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06/22- #650412 Page 1 of 8
Certificate of compliance application
(Pursuant to section 139 of the Resource Management Act 1991)
(A separate application form is required for each Certificate of Compliance being applied for)
Important: Please read carefully and complete the form
All applicants need to respond to all of the questions. If a particular section is not applicable to your
application, please say so; do not leave the
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06/22 - # 2714652 Page 1 of 14
Resource Consent Application
(Pursuant to section 88 of the Resource Management Act 1991)
Land Use Consent
To use land for holding cattle in a stockholding area and the
associated discharge of contaminants onto or into land
(A separate application form is required for each consent being applied for)
Important: Please read carefully before completing the form
All applicants need
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06/22 – #629217 Page 1 of 16
Resource Consent Application
(Pursuant to section 88 of the Resource Management Act 1991)
To pipe a waterway
(Including associated reclamation, stream bed disturbance and discharges)
(A separate application form is required for each consent being applied for)
Important: Please read carefully before completing the form
All applicants need to respond to all of the questions. If a particular
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Taranaki Civil Defence Emergency Management
Volunteer application form
PERSONAL DETAILS
First name Last name
Preferred name Home phone
Email address Mobile phone
Address Date of birth
EMERGENCY CONTACT DETAILS
PERSONAL DETAILS First name Last name
Relationship Home phone
Address Mobile phone
SKILLS, STRENGTHS AND INTERESTS
Current occupation
Relevant qualifications / training
(after the minimum 10-year period): ☐
Benefactor register:
The Benefactor register will be
available to the public on an
electronic device located at
Pukeiti.
Benefactor register wording: (optional wording of 150 words maximum –
subject to prior approval by TRC. Please attach additional pages if necessary.)
By competing and returning this Application form to us you are deemed to have accepted the terms and conditions
set out in page 2.
SIGNED BY THE
months (for example, recovery after a stroke). How do I know if I am eligible to join? If you have an impairment which prevents you from travelling on a public bus, even intermittently, you will need to be assessed to make sure you meet the national eligibility criteria of the scheme and are genuinely in need of subsidized travel. The application form gives more details. All Total Mobility users must meet the eligibility criteria and have their membership approved by, and registered with, the
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Lost Property Form
If you have lost an item while travelling on a Citylink bus, please fill out the
form below and we will do our best to find it for you.
Please remember to provide as much detail as possible.
Your name
Contact details (phone number and/or email address)
Date and time of travel Route number
Where were you seated on the bus – e.g. at the back/middle/front
Describe the missing item(s) in detail – e.g.
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z
Lost Property Form
If you have lost an item while travelling on a Connector bus, please fill out
the form below and we will do our best to find it for you.
Please remember to provide as much detail as possible.
Your name
Contact details (phone number and/or email address)
Date and time of travel
Where were you seated on the bus – e.g. at the back/middle/front
Describe the missing item(s) in detail – e.g. colour, size, brand
Emergency contact number: _______________________________________ (only used in emergencies)
WHAT TO DO WITH THIS FORM
_GoBack 1) Please fax a copy of this form to us on 06 7618363 or email to pickering.motorsltd@gmail.com
2) Note: Unaccompanied minors will NOT be accepted for travel unless the above two steps have been followed
Other conditions
list_Paragraph · The agreement for the carriage of the minor can be terminated by the Parties at any time.
list_Paragraph · Payment of
_______________________________________ (only used in emergencies)
WHAT TO DO WITH THIS FORM
1) Please fax a copy of this form to us on 06 7618363 or email to pickering.motorsltd@gmail.com
2) Note: Unaccompanied minors will NOT be accepted for travel unless the above two steps have been followed
Other conditions
The agreement for the carriage of the minor can be terminated by the Parties at any time.
Payment of the applicable fare will be by automatic payment, monthly in arrears, on receipt of notification of