OMR2_Beneficiary of a Whanau Trust

Whanau Trust
We require the name of the Whanau Trust that is CURRENTLY on Maori Land Online.
Name of Whanau Trust
Enter the name as it appears on the "OMR2" list of owners
OMR2 Shareholder Registration No:*
Contact the office for the Shareholder Registration No: for the Whanau Trust
Beneficiary Details
Beneficiary Name*

First NameMiddle NameLast Name
Are you known by other names?*
Alternative Names*
Gender*
Are you a NZ Resident?*
Do you have a NZ Bank Account?*
IRD Number
Please enter like example 000-000-000
Date of Birth*

DayMonthYear
Current Date

DayMonthYear
Age
Type of Identification*
Upload your Identification*

Require a copy of your Identification as selected above

Cancelof

Beneficiary Bank Details
Bank Account Name*
Bank Account No.*
Please enter like example 00-0000-0000000-00
BSB Number*
Australian Bank Account No.*
Please enter like example 000000
Name of Bank *
Bank Branch Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Electronic Copy of Bank Verification*

Require either a copy of a Bank Account statement, pre-printed deposit slip or bank print-out
Upload document to verify your bank account Cancelof

Declaration
Applicant Signature (Type Name)*
By typing my name in the signature box you confirm that you have read and understood the terms and conditions below.
I am not a robot*
Date Signed*

DayMonthYear
Should be Empty:

Office Use