✨ Customs Application Form




NEW ZEALAND GAZETTE, No. 25 β€” 9 MARCH 2017

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 website.

Do you have convictions for any of the offences as specified in section 132B of the Customs & Excise Act 1996?

Yes (\square) No (\square)

If you answer "Yes", please list what these are:



Please provide any further information you think is relevant to your conviction(s):



Declaration

I, ( ext{(full name)} ) __ of ( ext{(address)} ) __

declare that the information I have provided is true, correct and complete in every particular.

Signature of applicant: __ Date: __

Note: Making a declaration that is erroneous in a material particular is an offence under the Customs and Excise Act 1996. Making a false declaration may be an offence under the Biosecurity Act 1993, the Food Act 1981, and the Agricultural Compounds and Veterinary Medicines Act 1997.



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Online Sources for this page:

Gazette.govt.nz PDF NZ Gazette 2017, No 25





✨ LLM interpretation of page content

🏭 Joint Border Management System - Registered User Application - Individual (continued from previous page)

🏭 Trade, Customs & Industry
Customs, Border Management, User Registration, Application Form, Trade Single Window, Notification Preferences, Criminal Convictions, Declaration