NZCS 345 - Departure of yachts and pleasure craft - Advanced by MWNM3s

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									                                                                                                                                                                                     NZCS 345 | MARCH 2012




Departure of yachts and pleasure craft - Advanced information sheet

Send facsimile to:                       New Zealand Customs Service                                         Or email: yachts@customs.govt.nz
                                         Attention: Marine section
                                         Fax number: 0800-248 877

Vessel name:                                                            Country of registration:                                                 Registration number:
.. .............................................................        ................................................................         .. ..............................................................
Masters name:
.. ...............................................................................................................................................................................................................
Contact phone number:
.. ...............................................................................................................................................................................................................
New Zealand port of departure:                                                                                                                   Expected date of departure:
.. ....................................................................................................................................          .. ..............................................................
Next overseas port:
.. ...............................................................................................................................................................................................................

Complete the following details for all persons on board

Family name: .. ......................................................................................................................................................................................

Given or first names: ..............................................................................................................................................................................

Passport number:                .. ....................................................................      Date of birth (day/month/year): .. ..................................................

Nationality: .. ..................................................................................           Male                                               Female

Family name: .. ......................................................................................................................................................................................

Given or first names: ..............................................................................................................................................................................

Passport number:                .. ....................................................................      Date of birth (day/month/year): .. ..................................................

Nationality: .. ..................................................................................           Male                                               Female

Family name: .. ......................................................................................................................................................................................

Given or first names: ..............................................................................................................................................................................

Passport number:                .. ....................................................................      Date of birth (day/month/year): .. ..................................................

Nationality: ....................................................................................            Male                                               Female

Family name: .. ......................................................................................................................................................................................

Given or first names: ..............................................................................................................................................................................

Passport number:                .. ....................................................................      Date of birth (day/month/year): .. ..................................................

Nationality: .. ..................................................................................           Male                                               Female

								
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