✨ Maritime Form Continuation
NEW ZEALAND GAZETTE, No. 5 — 21 JANUARY 2016
FORM C2B | JANUARY 2016
RADIO SCHEDULES MAINTAINED
| Frequencies | Times | Shore station |
|---|---|---|
OTHER EQUIPMENT
| Life raft | Make | Model | Capacity |
|---|---|---|---|
| Dinghy/tender | Make | Model | Length |
| Make | Capacity | Colour | |
| Outboard motor | Make | Model | Power (HP/Kw) |
Flares
Parachute ☐ Hand held ☐ Smoke ☐ Other (specify)
ANY OTHER IDENTIFYING FEATURES
BORDER CLEARANCE LEVY INFORMATION
Preferred email address for Border Clearance Levy invoice __
OWNERSHIP DETAILS
Name of owner _____
Owner's address ___
| Telephone | Mobile phone | Facsimile | ||
|---|---|---|---|---|
| Owner's contact numbers |
DECLARATION
I, ____ being the Person in Charge declare that all particulars stated in this Advance Notice of Departure are true and correct.
Signature of Person in Charge ____ Date
You are hereby advised that the information on this form is collected for the purpose of Customs clearance, monitoring the movement of craft and person, and border security. You must provide all information requested on the form. Failure to do so is an offence. The information you provide will be held by the New Zealand Customs Service pursuant to the Customs and Excise Act 1996. The Privacy Act 1993 provides rights of access to and the correction of personal information. You may gain access to and correct this information by contacting the New Zealand Customs Service, The Customhouse, 1 Hinemoa Street, PO Box 2218, Wellington 6140.
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NZ Gazette 2016, No 5
✨ LLM interpretation of page content
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Form C26: January 2016 - Part D: Craft Details (Continued)
(continued from previous page)
🚂 Transport & CommunicationsForm, Craft, Details, Radio schedules, Equipment, Border clearance, Ownership