Signature and contact details
Signature Date
Phone email
For office use only
Deputy Registrar (full name)
The request for the fee to be remitted, reduced, or refunded is approved declined
For the following reason(s) pursuant to Regulation 7(1)(a) of the Māori Land Court fees regulations 2013:
Signature Date
For more information visit www.māorilandcourt.govt.nz
http://www.justice.govt.nz/courts/maori-land-court
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(Set out nature of order sought so as to clearly inform the Court what is required and if the application is not under
Te Ture Whenua Māori Act give details as to the Act and section that apply)
https://www.m%C4%81orilandcourt.govt.nz/
Page 3 For more information visit www.māorilandcourt.govt.nz MLC 04/26 - 01
AFFECTED PARTIES:
Are there any parties who will be affected by this application?
To enable the Court to make a determination about your suitability as a trustee, please supply the following information (if
relevant):
a) I am a current or past trustee on other trusts or am or was a member of other organisations, namely:
Name of Trust/Committee Position held
b) I have the following relevant work or other experience; e.g kaumātua associated with the land or reservation:
Place of work Position or responsibilities
Page 3 For more information visit www.māorilandcour...
Designation: ....................................................
Page 2 For more information visit www.māorilandcourt.govt.nz MLC 04/26 - 14
APPLICATION FOR LEAVE TO APPEAL:
I / We ....................................................................................................................................................................................................................................................................................................................
Applicant’s Contact Phone Number(s):
Home: Work:
Mobile:
Email Address:
For more information visit www.māorilandcourt.govt.nz
https://www.m%C4%81orilandcourt.govt.nz
1:
I We state your full names 2:
Phone:
1_2:
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Another ActRegulation please specify: Off
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1_3:
Contact Address 2:
Home Work:
Mobile Fax:
Email Address:
Text1:
Text2:
Text3:
Text4:
Text5:
Text6:
Text8:
Text9:
Clear Form:
Print:
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Contact Phone Number(s):
Home: Work:
Mobile:
Email Address:
NOTE:
(1) Where email addresses are given these may be used as a means of notice and service; and
(2) As well as filing this notice in the Court, you must also send a copy to the applicant.
NOTE: The list of affected parties attached must be completed in accordance with rule 8.2(2)(e) above
MĀORI LAND COURT CONTACT DETAILS
This application must be lodged with the Chief Registrar of the Māori Land Court in Wellington
OFFICE OF THE CHIEF REGISTRAR
Māori Land Court
L7, Fujitsu Tower
141 The Terrace
WELLINGTON
DX Box SX11203
WELLINGTON
PH:(04)9143102
mlc.chief-registrars.office@justice.govt.nz
NOTE:
Information provided in all applications forms part of the Court...
An appeal under Te Ture Whenua Māori Act 1993 may only be lodged within 2 months from the date of the
decision or determination, unless accompanied by an application seeking leave to appeal out of time on Form 1.
You must file your notice of intention to appear in the Court, and also
serve it on the applicant at the address for service given in the attached application, within 14 days after
the date on which you are served with this notice.
3. To assist the Court to process and deal with these proceedings, attach to your notice of intention to appear
a statement setting out your response to each of the claims made by the applicant.
4.
Page 1 MLC 04/26 - 24
HE TONO HEI WHAKAWHITI I TE TOIORATANGA, HE
TONO RĀNEI E WHAKATAU ANA I NGA PĀNGA O TE
TANGATA MŌ NGĀ RĀ O TŌNA AO
APPLICATION FOR TRANSMISSION BY SURVIVORSHIP OR
FOR DETERMINATION OF A LIFE INTEREST
Te Ture Whenua Māori Act 1993
Sections 18(1)(a) and 127(2)
For more information visit www.māorilandcourt.govt.nzWHAT IS THIS FORM FOR?
