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Thanks for your application with My Refund Ltd.
We have been unable to verify your identity. Please provide your ID for us to complete your application
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1
IRD Number
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2
Date of Birth
*
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Date
Day
Month
Year
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3
Gender
*
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Please Select
Male
Female
Gender Diverse
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Male
Female
Gender Diverse
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4
Name
*
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First Name
Last Name
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5
Are you known by any other names?
YES
NO
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6
Alternative Name
*
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First Name
Last Name
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7
Reason for Alternative Name
*
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8
Evidence of Name Change
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9
Email
*
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example@example.com
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10
Type of ID
*
This field is required.
Please select the type of ID that you are about to upload
New Zealand Drivers Licence (Front AND Back)
NZ Passport
Overseas Passport with NZ immigration visa/permit
Kiwi Access Card (Previously known as NZ 18+ Card)
NZ Firearms or Dealer’s Licence
International Drivers Permit -issued by a member country of the UN Convention on Road Traffic.
I do not have any of the above types of ID
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11
Drivers Licence or Passport Number
*
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12
Drivers Licence Version Number
*
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13
Licence Issue Date
*
This field is required.
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Date
Day
Month
Year
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14
Expiry Date
*
This field is required.
-
Date
Day
Month
Year
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15
Please take a photo of yourself
*
This field is required.
We use this to match with the photo on your ID.
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16
Photo of the FRONT of your ID
*
This field is required.
Please note: We CAN NOT accept photocopies or screenshots. Please take a photo of your physical ID via the link below.
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17
Photo of the BACK of your ID
*
This field is required.
Please note: We CAN NOT accept photocopies or screenshots. Please take a photo of your physical ID via the link below.
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18
Visa Upload
If you have provided your Overseas Passport, please upload a copy of your current Work or Resident Visa here
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: 10.6MB
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19
Acknowledgment and Declaration
*
This field is required.
I confirm the information I have provided is for myself and to be true and correct.
I understand that My Refund Ltd will act on my behalf until I choose to terminate this arrangement (I can terminate this agreement by contacting either My Refund Ltd or Inland Revenue at any time).
I agree My Refund Ltd will act on my behalf for all tax types at Inland Revenue.
I give permission for My Refund Ltd to obtain my information from Inland Revenue.
I agree that My Refund Ltd will be able to access/modify my details at Inland Revenue.
I give permission for my tax correspondence to be sent to My Refund Ltd.
I understand my refund will be paid into My Refund Ltd trust account and then paid directly to me less any agreed fees.
I authorise My Refund Ltd to prepare, submit, and sign tax returns, auto assessments and PTS’s on my behalf regardless of whether the result is a tax refund or tax bill.
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20
Terms and Conditions
*
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21
Signature
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