Completion Certificate Application Form (New Zealand Degree Holders Only) - New Zealand Council Of Legal Education

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Completion Certificate Application Form
(New Zealand Degree Holders Only)
[Effective 14 November 2017 ]
P
D
[Please Print]
ERSONAL
ETAILS
Full Legal Name*
Surname
First Name
Middle Name(s)
Name Used
Surname
First Name
Middle Name(s)
Address and Contact Details
Address
**
(with postcode)
Email:
Phone: Day
Phone: Evening
( )
( )
/
/
Date of Birth (Day/Month/Year)
Gender
Male
Female
* If you have used other names, please enclose an original or certified copy of your marriage certificate, or a statutory
declaration explaining the difference. Please note that the applicants who have legally changed their name must
provide certified copies of the change of name document, as discussed at paragraph 7 of Schedule 1. Please also note
that the New Zealand Council of Legal Education (the Council) may also request to see the originals of any of these
documents, and any other supporting documentation to establish identity.
P
($NZ98.90 (
GST))
AYMENT
INCLUDING
Cheque Crossed Not Transferable and Payable to the New Zealand Council of Legal Education
Or
Electronic payment:
Date of electronic payment Transaction :
Reference to use for electronic payment : Your name and “Comp Cert” i.e. Bill Smith Comp Cert
Bank account details:
NZ Council of Legal Education
Bank of New Zealand
Wellington Branch
Account No 02 0506 0056941 00

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