New Zealand Customs Service Form C1B

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INWARD REPORT (SMALL CRAFT)


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PART A: REGISTRATION DETAILS
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Name of small craft:             

Country of registration:
                
Port of registration:            

Registration number: 
             
Date of registration:            

Sail number:
           
Home port:                       

Name of person in charge:
        
Total number of persons on board:   

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PART B: ARRIVAL DETAILS
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Port of arrival:                 

Date of arrival:

Time of arrival:               	 

Port arrived from:
      
Estimated period of stay in New Zealand:  

LIST PREVIOUS OVERSEAS PORTS - (In order, last port first)

1.      

2.     
 
3.     
 
4.      

5.      

6.


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COMMERCIAL CARGO 
(Please record on a separate sheet and attach if additional 
space is required)
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List all goods carried in or on the craft from a point 
outside New Zealand, whether in the course of international 
trade or for sale or supply in those goods, but excluding 
the personal effects of crew and passengers and stores for 
craft.





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FIREARMS [    ] Y/N
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(Specify makes, models, and serial numbers)





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CONTROLLED DRUGS/MEDICINES ON BOARD [   ] Y/N
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(Names & quantities)



     
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DUTY FREE STORES ON BOARD
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Spirits [   ] Y/N          Quantity:
			
Beer [   ]  Y/N            Quantity:                           

Wine [   ] Y/N	           Quantity:
        
Cigarettes/tobacco [   ] Y/N    Quantity:
   
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SMALL CRAFT STATUS
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Visiting overseas craft: [   ] Y/N

Returning New Zealand registered craft: [   ] Y/N
Built in NZ: [   ] Y/N
Duty paid: [   ] Y/N

Returning permanently imported craft [   ] Y/N
Original Import Entry number:  

Permanently importing craft to New Zealand: [   ] Y/N

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OFFICIAL USE ONLY

TIE number:               Entry number:

Verified [    ] Y/N       Entry number:     		

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

(Surname in block letters) (Add additional crew member 
details by copy and paste of requirements per below, as 
necessary)

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CREW DETAILS. 1 (Person in charge)

Surname:                           	

First name(s):
         
Nationality:                        	

Date of birth:
     
Passport number:
         
Overseas contact address:


Next of kin, relationship:

     
Address/telephone of next of kin:


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CREW DETAILS. 2

Surname:                            	

First name(s):
      
Nationality:                        	

Date of birth:
    
Passport number:

Overseas contact address:


Next of kin, relationship:

     
Address/telephone of next of kin:

   
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CREW DETAILS. 3

Surname:                            	

First name(s):

Nationality:                        	

Date of birth:

Passport number:
          
Overseas contact address:


Next of kin, relationship:


Address/telephone of next of kin:


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CREW DETAILS. 4

Surname:                            	

First name(s):
          
Nationality:                        	

Date of birth:
    
Passport number:
         
Overseas contact address:


Next of kin, relationship:

Address/telephone of next of kin:



    
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PART D: CRAFT DETAILS
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CRAFT TYPE

Yacht [   ] Y/N      Motor launch [   ]  Y/N
 
Other (Specify):


DESIGN
  

YACHT RIG

Cutter [   ] Y/N   Sloop [   ] Y/N    Ketch [   ] Y/N    

Yawl [   ] Y/N    Schooner [   ] Y/N

Other (Specify):

     
MAST CONSTRUCTION

Alloy [   ] Y/N         Timber [   ] Y/N          

Composite [   ] Y/N     

Other (Specify):

   
HULL CONSTRUCTION

Steel [   ] Y/N      Alloy [   ] Y/N      Ferro [   ] Y/N      

Cement [   ] Y/N     Fibreglass [   ] Y/N   

Composite [   ] Y/N  

Other (Specify):

      
Length

Metres:		    Feet: 

Beam

Metres:  	    Feet: 


Draught

Metres:             Feet:
 
Gross tonnage:

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COLOURS
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Mast: 
         
Deckhouse/Superstructure (Tops):

Hull (Above waterline):
     
Deckhouse/Superstructure (Sides):
     
Hull (Below waterline):_
     
Decks:
     
Dodgers/Sail covers:	

Sails:

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ENGINE
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Make:                   	    

Model:
  
Power (HP/Kw):
     
Passage speed under motor:

Fuel capacity:

Fuel consumption:

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ELECTRONICS
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Radar 1

Make:               Model:             Range:


  
  	
Radar 2

Make: 	            Model:             Range:


SSB

Make:               Model:             Call Sign:

     
VHF

Make:               Model:             Call Sign:


HAM

Make:               Model:             Call Sign:

     
Cellphone

Make:               Model:             Number:


INMARSAT voice

Make:               Model:             MMSI numbers:


INMARSAT fax

Make:               Model:             MMSI numbers:

     
INMARSAT data

Make:               Model:             MMSI numbers:


GPS 1

Make:               Model:
  
      
GPS 2

Make:               Model:




Radar detector (CARD)

Make:               Model:
    
     
Radar reflector

Make:               Model:

          
SART

Make:               Model:

          
EPIRB 121.5 / 406mHz

Make:               Model:
 
     
Serial number (if 121.5 beacon):

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RADIO SCHEDULES MAINTAINED
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Frequencies          	Times             Shore station








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OTHER EQUIPMENT
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LIFE RAFT
                                           
Make:        	     Model:               Capacity:


DINGHY / TENDER

Make:                Model:               Length:


Type:                Capacity:            Colour:






    
OUTBOARD MOTOR

Make:                   Model:                

Power (HP/Kw):


FLARES

Parachute: [   ] Y/N  Hand held: [   ] 

Y/N Smoke: [   ] Y/N

Other (Specify:

____________________________________________________________

ANY OTHER IDENTIFYING FEATURES:




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PART E: OWNERSHIP DETAILS
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Name of owner:
  
Owners address:



OWNERS CONTACT NUMBERS

Telephone:

Cellphone:

Facsimile:
     
E-mail:



************************************************************ 
DECLARATION
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I,
being the Person in Charge declare that all particulars 
stated in this Inward Report 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 persons 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 at; 

New Zealand Customs Service, The Customhouse 17-21 
Whitmore Street, Box 2218, Wellington.



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NOTES: 
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CASH REPORTING - NZ$10,000 OR MORE

If you are carrying, whether on yourself or in your baggage, 
cash (being coins or paper money) of NZ$10,000 or more (or 
the foreign currency equivalent), you are required by the 
Financial Transactions Reporting Act 1996 to complete a 
Border Cash report.


WARNING

There are heavy penalties under New Zealand law for the 
illicit importation of drugs.

DRUG TRAFFICKING IS NOT WORTH THE RISK



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OFFICIAL USE ONLY

Passenger and Crew details List(s) attached: [   ] Y/N 
Arrival Card(s): [   ] Y/N 

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