Apply for Membership Fill in the form below to apply for membership of the New Zealand Institute of Private Investigators. In this form NZIPI collects information about you for the purposes of assessing your application and, if your application is successful, for the purposes of maintaining your membership. Please complete all parts of this form that are applicable to you and upload copies of any documents, including a copy of your c.v., where requested.Personal DetailsI (named below) apply for membership of the NZ Institute of Private Investigators Inc:Full Name(Required) First Middle Last Date of Birth(Required) DD slash MM slash YYYY Place of BirthContact DetailsResidential Address Street Address Address Line 2 City Postal Code Business Address Street Address Address Line 2 City Postal Code Postal Address (if different) Street Address Address Line 2 City Postal Code Website Email Mobile PhoneBusiness PhoneCompany DetailsDo you trade as a limited liability company? Yes No What is your company and or trading name?Please upload a copy of your company registrationAccepted file types: jpg, gif, png, pdf, Max. file size: 1 MB.Licensing DetailsDo you currently hold an Individual Private Investigators Licence or Certificate of Authority to work as a Private Investigator?(Required) Individual Licence Certificate of Authority Neither Please upload a copy of the front side of your PSPLA issued identity card(Required) Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 1 MB, Max. files: 2. Please confirm whether or not you hold a PI Licence or CoA I do not hold a licence or CoA Yes I do hold a licence or CoA Unfortunately you do not qualify for membership until you hold a licence or CoA. Apply HerePlease answer the previous questions and upload the requested documents.Supporting DocumentsPlease attach the following documents (if available) that will assist in assessing your application: Your c.v. including experience as an investigator A description of your current private investigation business or work as an investigator The name and contact details of a referee (current NZIPI members preferred) who can attest to your background, experience and character The names of any other current members of the NZIPI to whom you are known If you are actively marketing your services to the public via public media, an internet based website or other electronic means, please also attach copies of that advertising and or provide the electronic links to that marketing.Please note that Executive is unlikely to approve any application for membership where there is evidence of an applicant making exaggerated and or untrue marketing claims as to experience, abilities, skill base or scale of their business operation. Supporting Documentation Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 1 MB. NZIPI is required to share your details with its current members while processing your application. The Executive may include a copy of or content taken from documents that you provide amongst the details shared in that process. If you do not wish your c.v. or other specific information to be shared with existing NZIPI members, please advise us using the box belowPlease do not share the following information with current NZIPI membersStatement of DisclosureBY SUBMITTING THIS FORM I ACKNOWLEDGE: I authorise any person and or organisation or authority to disclose to NZIPI any and all information concerning my work experience, background, character or otherwise and I authorise the NZIPI to collect such information from these persons. A photocopy or an electronic copy of this authorisation shall be as valid as the original. I authorise NZIPI to disclose any information collected from me to any relevant third party, including any Solicitor or Barrister engaged by the NZIPI, my previous employers, or any other authority for the purposes of assessing this application I have read and understood the information in this application for membership including the section above relating to collection and retention of my private information. I declare that all information provided by me relating to this application for membership of the NZIPI is true and correct and no material information has been withheld. I acknowledge that should my application for membership be granted by the NZIPI, I agree to abide by the Rules set out in the Code of Conduct, the constitution and the objectives of the Institute. I consent to the NZIPI making a credit enquiry with their selected credit reference provider on my name as a part of the application process. Signed(Required)DatePaymentWhen you submit your application, you are required to pay a non-refundable processing fee of $50. Our annual subscription is $200 which will become payable if your application for membership is granted. Application Fee Price: Credit CardCard Details Cardholder Name CAPTCHA
