Onboarding New Client Form

"*" indicates required fields

Step 1 of 19

Contact Details

Name*

Given Family

Residential Address*

Street Address Address Line 2 City Post Code Country

Mailing Address*

Is your Mailing Address the same as your Residential Address?

Yes

Mailing Address*

Address Line 1 Address Line 2 City Post Code Country

New Zealand Resident*

Yes

Occupation*

Date of Birth*

DD slash MM slash YYYY

Mobile*

Home Phone

Business Phone

Email*

Who is your contact at AlexanderDorrington?*

Details

Verification of identity*

We must obtain information about our clients to comply with the Anti-Money Laundering and Countering Financing of Terrorism Act 2009 (AML).
We outsource this process to AplyID. We require your consent to pass on your details to them. We will give them your name, email and phone number. They will contact you via email to verify your ID electronically.

I consent to my information being passed to AplyID Ltd for the purposes of verifying my identity. I understand that AplyID will contact me.

Other*

If funds are to be held in our trust account, will you require them to placed on interest bearing deposit on call? If yes, we will need to send you an additional form for our bank.

Yes

Are you instructing us as an INDIVIDUAL, COMPANY, PARTNERSHIP, TRUST, CLUB/SOCIETY/OTHER*

Individual

Are there any other individuals involved? 1*

Yes

Individual 2

Name - Individual 2*

Given Family

Residential Address - Individual 2*

Street Address Address Line 2 City Post Code Country

Mailing Address - Individual 2*

Is your Mailing Address the same as your Residential Address?

Yes

Mailing Address - Individual 2*

Address Line 1 Address Line 2 City Post Code Country

New Zealand Resident - Individual 2*

Yes

Occupation - Individual 2*

Date of Birth - Individual 2*

DD slash MM slash YYYY

Mobile - Individual 2*

Home Phone - Individual 2

Business Phone - Individual 2

Email - Individual 2*

Are there any other individuals involved? 2*

Yes

Individual 3

Name - Individual 3*

Given Family

Residential Address - Individual 3*

Street Address Address Line 2 City Post Code Country

Mailing Address - Individual 3*

Is your Mailing Address the same as your Residential Address?

Yes

Mailing Address - Individual 3*

Address Line 1 Address Line 2 City Post Code Country

New Zealand Resident - Individual 3*

Yes

Occupation - Individual 3*

Date of Birth - Individual 3*

DD slash MM slash YYYY

Mobile - Individual 3*

Home Phone - Individual 3

Business Phone - Individual 3

Email - Individual 3*

Are there any other individuals involved? 3*

Yes

Individual 4

Name - Individual 4*

Given Family

Residential Address - Individual 4*

Street Address Address Line 2 City Post Code Country

Mailing Address - Individual 4*

Is your Mailing Address the same as your Residential Address?

Yes

Mailing Address - Individual 4*

Address Line 1 Address Line 2 City Post Code Country

New Zealand Resident - Individual 4*

Yes

Occupation - Individual 4*

Date of Birth - Individual 4*

DD slash MM slash YYYY

Mobile - Individual 4*

Home Phone - Individual 4

Business Phone - Individual 4

Email - Individual 4*

Company

Company Name*

Company Physical Address*

Street Address Address Line 2 City ZIP / Postal Code Country

Company Mailing Address*

Is your Company Mailing Address the same as your Company Residential Address?

Yes

Company Mailing Address*

Address Line 1 Address Line 2 City Post Code Country

IRD Number

Email to send invoices*

Does this Company have any Nominee Directors or Shareholders?

Yes

Does this Company have any other Directors or Shareholders? 0*

Yes

Directors / Shareholders

Director or Shareholder 1*

Director

Shareholder

Name - Director/Shareholder 1*

Given Family

Residential Address - Director/Shareholder 1*

Street Address Address Line 2 City Post Code Country

Mailing Address - Director/Shareholder 1*

Is the Director/Shareholder Mailing Address the same as the Residential Address?

Yes

Mailing Address - Director/Shareholder 1*

Address Line 1 Address Line 2 City Post Code Country

New Zealand Resident - Director/Shareholder 1*

Yes

Occupation - Director/Shareholder 1*

Date of Birth - Director/Shareholder 1*

DD slash MM slash YYYY

Mobile - Director/Shareholder 1*

Home Phone - Director/Shareholder 1

Business Phone - Director/Shareholder 1

Email - Director/Shareholder 1*

Are there any other Directors/Shareholders involved? >2*

Yes

Director/Shareholder 2

Director or Shareholder 2*

Director

Shareholder

Name - Director/Shareholder 2*

Given Family

Residential Address - Director/Shareholder 2*

Street Address Address Line 2 City Post Code Country

Mailing Address - Director/Shareholder 2*

Is the Director/Shareholder Mailing Address the same as the Residential Address?

Yes

Mailing Address - Director/Shareholder 2*

Address Line 1 Address Line 2 City Post Code Country

New Zealand Resident - Director/Shareholder 2*

Yes

Occupation - Director/Shareholder 2*

Date of Birth - Director/Shareholder 2*

DD slash MM slash YYYY

Mobile - Director/Shareholder 2*

Home Phone - Director/Shareholder 2

Business Phone - Director/Shareholder 2

Email - Director/Shareholder 2*

Are there any other Directors/Shareholders involved? >3*

Yes

Director/Shareholder 3

Director or Shareholder 3*

Director

Shareholder

Name - Director/Shareholder 3*

Given Family

Residential Address - Director/Shareholder 3*

Street Address Address Line 2 City ZIP / Postal Code Country

Mailing Address - Director/Shareholder 3*

Is the Director/Shareholder Mailing Address the same as the Residential Address?

Yes

Mailing Address - Director/Shareholder 3*

Address Line 2 Address Line 2 City ZIP / Postal Code Country

New Zealand Resident - Director/Shareholder 3*

Yes

Occupation - Director/Shareholder 3*

Date of Birth - Director/Shareholder 3*

DD slash MM slash YYYY

Mobile - Director/Shareholder 3*

Home Phone - Director/Shareholder 3

Business Phone - Director/Shareholder 3

Email - Director/Shareholder 3*

Are there any other Directors/Shareholders involved? >4*

Yes

Director/Shareholder 4

Director or Shareholder 4*

Director

Shareholder

Name - Director/Shareholder 4*

Given Family

Residential Address - Director/Shareholder 4*

Street Address Address Line 2 City ZIP / Postal Code Country

Mailing Address - Director/Shareholder 4*

Is the Director/Shareholder Mailing Address the same as the Residential Address?

Yes

Mailing Address - Director/Shareholder 4*

Address Line 2 Address Line 2 City ZIP / Postal Code Country

New Zealand Resident - Director/Shareholder 4*

Yes

Occupation - Director/Shareholder 4*

Date of Birth - Director/Shareholder 4*

DD slash MM slash YYYY

Mobile - Director/Shareholder 4*

Home Phone - Director/Shareholder 4

Business Phone - Director/Shareholder 4

Email - Director/Shareholder 4*

Partnership

Partnership Name*

Partnership Physical Address*

Street Address Address Line 2 City ZIP / Postal Code Country

Partnership Mailing Address*

Is the Partnership Mailing Address the same as the Physical Address?

Yes

Partnership Mailing Address*

Street Address Address Line 2 City ZIP / Postal Code Country

IRD Number

Email to Send Invoices*

Partnership Information

Is this a Limited Partnership?*

Yes

Is this an Overseas LP?*

Yes

Who is the General Partner?*

Who are the Limted Partners?*

Is there a Nominee General Partner?

Yes

Trust

Trust Name*

Trust Physical Address*

Street Address Address Line 2 City Post Code Country

Trust Mailing Address*

Is the Trust Mailing Address the same as the Physical Address?

Yes

Trust Mailing Address*

Address Line 1 Address Line 2 City Post Code Country

IRD Number

Email to Send Invoices*

Trustee Details

Name - Trustee 1*

Given Family

Residential Address - Trustee 1*

Street Address Address Line 2 City Post Code Country

Mailing Address - Trustee 1*

Is the Mailing Address the same as the Physical Address?

Yes

Mailing Address - Trustee 1*

Address Line 1 Address Line 2 City Post Code Country

New Zealand Resident - Trustee 1*

Yes

Occupation - Trustee 1*

Date of Birth - Trustee 1*

DD slash MM slash YYYY

Mobile - Trustee 1*

Home Phone - Trustee 1

Business Phone - Trustee 1

Email - Trustee 1*

Please upload a copy of your Trust Deed

Max. file size: 50 MB.

Are there any other Trustees involved? >2*

Yes

Trustee 2

Name - Trustee 2*

Given Family

Residential Address - Trustee 2*

Street Address Address Line 2 City Post Code Country

Mailing Address - Trustee 2*

Is the Mailing Address the same as the Physical Address?

Yes

Mailing Address - Trustee 2*

Address Line 1 Address Line 2 City Post Code Country

New Zealand Resident - Trustee 2*

Yes

Occupation - Trustee 2*

Date of Birth - Trustee 2*

DD slash MM slash YYYY

Mobile - Trustee 2*

Home Phone - Trustee 2

Business Phone - Trustee 2

Email - Trustee 2*

Are there any other Trustees involved? >3*

Yes

Trustee 3

Name - Trustee 3*

First Last

Residential Address - Trustee 3*

Street Address Address Line 2 City Post Code Country

Mailing Address - Trustee 3*

Is the Mailing Address the same as the Physical Address?

Yes

Mailing Address - Trustee 3*

Address Line 1 Address Line 2 City Post Code Country

New Zealand Resident - Trustee 3*

Yes

Occupation - Trustee 3*

Date of Birth - Trustee 3*

DD slash MM slash YYYY

Mobile - Trustee 3*

Home Phone - Trustee 3

Business Phone - Trustee 3

Email - Trustee 3*

Are there any other Trustees involved? >4*

Yes

Trustee 4

Name - Trustee 4*

Given Family

Residential Address - Trustee 4*

Street Address Address Line 2 City Post Code Country

Mailing Address - Trustee 4*

Is the Mailing Address the same as the Physical Address?

Yes

Mailing Address - Trustee 4*

Address Line 1 Address Line 2 City Post Code Country

New Zealand Resident - Trustee 4*

Yes

Occupation - Trustee 4*

Date of Birth - Trustee 4*

DD slash MM slash YYYY

Mobile - Trustee 4*

Home Phone - Trustee 4

Business Phone - Trustee 4

Email - Trustee 4*

Club, Society or Other

Entity Name*

Entity Physical Address*

Street Address Address Line 2 City Post Code Country

Entity Mailing Address*

Is the Mailing Address the same as the Physical Address?

Yes

Entity Mailing Address*

Address Line 1 Address Line 2 City Post Code Country

IRD Number

Email to Send Invoices*

What are the names of the other committee members (or board members etc)?*

Onboarding New Client Form

Contact Details

Details

Individual

Individual 2

Individual 3

Individual 4

Company

Directors / Shareholders

Director/Shareholder 2

Director/Shareholder 3

Director/Shareholder 4

Partnership

Partnership Information

Trust

Trustee Details

Trustee 2

Trustee 3

Trustee 4

Club, Society or Other

For sound advice, get in touch to talk to our experienced lawyers.
Call us at AlexanderDorrington on 09 375 2770.

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Onboarding New Client Form

Contact Details

Details

Individual

Individual 2

Individual 3

Individual 4

Company

Directors / Shareholders

Director/Shareholder 2

Director/Shareholder 3

Director/Shareholder 4

Partnership

Partnership Information

Trust

Trustee Details

Trustee 2

Trustee 3

Trustee 4

Club, Society or Other

For sound advice, get in touch to talk to our experienced lawyers.Call us at AlexanderDorrington on 09 375 2770.

Thank you for subscribing!

For sound advice, get in touch to talk to our experienced lawyers.
Call us at AlexanderDorrington on 09 375 2770.