Apply for MembershipFill in the form below to apply for membership of the New Zealand Institute of Private Investigators. Personal DetailsI, named below, apply, to be considered as a member of the NZ Institute of Private Investigators Inc:Name 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? Individual Licence Certificate of Authority Niether Please upload a copy of the front and reverse sides of your PSPLA issued licence or CoA identity card Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 1 MB, Max. files: 2. Do you currently hold a current Certificate of Approval to work as a Private Investigator? Yes No Please upload a copy of the front and reverse sides of the certificate Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 1 MB, Max. files: 2. (please attach a copy of the front and reverse sides of the licence)Please confirm that you don't hold a COA or PI Licence I do not hold a licence Yes I do hold a licence 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.Statement of Disclosure I authorise any person and or organisation or authority to disclose to the executive of the 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 the NZIPI executive 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 described above under section A ‘STATEMENT OF DISCLOSURE’. I have read and understood the information in this application for membership including the section above relating to the Privacy Act 1993. 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. Supporting Documents Please attach one or more documents 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.Supporting Documentation Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 1 MB. Please note: The NZIPI is required to share your details with its current members while processing your application. The Committee may include a copy of or content taken from documents that you provide amongst the details shared in that process.the 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.Our annual subscription is $200 which is payable when you receive advice that your application for membership is successful. If you are a first-time applicant when you submit your application, you are required to pay a one-time non-refundable processing fee of $50. If your initial application isn’t successful and you reapply some time later no processing fee is charged for the subsequent application. If payment is by cheque please make payable to the NZIPI and if making electronic payment, our account is with Westpac 03 – 0179 – 0199629 – 00Signed(Required)DatePaymentApplication Fee Price: Credit CardCard Details Cardholder Name CAPTCHA