✨ Customs Outward Report Form
27 OCTOBER 2009 CUSTOMS EDITION
SCHEDULE 3781
Form C2
November 2008
OUTWARD REPORT
(SHIPS AND BOATS OTHER THAN SMALL CRAFT)
TE MANGA ORA TO AOTEAROA
PART A: DEPARTURE DETAILS
| Name of ship | Port of departure |
|---|---|
| Date of departure | Time of departure |
| ------------------- | ------------------- |
| Name of person in charge | Passenger Capacity |
| -------------------------- | -------------------- |
| IMO number | |
| ------------ | |
| 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 (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 _
Next Page →
NZ Gazette 2009, No 155
✨ LLM interpretation of page content
🏭
Customs (Outward Report) Amendment Rules 2009
(continued from previous page)
🏭 Trade, Customs & IndustryCustoms regulations, Amendment, Outward report, Form C2