(Address to which documents or correspondence in connection with the application can be posted or delivered)
PhoneNumber(s):
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Mobile:
Email Address:
NOTE: Where email addresses are given these may be used as a means of notice and service.
Judge Coxhead was
appointed to the Māori Land
Court in 2008 and is one of the
resident judges in Waiariki, as
well as a Presiding Officer in
the Waitangi Tribunal, Chief
Justice of the High Court of
Niue and a Justice of the High
Court of Cook Islands.
(Address to which documents or correspondence in connection with the application can be posted or delivered)
PhoneNumber(s):
Home: Work:
Mobile:
Email Address:
NOTE: Where 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)
PhoneNumber(s):
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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...
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PhoneNumber(s):
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NOTE: Where email addresses are given these may be used as a means of notice and service.
Page 1 MLC 04/26 - 5
The Māori Land Court of New Zealand / The Māori Appellate Court of New Zealand
(Please select the name of the Māori Land Court District in which the application was lodged)
Please select one District Taitokerau Waikato-Maniapoto Waiariki
Tairāwhiti Tākitimu Aotea Te Waipounamu
APPLICATION NUMBER: ...........................................................................................................................................................................
(Address to which documents or correspondence in connection with the application can be posted or delivered)
PhoneNumber(s):
Home: Work: Mobile:
Email Address:
NOTE: Where email addresses are given these may be used as a means of notice and service.