✨ JBMS User Registration Form
17 JUNE 2014 NEW ZEALAND GAZETTE, No. 64
Schedule 3
Manatū Ahu Matua
NZ Gazette 224
MAY 2014
Joint Border Management System - Client Registration Application
Please refer to notes on reverse before completing form. Not for use for overseas suppliers.
Email to clientcodes@customs.govt.nz or fax to 09 927 8015. For enquiries phone 0800 428 786.
Please tick all of the following which apply:
- [ ] Company
- [ ] Sole Trader
- [ ] Partnership
- [ ] Individual
- [ ] Port Authority
- [ ] Excise Client
- [ ] Brokerage
- [ ] Freight forwarder/
- [ ] Shipping company
- [ ] Shipping agent
- [ ] Diplomatic
- [ ] Carrier
Will you be:
- [ ] Exporting
- [ ] Importing
- [ ] Both
- [ ] Other
Food Importer:
Do you wish to be an importer under the Food Act 1981? Yes [ ]
Please indicate if you consider yourself to be a Maori Business (for statistical purposes only) [ ]
Full company/partnership/sole trader/individual name – including trading name (refer note 2 on reverse):
Company Registration Number: ____ GST/IRD Number: ____
Full Street Address: __
Suburb: ____ Full Postal Address: _____
City: __ Postcode: __
Landline Phone: ____ Fax Number: _____
Mobile Number: _____ Web Address: ____
Email Address: __
Contact Name: ___ Position in organisation: _
Email Address: __ Phone: __
Fax: ____
If company or partnership - full particulars of all directors/shareholders to be listed on reverse
If sole trader or individual - Date of birth: ____ Country of birth:
Payment Account Details (if applicable)
Customs deferred account number: ___ Ministry for Primary Industries account number: __
OPTIONAL: Set TSW Brokerage Access
Please indicate if you wish to restrict the use of your code to nominated Brokers only? Yes [ ] No [ ]
If yes, Brokerage Name: ____ Brokerage Code (if known): __
(attach a supplementary list if more than one broker)
Optional: Please advise Customs Broker ____ of the code at email: _____
DECLARATION (refer Note 4 on reverse)
I _____ (position) of __
declare that the information provided is true and correct.
Signature: ____ Date: _____
Processing Officer: ____ Client Code: ___
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NZ Gazette 2014, No 64
✨ LLM interpretation of page content
🏭
Customs (Application for JBMS User Registration) Rules 2014
(continued from previous page)
🏭 Trade, Customs & IndustryPrivacy, Customs, JBMS user registration, security check, border management, risk management, Privacy Act 1993, Customs and Excise Act 1996, Biosecurity Act 1993