✨ Registered User Application Form
NEW ZEALAND GAZETTE, No. 25 — 9 MARCH 2017
Joint Border Management System - Registered User Application - Individual
Section 132 of the Customs and Excise Act 1996
For enquiries phone 0800 422 976
To apply for registration as a user of an integrated border management computerised system (JBMS), please supply the information as required.
Applicant Details
Last Name: __
First Name(s): __
Previous Names: Other names by which you are known:
Date of Birth: ____ Country of Birth: ___
Gender: ____ Occupation: ___
TSW Registration Number: __ External Reference Number: __
Identification details
Birth Certificate: __ Passport or Driver Licence: __
Employer Details
Employer Name: __
Employer Physical Address
Street Number: ____ Floor/Level: ___
Unit Number: ____ Property Name: ___
Property Type: ____ Street Name: ___
Street Type: ____ Suburb: ___
Town/City: ____ State: ___
Postcode: ____ Country: ___
Employer Postal Address (if not same as above)
Street Number: ____ Floor/Level: ___
Unit Number: ____ Property Name: ___
Property Type: ____ P.O Box: ___
Private Bag: ____ Street Name: ___
Street Type: ____ Suburb: ___
Town/City: ____ State: ___
Postcode: ____ Country: ___
Employer Contact Details
Phone Number: __
Email Address: __
Web: __
IMPORTANT: If you do not ordinarily reside in New Zealand, please nominate one or more individuals ordinarily resident in New Zealand as your representative on page 4.
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NZ Gazette 2017, No 25
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🏭 Joint Border Management System - Registered User Application - Individual
🏭 Trade, Customs & IndustryCustoms, Border Management, User Registration, Application Form