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 Birth Contact 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 a Private Investigators Licence? Yes No Please upload a copy of the front and reverse sides of the licence 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)Statement of Disclosure I authorize 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 approved 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 acknowledge should I be granted membership; the term of membership is for a period of one year and that at the conclusion of that term I am required by the rules to reapply for a further one-year term. 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.Note: If you are known to an existing member of the NZIPI please identify that person in order for the NZIPI executive to make their further enquiries. Note: Please also provide one referee who can attest to your background, experience and or character and on one A4 page could you set out a chronological biography about yourself. To be eligible for NZIPI membership you must hold either A current PI Licence or a COA; or You must be engaged in a full-time capacity as a ‘professional investigator’ in a civil or criminal capacity; or You must be able to demonstrate to the Executive Committee that you have, and have had , a ‘current and continuing interest‘ in investigations. You operate in a business that offers Investigation Services to Private Investigators. Please tick all applicable If you are actively marketing your services to the public via public media, an internet based website or other electronic means, please attach copies of that advertising and or provide the electronic links to that marketing. Please note 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. Supporting Documentation Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 1 MB. 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) Reset signature Signature locked. Reset to sign again Date PaymentMembership Fee Price: Credit CardCard Details Cardholder Name CAPTCHA
