CREW DECLARATION
Approved Form Customs Act 1901 Section 71AAAB
Please open this form using Adobe Acrobat Reader. Either type in the fields provided or print this form and complete it using a pen and BLOCK LETTERS.
Tick where applicable 3
Applicant details
Family / Surname Given names
Date of birth Sex Flight number or name of ship
/ / Male Female Indeterminate / Intersex / Unspecified
Passport number Country of issue
Intended address in Australia State
Phone number Email address
You MUST answer every question – If unsure 3 Yes
Are you bringing into Australia:
1. Goods that may be prohibited or subject to restrictions, such as medicines, steroids, illegal pornography, firearms,
Yes No
weapons or illicit drugs?
2. More than 2250ml of alcoholic beverages, or 25 cigarettes or 25g of tobacco products? Yes No
3. Goods obtained overseas or purchased duty and/or tax free in Australia with a combined total price of more than
Yes No
AUD$450, including gifts?
4. Goods/Samples for business/commercial use? Yes No
5. AUD$10,000 or more in Australian or foreign currency equivalent? .Note: If an officer of Customs or Police Officer asks,
Yes No
you must report travellers cheques, cheques, money orders or other bearer negotiable instruments of any amount.
6. Meat, poultry, fish, seafood, eggs, dairy, fruit, vegetables? Yes No
7. Grains, seeds, bulbs, straw, nuts, plants, parts of plants, traditional medicines or herbs, wooden articles? Yes No
8. Animals, parts of animals, animal products including equipment, pet food, eggs, biological, specimens, birds, fish, insects,
Yes No
shells, bee products?
9. Soil, items with soil attached or used in freshwater areas e.g. sports/recreational equipment, shoes? Yes No
10. Have you been in contact with farms, farm animals, wilderness areas or freshwater streams/lakes etc, in the past 30 days? Yes No
11. Were you in Africa, South/Central America or the Caribbean in the last 6 days? Yes No
Note: If in doubt about anything, please declare or ask any officer of Customs or the Biosecurity officer for clarification.
Foreign Crew Use Only
Expected date of departure Flight number or name of ship Airport / Port
/ /
Notice: The information on this form, including personal information, about crew members and cargo carried on the aircraft is required under
section 71AAAB of the Customs Act 1901. This information will be used to administer the customs, immigration, excise and currency laws of Australia.
If you fail to provide some or all of the personal information required in this form, the Department of Home Affairs (the Department) will be unable to
process your border clearance request. The Department will disclose your personal information to Commonwealth, State and Territory agencies who
administer Australia’s statistical, quarantine, health and wildlife laws, where that agency requires this information to carry out its functions and activities.
Personal information is collected, used, stored and disclosed by the Department in accordance with the Australian Privacy Principles in schedule 1 of
the Privacy Act 1988. Further information may be found in form 1442i Privacy notice and in the Department’s Privacy Policy at
https://www.homeaffairs.gov.au/access-and-accountability/our-commitments/plans-and-charters/privacy-policy.
WARNINGS
• Aircraft / Vessel stores are goods under customs and biosecurity control and must not be removed without authority.
• It is an offence to make a false statement to the Department of Home Affairs. You may be penalised or prosecuted.
• Penalties for drug offences are severe in Australia.
• It is an offence to provide false or misleading information about goods you may be carrying, with “on the spot” fines of up to AUD$420 or prosecution.
In addition you may be prosecuted for undeclared goods imported in contravention of the Biosecurity Act 2015.
• Upon departure from Australia you must also declare to an officer of Customs if you are carrying AUD$10,000 or more in Australian or foreign
currency equivalent.
Declaration
The information I have given Signature Date
is correct and complete. / /
B465 (Design date 06/20) – Page 1