New Zealand Gazette – 2016 – No. 5

Page 123

✨ Crew and Passenger Details Form



NEW ZEALAND GAZETTE, No. 5 — 21 JANUARY 2016

FORM C20 | JANUARY 2016

PART C : CREW AND PASSENGER DETAILS (Person in Charge first)

(Please put surname in block letters and attach any additional details of crew members on a separate sheet)

Surname Surname
First name/s First name/s
Nationality Date of birth Nationality Date of birth
Passport number Passport number
Overseas contact address Overseas contact address
Next of kin, relationship Next of kin, relationship
Address/telephone of next of kin Address/telephone of next of kin
Surname Surname
First name/s First name/s
Nationality Date of birth Nationality Date of birth
Passport number Passport number
Overseas contact address Overseas contact address
Next of kin, relationship Next of kin, relationship
Address/telephone of next of kin Address/telephone of next of kin
Surname Surname
First name/s First name/s
Nationality Date of birth Nationality Date of birth
Passport number Passport number
Overseas contact address Overseas contact address
Next of kin, relationship Next of kin, relationship
Address/telephone of next of kin Address/telephone of next of kin
Surname Surname
First name/s First name/s
Nationality Date of birth Nationality Date of birth
Passport number Passport number
Overseas contact address Overseas contact address
Next of kin, relationship Next of kin, relationship
Address/telephone of next of kin Address/telephone of next of kin

Page 123



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Online Sources for this page:

Gazette.govt.nz — PDF NZ Gazette 2016, No 5




✨ LLM interpretation of page content

🚂 Form C20: Crew and Passenger Details

🚂 Transport & Communications
Form, Crew, Passenger, Details, Travel