Personal Information

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* Squash NZ wishes to emphasise that Police Vetting is not an attempt to identify or disqualify individuals with minor or irrelevant criminal records that are unrelated to the role you play in supporting the delivery and participation of squash.  

Squash NZ are an Approved Agency with NZ Police, and Police Vetting can only be carried out with your consent, which you can give via this online form.  As an approved agency, we want to ensure you are aware of the vetting process and we direct you to the Police website and the ‘Guide to Completing the Vetting Request and Consent Form’ for more information.  Police vetting is an entirely online process, and vetting requests can only be submitted through the online agency portal.

Please be assured the specifics of the report or record will be kept confidential to the Squash NZ Coach Development Leader, and any clubs or Districts that engage the services of the applicant.
If you need help completing this form please email jason@squashnz.co.nz or call 027 356 8716.

First Name

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* Last Name

Previous names: If applicable, please include other alias or alternate names; married name if not your primary name; previous/maiden/name changed by deed poll or statutory declaration.

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* Previous First Name

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* Previous Last Name

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* Date of Birth

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* Town/City of Birth

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* Country of Birth

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* Gender

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* Email

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* Mobile Number

Permanent Residential Address

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* Street Number and Name

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* Suburb

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* City

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* Postal Code

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