✨ Outward Report for Ships and Boats
3886
NEW ZEALAND GAZETTE, No. 134
14 NOVEMBER 2006
Schedule
OUTWARD REPORT
(SHIPS AND BOATS OTHER THAN SMALL CRAFT)
PART A: DEPARTURE DETAILS
| Name of ship | Port of departure |
|---|---|
| Date of departure | Time of departure |
| 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 ..........................................
Form C2
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Online Sources for this page:
VUW Te Waharoa —
NZ Gazette 2006, No 134
Gazette.govt.nz —
NZ Gazette 2006, No 134
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🏭 Outward Report for Ships and Boats
🏭 Trade, Customs & IndustryOutward Report, Ships, Boats, Departure Details, Cargo, Tankers