Fillable Form C1B: Inward Report ( Small Craft) (New Zealand Customs Service)

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Form C1B: Inward Report ( Small Craft) (New Zealand Customs Service)

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The Form C1B: Inward Report ( Small Craft) (New Zealand Customs Service) form is 4 pages long and contains:

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Country of origin: NEW-ZEALAND
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Inward Report (Small craft)
PART A : REGISTRATION DETAILS
Name of small craft Registration number Date of registration
Country of registration Port of registration
Sail number Home port
Name of person in charge Total number of persons on board
PART B : ARRIVAL DETAILS
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.
COMMERCIAL CARGO (Please record on a separate sheet and attach if additional space is required)
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 excludes the personal effects of crew and passengers and stores for craft.
FIREARMS (Please specify makes, models and serial numbers)
Yes No
CONTROLLED DRUGS/MEDICINES ON BOARD (Please specify name and quantity)
Yes No
STORES ON BOARD
Spirits Quantity
Beer
Wine
Cigarettes/tobacco
SMALL CRAFT STATUS
Tick box that applies:
Visiting overseas craft
Returning New Zealand
registered craft
Built in NZ Yes No
Duty Paid Yes No
Returning permanently
imported craft
Original import entry number
Permanently importing craft to
New Zealand
OFFICIAL USE ONLY
TIE Number Entry number Verified Yes No Entry number
FORM C1B | JULY 2018
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FORM C1B | JULY 2018
P2 of 5
PART C : CREW AND PASSENGER DETAILS (Person in Charge first)
(Please put surname in block letters and attach any additional details of crew members on a separate sheet)
Surname Surname
First name/s First name/s
Nationality Date of birth Nationality Date of birth
Passport number Passport number
Overseas contact address Overseas contact address
Next of kin, relationship Next of kin, relationship
Address/telephone of next of kin Address/telephone of next of kin
Surname Surname
First name/s First name/s
Nationality Date of birth Nationality Date of birth
Passport number Passport number
Overseas contact address Overseas contact address
Next of kin, relationship Next of kin, relationship
Address/telephone of next of kin Address/telephone of next of kin
Surname Surname
First name/s First name/s
Nationality Date of birth Nationality Date of birth
Passport number Passport number
Overseas contact address Overseas contact address
Next of kin, relationship Next of kin, relationship
Address/telephone of next of kin Address/telephone of next of kin
Surname Surname
First name/s First name/s
Nationality Date of birth Nationality Date of birth
Passport number Passport number
Overseas contact address Overseas contact address
Next of kin, relationship Next of kin, relationship
Address/telephone of next of kin Address/telephone of next of kin
FORM C1B | JULY 2018
P3 of 5
PART D : CRAFT DETAILS
Craft type
Yacht Motor launch Other (Specify)
Design
Yacht rig
Cutter Sloop Ketch Yawl Schooner
Mast construction
Alloy Timber Composite
Other (Specify)
Hull construction
Steel Alloy Ferro Cement Fibreglass Composite Other (specify)
Length
Metres Feet
Beam
Metres Feet
Draught
Metres Feet
Gross tonnage
COLOURS
Mast Deckhouse/Superstructure (tops)
Hull (above water line) Deckhouse/Superstructure (sides)
Hull (below water line) Decks
Dodgers/Sail covers Sails
ENGINE
Make Model
Power (HP/Kw) Passage speed under motor
Fuel capacity Fuel consumption
ELECTRONICS
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 MMSA numbers
INMARSAT fax
Make
Model MMSA numbers
INMARSAT data
Make
Model MMSA numbers
GPS 1
Make
Model
GPS 2
Make
Model
Radar detector (CARD)
Make
Model
Radar reflector
Make
Model
SART
Make
Model
EPIRB / PLB
Make Model HEX ID/UIN Country of Registration
FORM C1B | JULY 2018
P4 of 5
RADIO SCHEDULES MAINTAINED
Frequencies Times Shore station
OTHER EQUIPMENT
Life raft
Make
Model Capacity
Dinghy/tender
Make
Model Length
Make Capacity Colour
Outboard motor
Make
Model Power (HP/Kw)
Flares
Parachute Hand held Smoke Other (specify)
ANY OTHER IDENTIFYING FEATURES
..................................................................................................................................................................................................................................
..................................................................................................................................................................................................................................
..................................................................................................................................................................................................................................
Part E : OWNERSHIP DETAILS
Name of owner ..... ...........................................................................................................................................................................................................
Owners address
..... ....................................................................................................................................................................................................................................
..... ....................................................................................................................................................................................................................................
..... ....................................................................................................................................................................................................................................
Owners contact numbers
Telephone
Mobil
e phone
Fac
simile
Emai
l
DECLARATION
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
person, 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 2018. The Privacy Act 1993 provides rights of access to and the
correction of personal information. You may gain access to and correct this information by contacting the New Zealand Customs Service, The
Customhouse, 1 Hinemoa Street, PO Box 2218, Wellington 6140.
FORM C1B | JULY 2018
P5 of 5
NOTES
Cash Reporting – NZ$10,000 or more: If you are carrying, whether on yourself or in your baggage, cash and/or BNI with a
TOTAL value of NZ$10,000 or more (or the foreign currency equivalent) you are required under the Anti-Money Laundering and
Countering Financing of Terrorism Act 2009 to complete a Border Cash Report.
BNI (Bearer Negotiable Instruments) include a bill of exchange, a cheque or bank draft, a promissory note, a bearer bond,
travellers cheques, stored value cards or travel cards, a money order, postal order or similar or any other negotiable instrument
not already listed.
False, misleading, or non-reporting of cash may result in the forfeiture and seizure of the cash.
WARNING
There are heavy penalties under New Zealand law for the illicit importation and exportation of drugs.
DRUG TRAFFICKING IS NOT WORTH THE RISK
OFFICIAL USE ONLY Attached
Passenger and crew details list/s attached
Craft photo/s (electronic or attached)
Arrival card/s
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Form C1B: Inward Report ( Small Craft) (New Zealand Customs Service)

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Completed 15 July 2020

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