(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:
NOTICE OF CONSENT
I hereby confirm as follows that: (Please tick the statement that applies )
I do not have any criminal convictions for dishonesty or any other offences that may disqualify me from being a
trustee;
I do not have any civil or criminal proceedings pending before any Court;
I am not currently an un-d...
Preferred place of hearing:
SIGNATURE OF APPLICANT:
Print name:_____________________________________________________Signature:____________________________
Date:_________________
CONTACT DETAILS
Contact Address:_____________________________________________________________________________________
____________________________________________________________________________________________________
(Address to which documents or correspondence in connection with the application can be post...
(Address to which documents or correspondence in connection with the application can be posted or delivered)
Phone Number(s):
Home: Work:
Mobile:
Email Address:
NOTE:
Information provided in all applications forms part of the Court's permanent record under rule 7.19 of the Māori Land Court Rules 2011.
Contact the Māori Land Court
The DX number is the postal address.
MOJ0217.1E_OCT21maorilandcourt.govt.nz
Taitokerau
District
Level 3, Manaia House
Rathbone Street, Whangārei 0110
DX Box AX10086, Whangārei
Phone 09 983 9940
Email mlctaitokerau@justice.govt.nz
Auckland
Information
Office
Ground floor, Building B
65B Main Highway, Ellerslie
Auckland 1051
DX Box EX10912, Auckland
Phone 09 279 5850
Email mlctamakimakaurau@justice.govt.nz
Waikato-
Maniapoto
District
L...
Contact details
follow or go online to maorilandcourt.govt.nz/contact-us
Contact the Māori Land Court
The DX number is the postal address.
MOJ0217.3E_OCT21maorilandcourt.govt.nz
Taitokerau
District
Level 3, Manaia House
Rathbone Street, Whangārei 0110
DX Box AX10086, Whangārei
Phone 09 983 9940
Email mlctaitokerau@justice.govt.nz
Auckland
Information
Office
Ground floor, Building B
65B Main Highway, Ellerslie
Auckland 1051
DX Box EX10912, Auckland
Phone 09 279 58...
DETAILS OF DISPUTE
[Describe in detail the matter you wish to have mediated.]
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
____...
(continue on a separate sheet of paper if necessary)
SIGNATURE OF APPLICANT Dated: / /
CONTACT DETAILS
Contact Address: ...............................................................................................................................................................................................................................................................................................
..........................................................................................
(Address to which documents or correspondence in connection with the application can be posted or delivered)
Phone Number(s):
Home: Work:
Mobile:
Email Address:
NOTES:
1.
A trustee may not appoint a
proxy 11 or a Power of Attorney to act for them.
Quorum
The total number of trustees is the number
appointed by the Māori Land Court.
(Address to which documents or correspondence in connection with the application can be posted or delivered)
PHONE NUMBER(S):
Home: Work:
Mobile:
Email Address:
NOTES:
1.
