Australian High Commission
New Zealand
High Commission address: 72-76 Hobson Street, Thorndon, Wellington - Telephone: +64 (0)4 473 6411 - Fax: +64 (0)4 498 7135
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AUSTRALIAN CONSULATE GENERAL
AUCKLAND
LEVEL 7 PHONE: 921 8800
184-196 QUAY STREET FAX: 921 8822
PRICE WATERHOUSE-COOPERS TOWER
AUCKLAND
NEW ZEALAND
CONSENT TO DISCLOSURE OF INFORMATION
The Liaison Officer
Information & Communications Bureau
Police National Headquarters
P O Box 3017
WELLINGTON
I………………………………………………………………………………………….
(SURNAME) (FORENAMES)
…………………………………………………………………………………………..
(MAIDEN OR ANY OTHER NAMES USED)
SEX:……(M/F) DATE AND PLACE OF BIRTH:………………………………
NATIONALITY:…………………… ADDRESS:……………………………...
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Hereby consent to the disclosure by the New Zealand Police of any information they may have pursuant to this application to the AUSTRALIAN AUTHORITIES FOR VISA PURPOSES ONLY.
SIGNED:………………………………. DATE: ………………………………….
COMMENTS OF NEW ZEALAND POLICE