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Completion Certificate Application Form (New Zealand Degree Holders Only) - New Zealand Council Of Legal Education Page 4

RESS TO WHICH

APPLICATION IS TO BE SENT

(Please note that the NZ Post does not allow sending original ID Documents by plain post)

Send your completed application form, required documents and fee by NZ Post courier to

The Chief Executive

New Zealand Council of Legal Education

Completion Certificate Division

PO Box 5671

WELLINGTON 6140

If using a courier service other than NZ Post, please send your application form, required documents and fee to

The Chief Executive

New Zealand Council of Legal Education

Completion Certificate Division

Level 1, Law Society Building

26 Waring Taylor Street

WELLINGTON 6145

LEASE

IGN

ELOW

I confirm that the information I have provided is true and correct.

I have read and understood the terms of this application, including the information appearing in Schedule 1. I

understand that the Council, or its agent, may seek verification of my qualifications, and of my passport details,

from issuing institutions, organisations or persons, and I authorise any such verification checks to be made. I also

authorise those issuing institutions, organisations or persons to release to the Council, or its agent, such

information as is required to undertake those verification checks for the purpose of verifying that the information

I have provided in respect of this application is true and correct. I understand that where any of the verification

checks disclose that I have provided a forged or fraudulent document, or made any assertion about my

qualifications, identity, or related matters, my application may be declined and my assessment fee forfeited, and

the Council may take any further steps it considers appropriate.

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----------------------------------------------------

(Signature of Applicant)

(Name of Applicant in block letters)

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(Date)

FFICE

NLY

Date Received

Date Sent

New Zealand Council of Legal Education

14 November 2017

Completion Certificate Application Form (New Zealand Degree Holders Only) - New Zealand Council Of Legal Education Page 4