New Zealand Gazette – 2017 – No. 58

Page 49

✨ Customs Advance Notice of Departure Form



NEW ZEALAND GAZETTE, No. 58 β€” 1 JUNE 2017

![NEW ZEALAND CUSTOMS SERVICE](TE MANA Δ€RAI O AOTEAROA)

FORM C2: JULY 2017

Advance notice of departure (Ships and boats other than small craft)

PART A : DEPARTURE DETAILS

Name of ship Port of departure
Date of departure Time of departure
Name of person in charge
IMO number Passenger capacity
Gross register tonnes
(salt water, metric tonnes)
Summer loadline displacement
(salt water, metric tonnes)
Light weight of ship
(salt water, metric tonnes)
Segregated ballast tanks
total tonnage (tankers only)

LIST OF PORTS VISITED WHILE IN NEW ZEALAND ON THIS VOYAGE

(Please record on a separate sheet and attach if additional space is required, refer to PART C)

New Zealand ports visited Date of arrival Date of departure
1.
2.
3.
4.

LIST OVERSEAS PORTS EN ROUTE TO PORT OF DESTINATION

(Please record on a separate sheet and attach if additional space is required)

Overseas ports
1.
2.
3.
Total number of crew on departure Total number of crew embarking in New Zealand
Total number of passengers on departure Total number of passengers embarking in New Zealand

CARGO

Has cargo been loaded onto the craft in New Zealand, whether originating in New Zealand, or transhipped in New Zealand for export?

  • [ ] Yes
  • [ ] No

IF YES, state the number of Outward Cargo Reports intended to be given and the names of the persons who will be giving them.

Please record on a separate sheet and attach if additional space is required.

Number

TANKERS ONLY: Total tonnage of persistent (P) and non persistent (NP) oil carried

New Zealand ports visited P oil carried on arrival P oil loaded NP oil carried on arrival NP oil loaded
1.
2.
3.
4.
5.

DECLARATION

I hereby declare that this Advance Notice of Departure, comprising of Parts A, B and the electronically lodged Outward crew and passenger lists, are true and correct.

Signature of Person in Charge or Owner: ___ Date: _

PART B: SUPPORTING DOCUMENTS CHECKLIST

NOTE: The crew and passenger lists are to be sent electronically (if applicable), all other identified applicable documents should be attached to this report:

  • [ ] Crew list sent electronically
  • [ ] Yes
  • [ ] No
  • [ ] Passenger list sent electronically
  • [ ] Yes
  • [ ] No
  • [ ] Craft stores requirements attached
  • [ ] Yes
  • [ ] No
  • [ ] Controlled drugs and firearms list attached
  • [ ] Yes
  • [ ] No
  • [ ] Official USE: Documentation for Advance Notice of Departure produced and Certificate of Clearance issued:

Signature of Customs officer: ____ Date: _____



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Online Sources for this page:

Gazette.govt.nz — PDF NZ Gazette 2017, No 58




✨ LLM interpretation of page content

🏭 Customs (Advance Notice of Departure) Amendment Rules 2017 (continued from previous page)

🏭 Trade, Customs & Industry
Customs Rules, Amendment, Advance Notice of Departure, Forms, Electronic Message Format