✨ JBMS User Application Form
NEW ZEALAND GAZETTE, No. 18 — 26 FEBRUARY 2015
Ministry for Primary Industries
Manatū Ahu Matua
FORM C10 FEBRUARY 2015
Joint Border Management System - Registered User Application - Individual
Section 132 of the Customs and Excise Act 1996
To apply for registration as a user of an integrated border management computerised system (JBMS), please supply the information as required.
For enquiries phone 0800 428 786
Applicant Details
Surname:
First name:
Previous names:
Alias:
Date of birth:
Country of birth:
Gender:
Occupation:
Identification details:
Birth Certificate:
Passport or Driver’s Licence:
Contact Details - Home
Full Street Address:
Full Postal Address:
Suburb:
City:
Post code:
Suburb:
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(s) on page 3.
Contact Details - Work
Company Name:
Client code:
Full Street Address:
Full Postal Address:
Suburb:
City:
Post code:
Suburb:
City:
Post code:
Business/IDI:
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
Next Page →
NZ Gazette 2015, No 18
✨ 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, declaration, privacy statement