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(Address to which documents or correspondence in connection with the application can be posted or delivered)
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NOTE: Where fax or email addresses are given these may be used as a means of notice and service.
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Name
AddressEmail:
Please tick the statement(s) that apply Proposed Trustee Beneficiary/Owner
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Name
AddressEmail:
Please tick the statement(s) that apply Proposed Trustee Beneficiary/Owner
signature
Name
AddressEmail:
Please tick the statement(s) that apply Proposed Trustee Beneficiary/Owner
signature
Name
AddressEmail:
Please tick the statement(s) that apply...
(Address to which documents or correspondence in connection with the application can be posted or delivered)
Phone Number(s):
Home: Work:
Mobile: Fax:
Email Address:
For more information visit www.māorilandcourt.govt.nz
Page 3 MLC 07/24 - 53
NOTE: Where fax or email addresses are given these may be used as a means of notice and service.
(Address to which documents or correspondence in connection with the application can be posted or delivered)
Phone Number(s):
Home: Work:
Mobile: Fax:
Email Address:
NOTE: Where fax or email addresses are given these may be used as a means of notice and service.
(Address to which documents or correspondence in connection with the application can be posted or delivered)
Phone Number(s):
Home: Work:
Mobile: Fax:
Email Address:
NOTE: Where fax or email addresses are given these may be used as a means of notice and service.
(Address to which documents or correspondence in connection with the application can be posted or delivered)
https://www.m%C4%81orilandcourt.govt.nz
Page 3 For more information visit www.māorilandcourt.govt.nz MLC 10/23 - 19
Phone Number(s):
Home: Work:
Mobile: Fax:
Email Address:
NOTE: Where fax or email addresses are given these may be used as a means of notice and service.
(Address to which documents or correspondence in connection with the application can be posted or delivered)
Phone Number(s):
Home: Work:
Mobile: Fax:
Email Address:
NOTE: Where fax or email addresses are given these may be used as a means of notice and service.
(Address to which documents or correspondence in connection with the application can be posted or delivered)
PHONE NUMBER(S):
Home: Work:
Mobile: Fax:
Email Address:
NOTE: Where fax or email addresses are given these may be used as a means of notice and service.
(Address to which documents or correspondence in connection with the application can be posted or delivered)
PHONE NUMBER(S):
Home: Work:
Mobile: Fax:
Email Address:
NOTE: Where fax or email addresses are given these may be used as a means of notice and service.
(Address to which documents or correspondence in connection with the application can be posted or delivered)
PHONE NUMBER(S):
Home: Work:
Mobile: Fax:
Email Address:
NOTE: Where fax or email addresses are given these may be used as a means of notice and service.