Form 9
Application for registration as user of Customs computerised entry processing system

Section 132, Customs and Excise Act 1996

To apply for registration as a user of a Customs computerised entry processing system, give the details set out below.

Surname:

Previous name(s):

First name(s):

Other names by which you are known:

Date of birth:

Country of birth:

Gender:

Occupation:

Your birth certificate and 1 other form of official identification bearing your photograph are required. See also “Important steps when lodging an application” in the “Important information” section.

Identification types and identification numbers: [specify]

Company name:

Physical address:

Postal address:

Contact number(s):

Email address:

Internet site/web address:

Physical address:

Postal address:

Contact number(s):

Email address:

Select whichever of the following reason(s) apply.

• importing goods for your own use

• exporting goods in your own name

• entering excisable goods

• reporting of craft

• reporting of cargo

Employed by or conducting business as—

• an agent/broker dealing in imports

• a company/entity that imports goods

• an agent/broker dealing in exports

• a company/entity that exports goods

• an agent/broker entering excisable goods

• a company/entity entering excisable goods

If you are importing goods for your own use or exporting goods in your own name, or employed by or conducting business as a company/entity that imports or exports goods or a company/entity that is dealing in excisable goods, or reporting on craft or reporting on cargo (or carrying out more than 1 of those activities), state the client code(s) for all the entities in whose name you wish to lodge entries or reports: [client code(s)]

If you are employed by or conducting business as an agent/a broker, state the name(s) or client code(s) of the agent/broker company (or companies) in whose name you wish to lodge entries or reports: [name(s) or client code(s)]

How do you or will you transmit entries or reports to Customs?

• The Trade Single Window online lodgements Internet site operated by the New Zealand Customs Service and the Ministry for Primary Industries

• Another online lodgements Internet site

• A commercial software package: [name of software package]

• A system developed for your company

Note: Information on criminal convictions does not have to be provided if you meet the eligibility criteria of the Criminal Records (Clean Slate) Act 2004. Information on these criteria is available on the Ministry of Justice Internet site.

Do you have any criminal convictions? Yes/No

If you answered “Yes”, please list what these are:

Please provide any further information you think is relevant to your conviction(s):

*I, [full name, address], declare that the information I have provided is true, correct, and complete in every particular. I am aware of the provisions of sections 131 to 136 of the Customs and Excise Act 1996.

*I declare that the information provided in this form is true, correct, and complete in every particular. I am aware of the provisions of the Customs and Excise Act 1996 relating to registration, access, and use of the Trade Single Window system.

Note: Making a declaration that is erroneous in a material particular is an offence under the Customs and Excise Act 1996. Making a false declaration may also be an offence under the Biosecurity Act 1993, the Food Act 1981, and the Agricultural Compounds and Veterinary Medicines Act 1997.

*Signature of applicant:

As provided by regulation 74(3) and (4) of the Customs and Excise Regulations 1996, your application must be supported by—

• your birth certificate, together with a translation into English certified by a Customs-nominated translator if that certificate is not written in English; and

• if you use a married name, or have legally changed your name for any other reason, a copy of your marriage certificate or other legal evidence of the name change, together with a translation into English certified by a Customs-nominated translator if that certificate or other evidence is not written in English; and

• your passport or New Zealand driver licence or any other form of official identification bearing your photo that Customs may approve.

*This application and the required identification must be physically produced to a Customs officer, either at a Customs office or at some other agreed location.

*This application and the required identification must be provided using the Trade Single Window. The New Zealand Customs Service may, in its discretion, subsequently ask you to physically produce any identification to a Customs officer, either at a Customs office or at some other agreed location.

Customs will advise you as to whether your application is granted or refused and of any conditions to which registration is subject.

The information that is being collected on this form will enable the New Zealand Customs Service to—

• conduct a security check on you; and

• decide whether or not to register you as a user of the Customs computerised entry processing system to enter goods, report cargo, or report craft; and

• verify the correctness of entries, cargo reports, and craft reports you may lodge; and

• contact you as may be required.

The New Zealand Customs Service and the Ministry for Primary Industries may also collect and use information in this form for border management and border-related risk management purposes under the Customs and Excise Act 1996 and the Biosecurity Act 1993.

The information in this form will be stored on a secure database managed by the New Zealand Customs Service and Ministry for Primary Industries.

Under the Privacy Act 1993, you have the right to request access to, 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 requests) 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.