ࡱ> 574@ ` jbjb&& 6DD`l       <<<<< H<&hhhhhhhh,  )  hhhhh  hhhh" h h .    h  \ 4<<"  CONSENT TO DISCLOSURE OF INFORMATION (Police Check) Licensing & Vetting Service Centre Office of the Commissioner P0 Box 3017 WELLINGTON ...................................................................................................... (Surname) (First Names) .......................................................................................................... (Maiden or any other names used) Sex...............(M/F) Date and place of birth............................................... Nationality............................... Residential Address ................................. Suburb ................................... City ........................................................ NZ Drivers Licence number ...................................................................... I hereby consent to the disclosure by the New Zealand Police of any information they may have pursuant to this application, to ......................Club I understand that any record of criminal convictions I might have will automatically be concealed if I meet the eligibility criteria stipulated in Section 7 of the Criminal Records (Clean Slate) Act 2004. Signed ............................................ Date .......................................... COMMENTS OF THE NEW ZEALAND POLICE '569:8 9 ^ _ ` ʿʷ5CJ OJQJCJOJPJQJmH OJPJQJmH OJPJQJmH CJOJPJQJmH  5;CJ5;CJOJQJ5CJOJQJ '68:^z.` b 1$7$8$H$ & 0` P@$a$'68:^z.` b 6 8 : ^ _ `  # 6 8 : ^ _ ` 1$7$8$H$ & 0` P@ #0P{. A!"#$%" ,,  j eg{HH(dh com.apple.print.PageFormat.FormattingPrinter com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.FormattingPrinter com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2007-12-18T20:38:03Z com.apple.print.ticket.stateFlag 0 com.apple.print.PageFormat.PMHorizontalRes com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.PMHorizontalRes 300 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2007-12-18T20:38:01Z com.apple.print.ticket.stateFlag 0 com.apple.print.PageFormat.PMOrientation com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.PMOrientation 1 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2007-12-18T20:38:03Z com.apple.print.ticket.stateFlag 0 com.apple.print.PageFormat.PMScaling com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.PMScaling 1 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2007-12-18T20:38:03Z com.apple.print.ticket.stateFlag 0 com.apple.print.PageFormat.PMVerticalRes com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.PMVerticalRes 300 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2007-12-18T20:38:01Z com.apple.print.ticket.stateFlag 0 com.apple.print.PageFormat.PMVerticalScaling com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.PMVerticalScaling 1 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2007-12-18T20:38:03Z com.apple.print.ticket.stateFlag 0 com.apple.print.subTicket.paper_info_ticket com.apple.print.PageFormat.PMAdjustedPageRect com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.PMAdjustedPageRect 0.0 0.0 3262.5000000000005 2329.166666666667 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2007-12-18T20:38:03Z com.apple.print.ticket.stateFlag 0 com.apple.print.PageFormat.PMAdjustedPaperRect com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PageFormat.PMAdjustedPaperRect -75 -75 3433.3333333333335 2404.166666666667 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2007-12-18T20:38:03Z com.apple.print.ticket.stateFlag 0 com.apple.print.PaperInfo.PMCustomPaper com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PaperInfo.PMCustomPaper com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2007-12-18T20:38:03Z com.apple.print.ticket.stateFlag 1 com.apple.print.PaperInfo.PMPaperName com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PaperInfo.PMPaperName iso-a4 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2007-12-18T20:38:03Z com.apple.print.ticket.stateFlag 1 com.apple.print.PaperInfo.PMUnadjustedPageRect com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PaperInfo.PMUnadjustedPageRect 0.0 0.0 783 559 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2007-12-18T20:38:03Z com.apple.print.ticket.stateFlag 1 com.apple.print.PaperInfo.PMUnadjustedPaperRect com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PaperInfo.PMUnadjustedPaperRect -18 -18 824 577 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2007-12-18T20:38:03Z com.apple.print.ticket.stateFlag 1 com.apple.print.PaperInfo.ppd.PMPaperName com.apple.print.ticket.creator com.apple.printingmanager com.apple.print.ticket.itemArray com.apple.print.PaperInfo.ppd.PMPaperName A4 com.apple.print.ticket.client com.apple.printingmanager com.apple.print.ticket.modDate 2007-12-18T20:38:03Z com.apple.print.ticket.stateFlag 1 com.apple.print.ticket.APIVersion 00.20 com.apple.print.ticket.privateLock com.apple.print.ticket.type com.apple.print.PaperInfoTicket com.apple.print.ticket.APIVersion 00.20 com.apple.print.ticket.privateLock com.apple.print.ticket.type com.apple.print.PageFormatTicket  i(@(NormalCJmH v@v Heading 1=$1$7$8$@&H$ & 0` P@CJ$OJPJQJmH <A@<Default Paragraph Font`  % "&``  `  `  bb: M FSStorage:_MJF_Comms:SPARC:ClubKit:Volunteer Recruiting:CONSENT TO DISCLOSURE OF .docM FUMacintosh HD:Users:Alex:Documents:Microsoft User Data:AutoRecovery save of CONSENT TOM F]Storage:_MJF_Comms:SPARC:ClubKit:Volunteer Recruiting:FORMS etc:CONSENT TO DISCLOSURE OF .docM F]Storage:_MJF_Comms:SPARC:ClubKit:Volunteer Recruiting:FORMS etc:Consent to disclose info .docMarie FitzpatrickdStorage:_MJF_Comms:SPARC:ClubKit:Volunteer Recruiting:FORMS etc:Finals:Consent to Disclose Info .doc_b@R33` @GTimes New Roman5Symbol3 Arial;XHelvetica3Times qhƓFff!>0@%CONSENT TO DISCLOSURE OF INFORMATION M FMarie Fitzpatrick Oh+'0|  8 D P\dlt'(CONSENT TO DISCLOSURE OF INFORMATION M FNormalMarie Fitzpatrick3Microsoft Word 10.1@^в@ʈA@A ՜.+,0 hp  'SPARC  &CONSENT TO DISCLOSURE OF INFORMATION Title  !"#%&'()*+-./01236Root Entry F#"B81TableWordDocument6SummaryInformation($DocumentSummaryInformation8,CompObjX FMicrosoft Word DocumentNB6WWord.Document.8