β¨ Customs Form
1714
NEW ZEALAND GAZETTE, No. 64
17 JUNE 2014
SCHEDULE
Form C2

FORM C2 | MAY 2014
Advance notice of departure (Ships and boats other than small craft)
PART A : ARRIVAL 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 arrival | Total number of crew disembarking in New Zealand | Total number of passengers on arrival | Total number of passengers disembarking 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 Inward Report, comprising of Parts A, B, C and the electronically lodged inward crew and passenger lists, are true and correct.
Signature of Person in Charge or Owner .................................................................................................... Date .........................................
PART B : SUPPORTING DOCUMENTS CHECKLIST
NOTE: The crew and passenger lists are to be sent electronically (if applicable), all other identified applicable 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 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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β¨ LLM interpretation of page content
π
Customs (Advance Notice of Departure) Rules 2014
(continued from previous page)
π Trade, Customs & IndustryCustoms, Advance Notice of Departure, Rules, Ships, Boats, Form C2
NZ Gazette 2014, No 64