✨ Customs Registration Form
NEW ZEALAND GAZETTE, No. 64
17 JUNE 2014
Ministry for Primary Industries
Manatū Ahu Matua
FORM 9 | MAY 2014
Joint Border Management System - Registered User Application - Individual
Section 132 of the Customs and Excise Act 1996
For enquiries phone 0800 428 786
To apply for registration as a user of an integrated border management computerised system (JBMS), please supply the information as required.
Applicant Details
Surname: ____ Previous names: ____
First name: __ Alias: __
Date of birth: ____ Country of birth:
Gender: _____
Occupation: __
Identification details:
- Birth Certificate ☐
- Passport or Drivers Licence ☐ _____
Contact Details - Home
Full Street Address: __
Suburb: ____ Post code: ___
City: __ Post code: ___
Landline: __ Mobile: __
Email: __
IMPORTANT: If you do not ordinarily reside in New Zealand, please nominate one or more individuals ordinarily resident in New Zealand as your representative on page 3.
Contact Details – Work
Company Name: ____ Client code:
Full Street Address: __
Suburb: ____ Post code: ___
City: __ Post code: ___
Business/DDI: __ Email: ___
Web: ____
Usage Details
Select all of the following reasons you are registering as a user:
- ☐ Importing goods for your own use
- ☐ Exporting goods in your own name
- ☐ Entering excisable goods in your own name
- ☐ And/or employed by:
- ☐ An agent/broker dealing in imports
- ☐ A company/entity that imports goods
- ☐ An agent/broker dealing in exports
- ☐ A company/entity that exports goods
- ☐ An agent/broker entering excisable goods
- ☐ A company/entity entering excisable goods
- ☐ An agent/broker reporting craft and/or cargo
- ☐ A company/entity reporting craft and/or cargo
Transmission Details
How do you or will you transmit lodgements to Customs? (Select all that apply)
- ☐ The Trade Single Window online lodgements Internet site operated by the New Zealand Customs Service and the Ministry for Primary Industries
- ☐ Trade Single Window via Direct Connect
- ☐ Trade Single Window using a messaging service provider: (State name of provider) _____
- ☐ The CusWeb Internet site
- ☐ A commercial software package: (State name of software package) _____
- ☐ A system developed for your company
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NZ Gazette 2014, No 64
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Customs (Application for JBMS User Registration) Rules 2014
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