Former Employees Registration Form

Completion of this form is an important step of our verification process and ensures that the information we hold for you is up to date. It safeguards us from releasing information to incorrect people and reduces risk of fraudulent activity. 

To complete this form you will need to be ready with the following to upload:

✅ ID in the form of Driver's Licence, Passport, Kiwi Access Card (18+), Certificate of Citizenship or Immigration NZ Visa.
✅ Proof of name change: (if applicable) Marriage Certificate, Birth Certificate, or Dissolution of Marriage Certificate

Formats accepted are: PDF, DOC, DOCX, PNG, JPG, JPEG, GIF files 

Please complete all questions and click DONE when finished.

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* 1. Your First Name 

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* 2. Your Last Name

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* 3. Contact Phone Number

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* 4. Your email address

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* 5. Your Postal Address

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* 6. Your IRD Number

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* 7. Upload your Identification here

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 8. I have attached a copy of the following as a form of Identification.  

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* 9. Upload your proof of name change here (if applicable)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 10. I have attached the following as proof of name change

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* 11. Please confirm the Business Unit you were formerly employed by

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* 12. Please comment below if you believe there is any additional information we should know.

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