195 Lambton Quay
Private Bag 18-901
Wel ington 5045
New Zealand
Permit Number:
Issued:
Application reference:
year/0000 -
Name of requester
cc NZ CUSTOMS OFFICE
CONSENT TO EXPORT STRATEGIC GOODS
The Secretary of Foreign Affairs and Trade consents to the
(export type – single/multiple)
export to (country) of
goods listed on page two of this document, and as per the application
for the export of strategic goods dated (application date).
Exporter
to Overseas End User
Name and address of exporter
Name and address of overseas end user
via Name and address of intermediary if applicable
Conditions of Export
1. This permit is valid until (date of validity).
2. Please provide a copy of this export permit to the New Zealand Customs Service; or if the
goods are to be exported by airline as unaccompanied or accompanied airfreight - to the
relevant airline officials at time of check-in.
3. When export goods are being returned to the overseas owner following repair or refit in
New Zealand, the exporter has undertaken that the work done has not affected the use of the
equipment nor provided add tional capability above that required for reliability improvement.
4. Please contact this office either by email [email address], by fax 04 439 8519, or
by post, if the actual quantity exported varies from the quantity listed on page two of this
document.
5. Permits may be revoked at any time prior to the shipment of the goods. Should an extension be
under the Official Information Act
required, re-application must be made.
6. If you have any questions regarding this Export Permit, or are asked to report on details of
shipments or re-import into New Zealand as set out on the following page/s, please contact this
office. Please quote the Permit Number provided above on all correspondence.
S gnature of approver with MFAT seal
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New Zealand Export Controls Contact Details:
Tel: 64 4 439 8227
Fax: 64 4 439 8519
Email: [email address]
Permit Number:
Issued:
Application reference:
year/0000 -
Consent is given for the
(single/multiple) export of the following goods to
(country of
import). Exporter and destination details are set out on page one of this permit.
Qty
Unit
Description
Serial No
Act
Signature of approver with MFAT seal
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New Zealand Export Controls Contact Details:
Tel: 64 4 439 8227
Fax: 64 4 439 8519
Email: [email address]
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