By signing and submitting this application form to NZTR:
1. I confirm that I have read the application form and undertake that all of the information that I have provided to NZTR in, or with, it is true and correct in every particular.
2. I acknowledge that NZTR will rely upon the information I have provided in, or with, this application form for the purpose of determining whether I am an appropriate person to be issued a Class E Rider’s Licence.
3. I understand that NZTR may take disciplinary action against me in the event that the information I have provided in, or with, this application form is false or misleading in any particular, which action may include the revocation of any licence issued to me.
4. I acknowledge that the provision of any false, misleading or inaccurate information in, or with, this application form may result in me being charged under the NZTR Rules of Racing or otherwise.
5. I undertake and confirm that I meet all of the requirements for the issue of a Class E Rider’s Licence to me under the Rules of Racing.
6. I acknowledge that, as the holder of a Class E Rider’s Licence issued by NZTR, I will be bound by, and must comply with, all applicable NZTR Rules of Racing and policies, regulations and directives issued under them, and that I must keep myself updated of all changes to the Rules of Racing and policies, regulations and directives that apply to the holders of a Class E Rider’s Licence.
7. I consent, in accordance with Rule 656 of the NZTR Rules of Racing, to providing a sample of one or more of my blood, breath, urine, saliva or sweat, as and when required by a Stipendiary Steward or Investigator, for the purposes of drug and alcohol testing.
8. I undertake that I am not currently subject to any disciplinary action initiated by any other racing authority in New Zealand or overseas and that I will immediately inform NZTR should any other racing authority in New Zealand or overseas initiate disciplinary action against me.
9. I acknowledge and agree that if I do not pay any amount owed or payable by me to NZTR within the required time, NZTR may set-off that amount against any money that would otherwise be payable to me through the TROSA system administered by NZTR.
10. I authorise NZTR to pay nay amounts payable to me via Electronic Funds Transfer into the bank account nominated by me in this application form. I understand that if my bank account details change, I am required to notify NZTR in writing of the new bank account details and that until I notify NZTR in writing of the change, NZTR may continue to make payments into the account nominated in this form.
11. I acknowledge and agree for GST purposes relating to the supply of any services by me (the Supplier), to NZTR (the Recipient):
(a) If I am registered for GST purposes, I will notify NZTR in writing if I cease to be registered for GST purposes in the future, and if I am not currently registered for GST purposes, I will notify NZTR in writing if I become registered for GST purposes in the future;
(b) I (as Supplier) will not issue tax invoices in relation to any prizemoney (supplies) that NZTR may have to pay me;
(c) NZTR (as Recipient) can issue tax invoices in respect of any prizemoney (supplies) that it has to pay me;
(d) I (as Supplier) will not issue tax invoices in respect of any such supplies;
(e) That NZTR is registered for GST purposes and that it will notify me in writing if it ceases to be GST registered or it is otherwise unable to prepare Buyer Created Tax Invoices (BCTI) on my behalf;
(f) That NZTR can only issue a BCTI on my behalf if it complies with the requirements established under legislation.
12. I authorise NZTR to disclose information provided by me in this application form to:
(a) All racing authorities in New Zealand and overseas;
(b) The persons specified in this application form;
(c) Government Departments and regulatory authorities;
(d) Persons currently unknown, for the purpose of complying with statutory obligations requiring NZTR to disclose information.