govt.nz —
NZ Gazette 2006, No 132
✨ LLM interpretation of page content
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Customs (Outward Report) Amendment Rules 2006 (CR 1B/2006)
(continued from previous page)
🏭 Trade, Customs & IndustryCustoms, Outward Report, Amendment Rules, Regulations, Shipping, Cargo, Crew, Passengers