Inward Report (Small craft)

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Inward Report (Small craft) PART A : REGISTRATION DETAILS Name of small craft Registration number Date of registration Country of registration Sail number Name of person in charge Port of registration Home port 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 Returning permanently imported craft Original import entry number Permanently importing craft to New Zealand Duty Paid Yes No OFFICIAL USE ONLY TIE Number Entry number Verified Yes No Entry number

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 P2 of 5

PART D : CRAFT DETAILS Craft type Design Yacht Motor launch Other (Specify) 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 Beam Draught Gross tonnage COLOURS Mast Deckhouse/Superstructure (tops) Hull (above water line) Deckhouse/Superstructure (sides) Hull (below water line) Decks Dodgers/Sail covers Sails ENGINE Power (HP/Kw) Passage speed under motor Fuel capacity Fuel consumption ELECTRONICS Radar 1 Radar 2 SSB VHF HAM Cellphone INMARSAT voice INMARSAT fax INMARSAT data Range Range Call sign Call sign Call sign Number MMSA numbers MMSA numbers MMSA numbers GPS 1 GPS 2 Radar detector (CARD) Radar reflector SART EPIRB / PLB HEX ID/UIN Country of Registration P3 of 5

RADIO SCHEDULES MAINTAINED Frequencies Times Shore station OTHER EQUIPMENT Life raft Capacity Dinghy/tender Length Capacity Colour Outboard motor 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 Mobile phone Facsimile Email 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 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 by contacting the New Zealand Customs Service, The Customhouse, 1 Hinemoa Street, PO Box 2218, Wellington 6140. P4 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 notes, 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 P5 of 5