Unaccompanied Personal Effects Form Page 2

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Important



You must answer each of the following questions by placing a tick (

) in the appropriate boxes. If you mark YES in any box in sections three to eight,

or if you are in doubt whether any particular effects should be declared, please give details in the space provided under each question or on a separate

attachment if the space is insufficient. Unaccompanied effects may be examined. Please ensure that keys are available at the time of clearance.

Section One

Have you come or are you coming to Australia

Please provide your length of stay



As a tourist only?

Please provide your length of stay



To take up temporary residence only?

To resume permanent residence or as a returning Australian citizen?

To take up permanent residence for the first time?

As an Australian citizen residing overseas, returning temporarily?

Section Two

Did you pack the goods yourself?

Yes

If no, name of person who did



Are you fully aware of the contents of the packages?

Yes

If not, why not



Do the packages contain goods belonging to any person other than

you or those who accompanied you on your arrival in Australia?

Name

Passport number

Relationship to you



Yes

Section Three

Do your unaccompanied effects contain any of the following restricted goods?

Drugs of any kind including, but not limited to: DHEA, narcotics, hallucinogens,

amphetamines, barbiturates, tranquillisers, steroids or performance enhancing drugs.

Yes

If yes, please provide a list of the goods

Weapons including, but not limited to: firearms or parts (including air pistols and air rifles),

ammunition, replica firearms, spring bladed knives, daggers, knuckle dusters or martial arts equipment.

Yes

If yes, please provide a list of the goods

Articles manufactured from wildlife including, but not limited to: reptiles/snakes, elephants,

rhinoceri, members of the cat family, whales, dolphins, zebras, antelope, deer or coral.

Yes

If yes, please provide a list of the goods

Material which is likely to cause offence to a reasonable adult. This may include, but is not limited to: child pornographic material, child abuse material,

material which may promote, incite or instruct in matters of crime or violence or misuse of a drug, or sexual material (including bestiality).

Yes

If yes, please provide a list of the goods

I declare that the above particulars are to the best of my knowledge true and correct and that I have

understood the questions contained in this form and the answers to those questions are true and correct.

Signature of owner

Date

B534e (JUL15)