Criminal Conviction History Check

CRIMINAL CONVICTION HISTORY CHECK
If you are applying to be on the stewards and admin team,
please complete this form.

By filling in this form, you permit us to submit this information to MOJ on your behalf. If you would like to make the submission directly, click here (you will need to forward us the report).

To view our privacy policy, click here.

You will need to upload a scanned copy of your ID. More details below.
Name*
Is your birth surname different from your current surname?*

NoYes
Birth surname*
Birth Date*

DayMonthYear
Gender

MaleFemaleDo not wish to state
CURRENT RESIDENTIAL ADDRESS IN NZ
Your street*

Unit / street numberStreet name
Your city*

SuburbTown / City
Any previous addresses?*

YesNo
Previous street*

Unit / street numberStreet name
Previous city*

SuburbTown / City
UPLOAD IDENTIFICATION
Identification type
Tick here if you don't have the specified identification
Your NZ Driver Licence needs to be current or expired within the last 2 years. You can't use a cancelled or temporary licence.
Your NZ passport needs to be signed and current or expired within the last 2 years.
Your overseas passport needs to be signed and current (not expired).
Your NZ Firearm Licence needs to be current (not expired).
If you haven't already done so, please download either one of the forms. They can be completed elctronically or printed and scanned after they've been filled out.
- Proof of identity form
- Statutory Declaration form
Upload a clear photo or scan of sides 1 & 2*

Cancelof
Upload a clear photo or scan of the photo page and signature page*

Cancelof
Upload a clear photo or scan of side 1 (photo side)*

Cancelof
Upload the completed form here:*

Cancelof
Tick here to get a copy of the result
Email
example@example.com
You're almost there! We just need your autograph... Please make sure that it is an accurate representation of your signature or you may be asked to resubmit*

I would like to sign electronicallyI would like to upload a photo or soft copy of my signature
Signature (this needs to be similar to the one in your ID)*

Clear
Upload your signature file here:*

Cancelof
Name

First nameMiddle namesFamily name
Date

DayMonthYear
Date
Should be Empty:

CURRENT RESIDENTIAL ADDRESS IN NZ

UPLOAD IDENTIFICATION