✨ Customs Outward Report Form
NEW ZEALAND GAZETTE, No. 154
SCHEDULE
22 OCTOBER 2009
Form C2
November 2008
OUTWARD REPORT
(SHIPS AND BOATS OTHER THAN SMALL CRAFT)
TO: MANA AUSTRALIA TO AUSTRALIA
PART A: DEPARTURE DETAILS
| Name of ship | Port of departure | |
|---|---|---|
| Date of departure | ||
| Time of departure | Port of destination | |
| Name of person in charge | Name and address of ship’s agent in New Zealand | |
| IMO number | Passenger Capacity | |
| Gross register tonnes | ||
| Summer Loadline displacement (Salt water, Metric tonnes) | ||
| Light Weight of Ship (Salt water, Metric 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.)
| 1. | |
| 2. | |
| 3. | |
| 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.
| Crew list sent electronically | YES ☐ NO ☐ |
| Passenger list sent electronically | YES ☐ NO ☐ |
| Craft stores requisitions attached | YES ☐ NO ☐ |
| Controlled drugs and firearm 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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NZ Gazette 2009, No 154
✨ LLM interpretation of page content
🏭
Customs (Outward Report) Amendment Rules 2009
(continued from previous page)
🏭 Trade, Customs & IndustryCustoms Rules, Amendment, Outward Report, Form C2
🏭 Outward Report for Ships and Boats
🏭 Trade, Customs & IndustryShipping, Customs, Outward Report, Cargo, Crew, Passengers