Issued by the Guernsey
Border Agency and the Guernsey Police
WARNING – IT IS AN OFFENCE AGAINST CUSTOMS, IMMIGRATION AND
PREVENTION OF TERRORISM LEGISLATION TO MAKE A FALSE DECLARATION
IMMIGRATION INFORMATION : If your Full name, date of birth and nationality
is listed on this form and you are a citizen of Australia,Canada, EEA,
Japan, New Zealand, Singapore, South Korea, Switzerland or the USA coming to the Bailiwick of
Guernsey as a visitor you are granted
entry for six months. As a condition of your entry you cannot work and have no
recourse to public funds.
All other nationalities or anyone entering other than as a visitor
must remain on board until granted entry by an Immigration Officer.
British citizens and Irish nationals do not require permission to enter and are not
subject to the condition outlined above.
AIRCRAFT: Cirrus
Type
SR22
Registration
N287TB
Visitor
: Yes /No
NO
THIS FORM IS
ISSUED UNDER: THE CUSTOMS AND EXCISE (GENERAL PROVISIONS) (BAILIWICK OF
GUERNSEY) LAW, 1972, THE IMMIGRATION ACT 1971 AS EXTENDED, THE TERRORISM AND
CRIME LAW 2002 AND THE DATA PROTECTION (BAILIWICK OF GUERNSEY) LAW, 2017.
THE GUERNSEY
BORDER AGENCY GATHERS AND HOLDS PERSONAL INFORMATION WHICH IT USES FOR LAW
ENFORCEMENT, REVENUE COLLECTION AND REGULATORY PURPOSES. FOR MORE
INFORMATION SEE OUR FAIR PROCESSING NOTICE AVAILABLE AT:
WWW.GUERNSEY.POLICE.UK
Crew
Phone Contact
01481 267072
Addresscoup de Coeur, Rue de l’Ardaine
St
Pierre du Bois
GY7
9EU
Owner
/ Operator ( Not Pilot)
J
Murray
JOURNEY
Arrival(airfield
name and code)
Departure(airfield name and code)
Purpose of
Journey(to include address visiting)
From lfmd
To lfmd
personal
Date 22 jube
2023
Time 1500 bst tbc
Date 15 june 2023
Time 07:30 bst
Original
airfield of departure (if different
from above)
Final destination airfield (if different from above)
CREW DETAILS
Surname
Forename
Date of
Birth
Place of
Birth
Nationality
Passport
Number
Home
address
Journey
Murray
Lawrence John
01 Jan 1951
Liverpool
GBR
628134303
As above
IN / OUT
Murray
Margaret
23 Aug 1949
Darjeeling
GBR
760918468
As above
IN / OUT
PASSENGER DETAILS
IN / OUT
IN / OUT
IN / OUT
IN / OUT
IN / OUT
The
Terrorism & Crime Bailiwick of Guernsey Law 2002 Owners/agents of
aircraft employed to carry passengers for reward on a journey between Great
Britain, Northern Ireland, Eire, Isle of Man and the Channel Islands (Common
Travel Area) shall not arrange for it to call at a port to disembark or
embark passengers unless the port is a designated port or the examining Officer
approves the arrangement. The captain of an aircraft employed on a journey
within the Common Travel Area carrying passengers other than for reward shall
not permit it to call at or leave a port in the Bailiwick unless it is a
designated port or the captain gives at least 12 hours’ notice in writing to
an Officer.
Declaration of Goods: Customs Laws and Regulations
require that you make a Customs declaration for all goods imported from
outside the Customs Union, which you intend to permanently import into the
Bailiwick of Guernsey, over your personal allowance of £270.Please attend a Customs Red Point to make a
Customs declaration. For further information go towww.gov.gg/gbaI declare I have the following goods on
board:
Signature
Pilot /Handling Agent(Delete)
Handling
Agent Company
I, being the commander or handling agent of the above
aircraft do hereby declare that to the best of my knowledge and belief that
this is a true and correct report of the arrival and or departure of all
persons on board. I further declare that only the animals, goods and items of
freight listed on this form were on board. I have read and understand the
Customs notices in respect of items that I must declare.