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NZCS 224 |
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APRIL 2017 |
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Trade Single Window - Client Registration Application |
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Please refer to notes on reverse before completing form. Not for use for overseas suppliers |
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Email to clientcodes@customs.govt.nz or fax to 09 927 8015. For enquiries phone 0800 428 786. |
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Please tick all of the following which apply |
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Company – NZ Registered |
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Company – Unregistered |
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Partnership |
Sole Trader |
Individual |
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Embassy |
Other |
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Will you be: |
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Exporting |
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Importing |
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Both |
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Other |
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Port Authority |
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Excise Client |
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Brokerage |
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Freight forwarder |
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Shipping company |
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Shipping agent |
Diplomatic |
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Carrier |
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Third Party Notify |
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Do you wish to be an importer under the Food Act 2014? |
Yes |
Please indicate if you consider yourself to be a Maori Business |
(for statistical purposes only) |
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If Sole Trader or Individual |
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Full Name: |
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Trading As: |
.. ...................................................................................................................................................................................................................... |
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Previous Names: |
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Date of birth: |
Country of birth: |
Gender: |
Female |
Male |
Unknown |
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Landline Phone: |
Fax Number: |
Mobile Number: |
Email Address: |
Web Address: |
If Company, Partnership or Other organisation (full particulars of all directors/partners/trustees to be listed on page 2) Full company/partnership/other organisation name (refer note 3 on page 4):
.. .........................................................................................................................................................................................................................................
Trading As: |
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New Zealand Company Registration Number OR New Zealand Business Number (NZBN): |
.. ....................................................................................................... |
GST/IRD Number: |
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Landline Phone: |
Fax Number: |
Mobile Number: |
Email Address: |
Web Address: |
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Contact Person: |
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.. .................................................................................. |
........................................................................... |
.. ............................................................ |
First Name(s) |
Last Name |
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Position in Organisation |
.. ...................................................................................................................... |
............................................................................................ |
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Phone Number(s) |
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Email |
NZCS 224 | APRIL 2017
Physical Address: |
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Street Number: |
Unit Number: |
Floor Level: |
Property Name: |
Property Type: |
Street Name: |
Street Type: |
Suburb : |
Town/City: |
State: |
Country: |
Postcode: |
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Postal Address (if not same as above): |
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Street Number: |
Unit Number: |
Floor Level: |
Property Name: |
Property Type: |
PO Box: |
Private Bag: |
Street Name: |
Street Type: |
Suburb : |
Town/City: |
State: |
Country: |
Postcode: |
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Full particulars of all directors/partners/trustees (refer note 3 on page 4) |
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1 |
.. ...................................................... |
.. ............................ |
.............................................. .. .............................. |
First Name(s) |
Last Name |
Date of Birth |
Identification Type |
Number |
2 |
.. ...................................................... |
.. ............................ |
.............................................. .. .............................. |
First Name(s) |
Last Name |
Date of Birth |
Identification Type |
Number |
3 |
.. ...................................................... |
.. ............................ |
.............................................. .. .............................. |
First Name(s) |
Last Name |
Date of Birth |
Identification Type |
Number |
4 |
.. ...................................................... |
.. ............................ |
.............................................. .. .............................. |
First Name(s) |
Last Name |
Date of Birth |
Identification Type |
Number |
Billing Address (if not same as above): |
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Street Number: |
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Unit Number: |
Floor Level: |
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Property Name: |
Property Type: |
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PO Box: |
Private Bag: |
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Street Name: |
Street Type: |
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Suburb : |
Town/City: |
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State: |
Country: |
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Postcode: |
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Payment Account Details (if applicable) |
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Ministry for Primary Industries account number: ...……………………………………………
P2 of 4
NZCS 224 | APRIL 2017
Lodgement Notifications
To receive TSW notifications for lodgements - select ONE of the following notification methods:
Add name(s) to be notified: ...……………………………………………
Email: ...……………………………………………………………………..
If TSW notification preferences requested - select any/all of the following WCO lodgement types:
For the lodgement type requested - select any/all of the following lodgement status:
OPTIONAL: Set TSW Brokerage Access |
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Please indicate if you wish to restrict the use of your code to nominated Brokers only? |
Yes |
No |
If yes: |
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Brokerage Code (if known): |
Brokerage Name: .. |
............................................................................. |
Brokerage Code (if known): |
Brokerage Name: .. |
............................................................................. |
Brokerage Code (if known): |
Brokerage Name: .. |
............................................................................. |
(attach a supplementary list if more than three brokers) |
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Optional: Please advise Customs Broker |
..................................................... |
of the code at email: |
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DECLARATION (refer Note 4 below) |
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I |
(position) |
of |
declare that the information provided is true and correct. |
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Signature: |
Date: |
Date: .....................................
Processing Officer: ... ..................................................
Client Code: ... .......................................................
NZCS 224 | APRIL 2017
IMPORTANT INFORMATION
NOTES:
1.You must tick ALL boxes that apply.
2.Private individuals must supply clearly legible photo ID – preferably a copy of your passport or drivers licence.
3(a). For registered companies: A copy of your company’s Certificate of Incorporation must be attached. Provide your trading name - if different from registered company name. All directors must be listed – add a supplementary page if required. Clearly legible photo ID is required for each name listed – a copy of the passport biography details page or drivers licence is preferred.
3(b) For Partnerships and sole traders: A trading name must be specified, along with full names of all sole traders/partners. Photo ID (as described above) is required for all sole traders/partners.
3(c). For other organisations (such as schools, sports clubs, registered trusts, charities or similar): All trustees, the principal, or other relevant person(s) of responsibility must be listed. Photo ID (as described above) is required for all listed persons. For New Zealand registered trusts, societies and charities, a copy of your certificate must be supplied. For schools, sports clubs and similar, a letterhead of the organisation must be supplied.
4.The application must be completed and signed by an authorised person of the entity concerned (for example an officer of the organisation or a Customs broker) or the importer/exporter of the goods.
5.Incomplete applications will be rejected and returned for completion.
6.Please note you are required to keep business records in New Zealand pursuant to section 95 of the Customs and Excise Act 1996.
7Applications can be lodged electronically to email clientcodes@customs.govt.nz or, if you do not have access to email, faxed to 09 927 8015.
Note that fax copies of ID’s are often illegible and therefore may be rejected, so email is the recommended method of submission.
8.For enquiries phone 0800 428 786.
The information on the client registration application form (and any subsequent customs entries) may be supplied to Statistics New Zealand for use in official statistics.
The personal information on this form will be used as part of the assessment of the client registration application in accordance with the Customs and Excise Act 1996 and for border-related risk management.
The New Zealand Customs Service and the Ministry for Primary Industries may collect and use information for border management and border-related risk management purposes under the Customs and Excise Act 1996 and the Biosecurity Act 1993. This information will be stored on a secure joint New Zealand Customs and Ministry for Primary Industries database. Under the Privacy Act 1993 you have the right to request access and correction of any personal information you have provided or that the New Zealand Customs Service or the Ministry for Primary Industries holds on you. Information may be withheld from you for the reasons (for refusal of request) listed in Part 4 of the Privacy Act 1993. You may request access and correction through any office of the New Zealand Customs Service, or any office of the Ministry for Primary Industries.
For Food Importers
This information is being collected for the purpose of listing importers of food for sale and for border-related risk management. The collection of information is authorised by section 132 of the Food Act 2014. The provision of this information is necessary in order to process an application for listing. The Biosecurity Act 1993 was amended in 2012 to define the meaning of biosecurity to include functions, duties, or powers relating to managing risks associated with the movement of goods into or out of New Zealand under the Food Act 2014.
All information provided to the Ministry for Primary Industries for the purposes of listing importers of food for sale is official information and subject to the Official Information Act 1982. If a request is made under that Act for information you have provided in this application, the Ministry for Primary Industries will consider any such request taking into account its obligation under the Official Information Act 1982 and any other applicable legislation.
Set TSW broker access –
This is an optional field that allows you to nominate a specific brokerage or group of brokers who can use your client registration code to make lodgements through TSW. If no selection is made, then any brokerage will be able to make lodgements on your behalf.
P4 of 4