NZCS 218A - Unaccompanied personal baggage declaration ...



Unaccompanied personal baggage declaration – supplementary page

This form is to be used for listing additional family members that are not listed on page 2 of

form NZCS 218 / NQS QD1. The number of family members listed on this form

(NZCS 218A / NQS QD1A) must be noted on page 2 of form NZCS 218 / NQS QD1

|ADDITIONAL FAMILY MEMBERS |

|Family Name: |Given or First Names: |Date of Birth: |

|... |... |... |

|Nationality: |Passport Number: |Occupation: |

|... |... |... |

| |

|Family Name: |Given or First Names: |Date of Birth: |

|... |... |... |

|Nationality: |Passport Number: |Occupation: |

|... |... |... |

| |

|Family Name: |Given or First Names: |Date of Birth: |

|... |... |... |

|Nationality: |Passport Number: |Occupation: |

|... |... |... |

| |

|Family Name: |Given or First Names: |Date of Birth: |

|... |... |... |

|Nationality: |Passport Number: |Occupation: |

|... |... |... |

| | | |

|Family Name: |Given or First Names: |Date of Birth: |

|... |... |... |

|Nationality: |Passport Number: |Occupation: |

|... |... |... |

| | | |

|Family Name: |Given or First Names: |Date of Birth: |

|... |... |... |

|Nationality: |Passport Number: |Occupation: |

|... |... |... |

| | | |

|Family Name: |Given or First Names: |Date of Birth: |

|... |... |... |

|Nationality: |Passport Number: |Occupation: |

|... |... |... |

| | | |

|Family Name: |Given or First Names: |Date of Birth: |

|... |... |... |

|Nationality: |Passport Number: |Occupation: |

|... |... |... |

| | | |

|Family Name: |Given or First Names: |Date of Birth: |

|... |... |... |

|Nationality: |Passport Number: |Occupation: |

|... |... |... |

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