LTC/COMPANY AUTHORISATION
 
This authorisation cannot be used for a trust, a partnership, or a person. 

​Now, we need to warn you beforehand, that filling in this form will be time-consuming and somewhat complex! Why so many questions? Blame NZ's AML/CFT Phase 2 laws. Sorry, out of our control, we all just have to comply!

Save & Return

Use an account so you can complete this form in more than one sitting.

Here are our suggestions to help you complete this:
  • Create a free account so you can use the Save function
  • Make sure you have put something in every box with a red asterisk
  • If you are unsure of something, please contact us BEFORE you start on the form
You will be sent a separate self-verify link for identity documents *

Authorisation, Details and Terms & Conditions

I/We the undersigned, hereby *
I/we confirm that *
Please click here to see our Refund Policy

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