Annex 5
INCOMING PASSENGER DECLARATION – CRUISE SHIPS
A separate declaration must be completed in English by, or on behalf of each passenger or crew member making entry into PNG
Family name:
_____________________________________________________________________
Given names:
_____________________________________________________________________
Date of birth
___________________ Sex: ___________ Marital status: _____________________
Passport number ________________________ Passport Expiry date: __________________________
Nationality ______________________
Place of birth ____________________________________
Occupation: _____________________
Vessel / Voyage: _________________________________
Date of arrival in PNG: ___________________ Date of Departure ______________________________
Port of arrival: _________________________ Port of Departure_______________________________
Permanent address: ___________________________________________________________________
Contact details (phone, email): __________________________________________________________
You must answer every question. If unsure, answer “yes”.
Yes
No
1. Do you have any criminal convictions?
2. Do you have a communicable disease?
Are you importing into Papua New Guinea any of the following:
3. Goods that may be prohibited or restricted, such as narcotic drugs, pornography, firearms, spring bladed
knives or any other dangerous weapon?
4. Goods intended for gifts, sale, exchange or trade?
5. PNG Kina 20,000 or the foreign equivalent?
6. New articles the total value of which exceeds K1,000 per adult and K500 per child under 18 years?
7. More than 250 cigarettes or 250 grams of tobacco products or more than 2 litres of alcohol?
8. Food of any kind, eg, meat, fats, milk, baby food, butter, cheese, confectionary, herbs, spices?
9. Plants or parts of plants, eg. Fruits, nuts, seeds, bulbs, flowers, straw, wooden articles, bamboo,
sugarcane, mushrooms, soil etc?
10. Animals, parts of animals, animal and agricultural products including equipment, biological specimens
such as vaccines, cultures, blood?
In the past 14 days, whilst overseas;
11. Have you been on a farm, or animal or agricultural site?
12. Have you visited an abattoir or meat packing place or been in contact with plantation crops?
Declaration – The information I have given is true, correct and complete. I understand that a false or
misleading declaration or statement made on this form or to a Customs, Quarantine or Immigration officer
is an offence and may result in a heavy penalty and/or forfeiture of any item not properly declared.
Signature: ____________________________________ Date: _____________________