Customs Act 1901 CEO Instrument of Approval No. 1 of 2007 (Cth)

COMMONWEALTH OF AUSTRALIA

CEO Instrument of Approval No. 1 of 2007

Customs Act 1901

I, Michael Joseph Carmody, Chief Executive Officer of Customs:

(a) under section 4A and subsection 64ACB(5) of the Customs Act 1901 (the Act), and subsection 33(3) of the Acts Interpretation Act 1901, revoke CEO Instrument of Approval No. 102 of 2005 that approved the ‘Crew Report’ (Form 3B (September 2005)) as the approved form for the purpose of making a documentary report on crew who will be on board a ship at the time of its arrival at a port; and

(b) under section 4A and subsection 64ACB(5) of the Act, approve the attached “Crew Report (Form 3B (JULY 2007))” as the approved form for the purpose of making a documentary report on crew who will be on board a ship at the time of its arrival at a port.

This instrument commences on 1 July 2007.

Dated:  13 June 2007

MICHAEL JOSEPH CARMODY

Chief Executive Officer of Customs

CREW REPORT

 Approved Form – Section 64ACB of the Customs Act 1901

Page  ____  of  ____

We require this information under section 64ACB of the Customs Act 1901 in order to assess crew for the risk they may present in relation to a range of Commonwealth laws. Under subsection 64ACB(8) of the Customs Act 1901, the information provided must be disclosed to the Department of Immigration And Citizenship. This information may also be disclosed to a number of agencies including the Department of Transport and Regional Services, the Australian Federal Police, Australian Crime Commission, Attorney-General’s Department and the Department of Foreign Affairs and Trade.

VESSEL DETAILS

VESSEL NAME:

IMO:

PORT OF ARRIVAL:

ARRIVAL DATE:

CREW DETAILS

FAMILY NAME * (AS PER PASSPORT)

GIVEN NAMES (AS PER PASSPORT)

PASSPORT NUMBER

PASSPORT NATIONALITY (COUNTRY OF ISSUE)

DATE OF BIRTH (DD/MM/YY)

S E X

COUNTRY OF BIRTH

RATING

AUSTRALIAN MARITIME CREW VISA HOLDER? (YES/NO)

DECLARATION

I declare that all the particulars contained in this report are complete, exact and true to the best of my knowledge.

NAME:

SIGNATURE:

* Authorised Agent / Master (*strike out whichever is not applicable)

DATE:

* Please include all crew in alphabetical order. If space provided is insufficient, additional pages providing the same data fields should be attached.   FORM 3B (JULY 2007)