Rider's Agent Licence | Class C | Miscellaneous Feb 1, 2024

New Zealand Thoroughbred Racing
Rider's Agent | Class C | Miscellaneous

Application Fee: $95.00
This is an ELECTRONIC APPLICATION. Printing the form and filling it out by hand will make your application ineligible.

A Rider’s Agent Licence is issued to a person who, by contract or other arrangement or agreement, assists a Jockey or the employer of an Apprentice Jockey in the organisation of their riding engagements. Please refer to the NZTR Licensing Policy for full details. Upon submission, your application will be reviewed within 10 working days.

Attachments required to complete application.
- Colour Photo
- Copy of ID (driver licence, passport or birth certificate)
- Copy of Working Visa (if required)
PLEASE NOTE: Fields marked with (*) are required.
Details
Name*

First NameLast Name
Gender*
Address*

Street Address

Street Address Line 2

SuburbPostcode

Town/City
Phone Number*
Email*
example@example.com
Date of Birth*

DayMonthYear
If under 15 years of age, you must attach a letter of consent from a parent or guardian below. If under 18 you must provide contact details for your legal guardian.
Today

DayMonthYear
Date
Days
Age
Rider Authorisation Form
Please complete and submit the following Rider/Riders Agent authorisation form for each of the Riders you are acting for.

Rider/Riders Agent Authorisation
Questionnaire
Licence History
Have you ever held a licence issued by a racing authority in New Zealand (including Greyhound Racing NZ or Harness Racing NZ) or an international racing authority?*

YesNo
Racing jurisdiction where last licensed
Provide Full Licensing History (licence type, jurisdiction, year)*
Have you ever had a racing licence disqualified, revoked, suspended, withdrawn or refused, or had any conditions imposed on a racing licence, by a racing authority (whether in New Zealand or internationally)?*

YesNo
Provide Details (licence type, year, jurisdiction, offence, penalty, conditions imposed and the relevant circumstances)*
Criminal History
Have you ever been convicted of any offence under the laws of New Zealand unless covered by the Criminal Records (Clean Slate) Act 2004, or under the laws of any other country?*

YesNo
Provide details (conviction details)*
Animal Welfare
Have you ever been investigated by any authority for any offence involving neglect or cruelty to animals or any breach of the Animal Welfare Act?*

YesNo
Provide details (animal welfare)*
Declarations
Rules of Racing*

I acknowledge that, as the holder of a licence issued by NZTR, the NZTR Rules of Racing and all policies, regulations and directives made or issued by NZTR under the Rules of Racing, will apply to me and that I will be bound by them.
Link: Rules, Directives & Policies
Code of Conduct*

I have obtained, read and understood a copy of the NZTR Code of Conduct and acknowledge that, as the holder of a licence issued by NZTR, I will be required to comply with the NZTR Code of Conduct (including provisions relating to the use of social media).
Link: Code of Conduct
NZTR Consent*

I consent to NZTR obtaining any clearances and/or any relevant details from any overseas racing authority or other racing authority in New Zealand with which I was, or am, licensed regarding my licence and my judicial or disciplinary history in that jurisdiction (if applicable).
New Zealand Police*

I consent to the New Zealand Police disclosing to NZTR any information that they may have in relation to me for the purposes of NZTR's consideration of my application. I understand that any record of criminal convictions I might have will be automatically concealed if I meet the eligibility criteria set out in Section 7 of the Criminal Records (Clean Slate) Act 2004.
Privacy Act
This information is being collected, and will be held, by New Zealand Thoroughbred Racing (NZTR), 106-110 Jackson Street, Petone, Wellington. It is being collected for the purpose of processing the application made under this form and for performing NZTR’s functions under the Racing Industry Act 2020 and the Rules of Racing (including relating to licensing and registration, as applicable). You agree that the personal information supplied by you may be retained and used by NZTR and by third parties (if applicable) for these purposes and any directly related purposes. You also agree (unless you tick the box below or notify us otherwise), that NZTR may use this information for direct marketing or providing you with information on events, products and services, and that it may be disclosed by NZTR to, and used by, third parties for these purposes.

NZTR will not use or disclose your personal information in any way, other than that disclosed in this policy or with your prior consent. If you do not provide the requested information, then NZTR may not be able to process your application under this form.

If you do not wish your information to be used by NZTR, or to be disclosed by it to third parties, for the purpose of direct marketing and providing you with information on events, products and services, then please tick the box below. Otherwise, you may at any time opt out of your information being used or disclosed by NZTR in this way by notifying NZTR to that effect by email (office@nztr.co.nz) or by letter to the address set out above.
Privacy Act Declaration*

I understand the Privacy Act requirements
Acknowledge below if you do not wish your information to be disclosed by NZTR

I do not agree to my personal information being used by NZTR, or being disclosed by it to third parties for use, for direct marketing or providing me with information on events, products and services
Attachments
Identification
For identification purposes, NZTR requires a copy of your driver licence, passport or birth certificate*

Cancelof
Colour Photo
For identification purposes, and in order to supply you with a licence ID, please provide a colour photo of yourself*

Cancelof
Eligibility to Work in New Zealand
I am a New Zealand or Australian Resident*

YesNo
If not, I have provided a copy of my VISA permitting me to work in New Zealand with this application.

Cancelof
Referees' Details
Details of two referees (who must be licensed trainers) you have either worked for, or worked with including the period of employment and details of duties undertaken (including on racedays and communications with officials)
Referee Name 1*

First NameLast Name
Referee Email 1*
example@example.com
Referee Phone Number 1*
Referee Name 2*

First NameLast Name
Referee Email 2*
example@example.com
Referee Phone Number 2*
Declaration
By signing and submitting this application form to NZTR:

1. I acknowledge that I have read the application form and undertake and certify 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 and 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.

3. I acknowledge that the provision of any false, misleading or inaccurate information in, or with, this application form may also result in me being charged under the Rules of Racing.

4. I undertake and confirm that I meet all the requirements for the issue of a Rider’s Agent Licence under the Rules of Racing.

5. I acknowledge that:

(a) I can only act as agent for a rider with the written approval of NZTR and, in the case of an Apprentice Rider, with the written approval of the Apprentice Jockey’s employer; and

(b) NZTR may withdraw its approval for me to act as the agent for a particular Rider at any time in its discretion.

6. I undertake not to make any public statement or comment concerning any matter currently the subject of investigation or inquiry before the Stewards of NZTR, NZTR or the RIB.

7. I undertake that I will:

(a) provide to NZTR, on request, full details of all contracts or agreements with Riders or their employers in the case of Apprentice Riders; and

(b) notify NZTR as soon as practical if a contract or agreement with a Rider, or their employer in the case of an Apprentice Rider, is terminated for any reason.

8. I acknowledge that, in the case of a contract or agreement in relation to an Apprentice Rider, the employer of the Apprentice Rider is to be responsible for paying the fees payable to me under the contract or agreement out of their percentage of the Apprentice Rider’s earnings unless both the employer and the Apprentice Jockey have advised me in writing of any other payment arrangements that are to apply.

9. I acknowledge that, as the holder of a Rider’s Agent 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 Rider’s Agent Licences.
Applicant Signature*

Clear
Licensing Panel Decision
Applications are reviewed by Racing Integrity Board Stewards and then considered by the NZTR Licensing Panel which, based on the information supplied, may:
- request additional information or clarification from the applicant regarding the application;
- defer an application until further information is supplied;
- refer an application to the NZTR Racing & Integrity Committee;
- approve the application (including, where considered appropriate, on conditions);
or
- decline the application.
Notification
You will be notified of the outcome of your application by the NZTR Licensing Panel by email. If your application is approved, NZTR will send you a notification outlining the terms and conditions of your licence.

What if my application is declined?

You can appeal to the NZTR Racing & Integrity Committee within 28 days of when you were notified that your application has been declined.

CONTACT US

If you have any queries relating to this application, please contact NZTR Licensing at:

tel: +64 4 576 6279

email: licensing@nztr.co.nz
Payment (Application Fee)

Riders Agent | Class C | Miscellaneous $95.00
I would like to pay by:*

Debit/Credit CardBank Deposit
Please proceed with making payment to the specified bank account, including your name and license type details as indicated in the format below. Once you submit the application, a copy will be emailed to you for your records.

Bank Account Name: New Zealand Thoroughbred Racing Inc

Bank Account Number: 01-0517-0063944-00

Reference: Last Name, First Initial, Rider's Agent
You can complete your application by proceeding with payment. Please use the button below to access the payment page. Additionally, you will receive a copy of the application via email.
CONTACT US

If you have any queries relating to this application, please contact NZTR Licensing at:

tel: 027 207 4734

email: licensing@nztr.co.nz
Should be Empty:

Rider's Agent | Class C | Miscellaneous

Details

Rider Authorisation Form

Questionnaire

Licence History

Criminal History

Animal Welfare

Declarations

Privacy Act

Attachments

Identification

Colour Photo

Eligibility to Work in New Zealand

Referees' Details

Declaration

Licensing Panel Decision

Notification

Payment (Application Fee)