To JOIN IPA New Zealand, please fill in the Application for Membership form below.

Personal Details

Title*
First Name*
Middle Name
Surname*
Male or Female* Male Female
Date of Birth*
Country of Birth*
Are you a Credit Union member*
no yes

Address

Home Street Address*
Suburb*
City*
Post Code*
Country*
Postal Address* Same as Above Different (Fill out below)

Postal Address (if different from home)

Postal Address 1
Postal Address 2
Postal Suburb
Postal City
Post Code
Postal Country

Contact Details

Email Address (pref)*
Email Address (alt)
Phone (Home)
Phone (Work)
Mobile Phone*

Police Service History

Police Status* Serving Retired
NZ Police Service*
click here
Police Number / Service Number*
Date Joined
Other Police Service
click here
Other Police Service
Duties Performed*
Rank
Police Station (current)
Police District*
click here
Work Status*
Employer*
Retirement Date

General Information

Can you offer Accommodation* Yes No
If YES, what accommodation can you offer?
Visitor Contact*
Languages Spoken
Interests - Hobbies
Other Information

Additional Forms, Declaration and Privacy Agreement

Proof of Police Service or ID*
click here
Yes
Auto Payment Forms*
click here
Payment of $44 completed*
click here
Declaration - Privacy Statement*
Declaration and Privacy Statement can be viewed below
click here
I Agree
YOUR APPLICATION WILL NOT BE PROCESSED UNTIL YOU HAVE EMAILED YOUR PROOF OF POLICE ID AND PAYMENT METHOD FORM AND YOU HAVE SUBMITTED THE ABOVE APPLICATION FORM [email protected]

Personal Details

Title*
First Name*
Middle Name
Surname*
Male or Female*
Male Female
Date of Birth*
Country of Birth*
Are you a Credit Union member*
no yes

Address

Home Street Address*
Suburb*
City*
Post Code*
Country*
Postal Address*
Same as Above Different (Fill out below)

Postal Address (if different from home)

Postal Address 1
Postal Address 2
Postal Suburb
Postal City
Post Code
Postal Country

Contact Details

Email Address (pref)*
Email Address (alt)
Phone (Home)
Phone (Work)
Mobile Phone*

Police Service History

Police Status*
Serving Retired
NZ Police Service*
click here
Police Number / Service Number*
Date Joined
Other Police Service
click here
Other Police Service
Duties Performed*
Rank
Police Station (current)
Police District*
click here
Work Status*
Employer*
Retirement Date

General Information

Can you offer Accommodation*
Yes No
If YES, what accommodation can you offer?
Visitor Contact*
Languages Spoken
Interests - Hobbies
Other Information

Additional Forms, Declaration and Privacy Agreement

Proof of Police Service or ID*
click here
Yes
Auto Payment Forms*
click here
Payment of $44 completed*
click here
Declaration - Privacy Statement*
Declaration and Privacy Statement can be viewed below
click here
I Agree
YOUR APPLICATION WILL NOT BE PROCESSED UNTIL YOU HAVE EMAILED YOUR PROOF OF POLICE ID AND PAYMENT METHOD FORM AND YOU HAVE SUBMITTED THE ABOVE APPLICATION FORM [email protected]


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