Form 401 Trans-Tasman Mutual Recognition Act 1997 Application
Form 401 Trans-Tasman Mutual Recognition Act 1997 Application
Form 401 Trans-Tasman Mutual Recognition Act 1997 Application
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Bank draft in New Zealand dollars<br />
EFTPOS<br />
New Zealand issued personal cheque or bank cheque (please enclose a New Zealand<br />
issued cheque made payable to the Immigration Advisers Authority)<br />
Credit card<br />
Visa<br />
MasterCard<br />
Credit card number<br />
Expiry date<br />
Please tick one:<br />
month<br />
year<br />
Please charge the amount of $NZD 2039.33 including GST (the onshore fee and<br />
levy) to my card.<br />
Please charge the amount of $NZD 1773.33 (the offshore fee and levy) to my<br />
card.<br />
Name on card<br />
Cardholder’s signature<br />
<strong>Form</strong> <strong>401</strong> | <strong>Trans</strong>-<strong>Tasman</strong> <strong>Mutual</strong> <strong>Recognition</strong> <strong>Act</strong> <strong>1997</strong> <strong>Application</strong> 12
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