ADVANCE NOTIFICATION/INWARD REPORT FOR YACHTS/SMALL CRAFT

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1 ADVANCE NOTIFICATION/INWARD REPORT FOR YACHTS/SMALL CRAFT Note: This form plus attachments must be provided to officials, not less than forty-eight hours (48hrs) prior to the vessel s arrival in Fiji. OFFICIAL USE ONLY Rotation Number Form C2-C 1. REGISTRATION DETAILS Craft name: Country of registration: Port of registration: Registration number: Call sign: Name of person in charge: Total number of persons onboard: Date of registration: Sail Number: Home Port: Estimated date of arrival: Port of arrival: 2. ADVANCE INFORMATION OF ARRIVAL (To be filled by master) Estimated time of arrival: Port arrived from: 3. ARRIVAL DETAILS (This portion only is to be completed by Customs Officer) Port of arrival: Date of arrival: Time of arrival: Port arrived from: Estimated period of stay in Fiji: 4. LIST PREVIOUS OVERSEAS PORTS VISITED (Please list in sequence, latest port first) FIREARMS (Specify makes, models & serial numbers) Yes No 6. CONTROLLED DRUGS/MEDICINES ON BOARD (Name & Quantity) Yes No 7. CURRENCY REPORT AMOUNT CURRENCY OTHERS 1

2 Beer: Wine: 8. STORES ON BOARD Spirits: Cigarettes/Tobacco: 9. CRAFT STATUS (Tick box that applies) Visiting Overseas Craft Returning Fiji registered craft: Built in Fiji: yes no Duty Paid: yes no Please attached photo of Yacht Returning permanently imported craft: Original import SAD number: Please attached photo of Master Permanently importing craft to Fiji: Note: if photo cannot be attached on space provided, please send photo as attachment to this Inward Form. Note: if photo cannot be attached on space provided, please send photo as attachment to this Inward Form. 2

3 10. CRAFT DETAILS Craft Type: Design: Yacht Motor Launch Other (Specify) Yacht Rig: Cutter Sloop Ketch Yawl Schooner Hull Design: Mono Catamaran Tri-maran Other (Specify Mast Construction: Alloy Timber Composite Other (Specify) Other (Specify) Hull Construction: Steel Alloy Ferro Cement Fiberglass Composite Other (Specify) Length: Beam: Draught: Gross Tonnage: Metres Feet Metres Feet Metres Feet Value of the Yacht: (In US Currency) Mast: Hull (Above waterline): Hull (Below waterline): 11. COLOURS Deckhouse/Superstructure (Tops): Deckhouse/Superstructure (Side): Decks: Dodgers/Sail covers: Sails : 12. ENGINE Make: Power (HP/Kw): Fuel capacity: Model: Passage speed under motor: Fuel consumption rate: 13. ELECTRONICS SSB Radio Make: Model: Call sign: VHF Radio Make: Model: Call sign: HAM Radio Make : Model: Call sign: Cell phone Make: Model: Number: 14. RADIO SCHEDULES MAINTAINED Frequencies: Times: Shore station: 15. LIST OF PORTS/PLACES/ISLANDS INTEND TO VISIT WHILE IN FIJI NEXT OVERSEAS PORTS

4 17. CREW DETAILS (Person in charge first) Names in block letters Surname : Country of passport issued: Attach any additional details of crewmembers on a separate sheet. Surname: Country of passport issued: Surname: Surname: 18. OTHER EQUIPMENT Life raft Make : Model: Capacity: Dinghy/Tender Make : Model: Length: Type: Capacity: Colour: Outboard motor Make: Model: Power (HP/Kw): Flares: Parachute Hand held Smoke other (Specify) ANY OTHER IDENTIFYING FEATURES.... 4

5 19. OWNERSHIP DETAILS Particulars of Owner: Names Address Telephone Cellphone Facsimile If owned by a Company, state Director s details: Names Address Telephone Cellphone Facsimile 20. DECLARATION OF GOODS ON BOARD THE VESSEL 1. Do you have any commercial goods on board the vessel? Yes No 2. If yes, please state the value of the goods. US$ Do you have any goods on board the vessel that is intended for gifts in Fiji? Yes No 4. If yes, please state the value of the goods. US$... If you answered yes for 1 or 3, please complete the details below; Name of Recipient:. Address:.... Contacts:. address: 21. STATUS OF MASTER/CREW Master : Permanent Temporary One of Crews: Permanent Temporary One of If master/crew is visiting on temporary or one of basis, state; Reason: Name of Crew Expected date of Departure Flight/Vessel Name 5

6 22. MASTER S DECLARATION I..being the person in charge declare that all particulars stated in this Inward Report are true and correct and that the yacht shall not be engaged in anyway for conveying goods and or passengers for hire whilst in Fiji waters. 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 and persons and border security. You must provide all information requested on the form. Failure to do so is an offence. The Fiji Revenue & Customs Authority pursuant to the Customs and Excise Act & Regulation of 1986 will hold the information you provide. 23. FOR OFFICIAL USE Declared before me this. 20 day date Signature/Stamp of Officer of Customs: 6

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