✨ Trade Single Window User Registration Form
NEW ZEALAND GAZETTE, No. 18 — 26 FEBRUARY 2015
Ministry for Primary Industries
Manatū Ahu Matua
FORM C9A | FEBRUARY 2015
Supplementary form to an Application to be a Joint Border Management System user for the purpose of Trade Single Window online registrations
Section 132, Customs and Excise Act 1996
To apply for registration as a user of the Joint Border Management System (JBMS) for the purpose of online Trade Single Window (TSW) registrations, provide the details set out below and attach this form, your ID document(s) and your employer’s authorisation letter (as stipulated below), to your online application to be a JBMS User.
Applicant details
Surname: .....................................................................................................
Previous name(s): .......................................................................................
First name(s): .............................................................................................
Other names by which you are known: ...............................................................
Date of birth: ................................ Country of birth: .....................................
Gender: ...................................... Occupation: .............................................
Work contact details
Company name: .............................................................................................
Physical address: .........................................................................................
...............................................................................................................
Contact number(s): ....................................................... Email address: ...................
Internet site/web address: .............................................................................
Client code details
Do you have any client codes: Yes □ No □ If so, please list here: .............................
Please provide the client code(s) of the company you are employed by:
Organisation/Brokerage Client Code(s): .............................................................
Required Attachments: See "Important information" section for details.
□ Form C9A (i.e. this form)
□ Identification document(s)
□ Employer’s authorisation letter
Criminal convictions
Note: Information on criminal convictions does not have to be provided if you meet the eligibility criteria of the Criminal Records (Clean Slate) Act 2004. Information on these criteria is available on the Ministry of Justice internet site.
Do you have convictions for any of the offences as specified in section 132B of the Customs and Excise Act 1996? Yes □ No □
If you answer ‘Yes’, please list what these are:
...............................................................................................................
Please provide any further information you think is relevant to your conviction(s):
...............................................................................................................
...............................................................................................................
Page 1 of 2
Next Page →
✨ LLM interpretation of page content
🏭
Supplementary form to an Application to be a Joint Border Management System user for the purpose of Trade Single Window online registrations
(continued from previous page)
🏭 Trade, Customs & IndustryTrade Single Window, user registration, Joint Border Management System, application form, identification details, contact information, criminal convictions
NZ Gazette 2015, No 18