Section 38, Real Estate Agents Act 2008
Real Estate Agents Authority
Licence history
I have/have not* previously held a licence or certificate of approval.
The most recent licence or certificate of approval that I have held is: [Strike out any that do not apply.]
Agent's licence registration number:
Branch manager’s licence registration number:
Salesperson’s licence registration number:
Branch manager’s certificate of approval number:
Salesperson’s certificate of approval number:
Details of applicant
Surname:
Given name(s):
Other names: [specify any other name(s) that you use or have used]
Date of birth:
Home address:
Business address:
Address for communications: [specify preferred address for communications. If your preferred address for communications is not the home address or business address specified above, provide details of your preferred address for communications (for example, specify an email address or postal address).]
Telephone numbers
Business:
Home:
Mobile:
Fax:
Identification
Driver licence number: [number], version number: [number]
or
Passport number: [number], nationality as shown on passport: [nationality]
Qualifications and experience
I hold [name and date of qualification], being a qualification that entitles me to be licensed as an agent. My evidence that I hold that qualification is [specify proof of qualification required by the Registrar].
In the 10 years preceding this application I have had at least 3 years' experience in real estate agency work, as follows: [list the name(s) and address(es) of the place(s) where you obtained your experience, and start and end dates].
Future workplace (if known)
[Strike out the following paragraph if it does not apply.]
If an agent's licence is granted to me, I will work at the following real estate business:
Name and address:
Name of franchise group or marketing group under which the above real estate business operates (if any):
Referees
[Provide the names, addresses, and telephone numbers of 2 referees who have known you for at least 12 months and who are not related to you. One referee must be a current licensee. The other referee must not be a current or former licensee or have held an agent's licence or a branch manager's or salesperson's certificate of approval under the Real Estate Agents Act 1976.]
Name:
Postal address:
Telephone number:
Name:
Postal address:
Telephone number:
Consent and certification
I consent to the making of inquiries to, and the exchange of information with, the authorities in New Zealand or in any participating jurisdiction regarding matters relevant to this application.
I certify that the above particulars are true and correct.
Date:
Signature:
Name: [print name]
(applicant)
Notes
1 A copy of this application, together with the prescribed statutory declaration, the prescribed fee, and any supporting documents (including sufficient authorisation to release information concerning the applicant's criminal history and any proof of qualifications that is required by the Registrar) must be sent to the Registrar. Fees are prescribed by the Authority by Gazette notice and can be found on the Authority's Internet site.
Section 38, Real Estate Agents Act 2008
Real Estate Agents Authority
Licence history
The company has/has not* previously held an agent's licence.
Licence registration number (if any):
Details of applicant company
Company name:
Trading name of business:
Name of franchise group or marketing group (if any):
Postal address:
Address of registered office:
Address of principal place of business (if different from above):
Address for communications: [specify preferred address for communications. If the preferred address for communications is not one of the addresses specified above, provide details of the preferred address for communications (for example, specify an email address or postal address).]
Contact person for inquiries about this application:
Telephone number:
Email address:
Officer(s) of the company licensed as agent
Details of the officer/officers* of the company who is/are* licensed as an agent as required by section 44(2) of the Real Estate Agents Act 2008 are:
[List the name, position, and licence registration number of each officer.]
All officers of the company
Details of all officers of the company, including the officer(s) listed above, are:
[List the following details of all officers of the company (or persons who will be officers of the company if this application is granted):
name of officer:
position in company:
any other name(s) that are used or have been used:
address:
telephone number:
mobile number:
email address:
driver licence number and version number or passport number and nationality as shown on the passport:
the names, addresses, and telephone numbers of 2 referees who have known the officer for at least 12 months, and who are not related to the officer. One referee may be a current licensee. The other referee must not be a current or former licensee or have held an agent's licence or a branch manager's or salesperson's certificate of approval under the Real Estate Agents Act 1976.]
Consent and certification
I consent to the making of inquiries to, and the exchange of information with, the authorities in New Zealand or in any participating jurisdiction regarding matters relevant to this application.
I certify that the above particulars are true and correct and that I am duly authorised to make this application.
Date:
Signature:
Name: [print name]
Position in the company:
Notes
1 A copy of this application, together with the prescribed statutory declaration, the prescribed fee, and any supporting documents (including sufficient authorisation to release information concerning the criminal history of every officer of the company), must be sent to the Registrar. Fees are prescribed by the Authority by Gazette notice and can be found on the Authority's Internet site.
4 An applicant who provides misleading or false information commits an offence and is liable to a penalty, in the case of an individual, of a fine not exceeding $40,000 or, in the case of a company, of a fine not exceeding $100,000.
Section 38, Real Estate Agents Act 2008
Real Estate Agents Authority
Licence history
I have/have not* previously held a licence or certificate of approval.
The most recent licence or certificate of approval that I have held is: [strike out any that do not apply]
Agent's licence registration number:
Branch manager’s licence registration number:
Salesperson’s licence registration number:
Branch manager’s certificate of approval number:
Salesperson’s certificate of approval number:
Details of applicant
Surname:
Given name(s):
Other names: [specify any other name(s) that you use or have used]
Date of birth:
Home address:
Business address:
Address for communications: [specify preferred address for communications. If your preferred address for communications is not the home address or business address specified above, provide details of your preferred address for communications (for example, specify an email address or postal address).]
Telephone numbers
Business:
Home:
Mobile:
Fax:
Identification
Driver licence number: [number], version number: [number]
or
Passport number: [number], nationality as shown on passport: [nationality]
Qualifications and experience
I hold [name and date of qualification], being a qualification that entitles me to be licensed as a branch manager. My evidence that I hold that qualification is [specify proof of qualification required by the Registrar].
In the 10 years preceding this application I have had at least 3 years' experience in real estate agency work, as follows: [list the name(s) and address(es) of the place(s) where you obtained your experience, and start and end dates].
Future workplace (if known)
[Strike out the following paragraph if it does not apply.]
If a branch manager's licence is granted to me, I will work at the following real estate business:
Name and address:
Name of franchise group or marketing group under which the above real estate business operates (if any):
Referees
[Provide the names, addresses, and telephone numbers of 2 referees who have known you for at least 12 months and who are not related to you. One referee must be a current licensee. The other referee must not be a current or former licensee or have held an agent's licence or a branch manager's or salesperson's certificate of approval under the Real Estate Agents Act 1976.]
Name:
Postal address:
Telephone number:
Name:
Postal address:
Telephone number:
Consent and certification
I consent to the making of inquiries to, and the exchange of information with, the authorities in New Zealand or in any participating jurisdiction regarding matters relevant to this application.
I certify that the above particulars are true and correct.
Date:
Signature:
Name: [print name]
(applicant)
Notes
1 A copy of this application, together with the prescribed statutory declaration, the prescribed fee, and any supporting documents (including sufficient authorisation to release information concerning the applicant's criminal history and any proof of qualifications that is required by the Registrar) must be sent to the Registrar. Fees are prescribed by the Authority by Gazette notice and can be found on the Authority's Internet site.
Section 38, Real Estate Agents Act 2008
Real Estate Agents Authority
Licence history
I have/have not* previously held a licence or certificate of approval.
The most recent licence or certificate of approval that I have held is:
[Strike out any that do not apply.]
Agent's licence registration number:
Branch manager’s licence registration number:
Salesperson’s licence registration number:
Branch manager’s certificate of approval number:
Salesperson’s certificate of approval number:
Details of applicant
Surname:
Given name(s):
Other names: [specify any other name(s) that you use or have used]
Date of birth:
Home address:
Business address:
Address for communications: [specify preferred address for communications. If your preferred address for communications is not the home address or business address specified above, provide details of your preferred address for communications (for example, specify an email address or postal address).]
Telephone numbers
Business:
Home:
Mobile:
Fax:
Identification
Driver licence number: [number], version number: [number]
or
Passport number: [number], nationality as shown on passport: [nationality]
Qualifications
I hold [name and date of qualification], being a qualification that entitles me to be licensed as a salesperson. My evidence that I hold that qualification is [specify proof of qualification required by the Registrar].
Future workplace (if known)
[Strike out the following paragraph if it does not apply.]
If a salesperson's licence is granted to me, I will work at the following real estate agency business:
Name and address:
Name of franchise group or marketing group under which the above real estate agency business operates (if any):
Name of agent or branch manager who will supervise my work (if applicable):
Address of supervising agent or branch manager:
Telephone number:
Licence registration number:
Referees
[Provide the names, addresses, and telephone numbers of 2 referees who have known you for at least 12 months and who are not related to you. One referee may be a current licensee. The other referee must not be a current or former licensee or have held an agent's licence or a branch manager's or salesperson's certificate of approval under the Real Estate Agents Act 1976.]
Name:
Postal address:
Telephone number:
Name:
Postal address:
Telephone number:
Consent and certification
I consent to the making of inquiries to, and the exchange of information with, the authorities in New Zealand or in any participating jurisdiction regarding matters relevant to this application.
I certify that the above particulars are true and correct.
Date:
Signature:
Name: [print name]
(applicant)
Notes
1 A copy of this application, together with the prescribed statutory declaration, the prescribed fee, and any supporting documents (including sufficient authorisation to release information concerning the applicant's criminal history and any proof of qualifications that is required by the Registrar) must be sent to the Registrar. Fees are prescribed by the Authority by Gazette notice and can be found on the Authority's Internet site.
Section 52, Real Estate Agents Act 2008
Real Estate Agents Authority
Application
I apply for renewal of the agent's/branch manager's/salesperson's* licence, registration number [number], issued to me on [date].
Details of applicant
Surname:
Given name(s):
Other names: [specify any other name(s) that you use or have used]
Date of birth:
Home address:
Business address:
Address for communications: [specify preferred address for communications. If your preferred address for communications is not the home address or business address specified above, provide details of your preferred address for communications (for example, specify an email address or postal address).]
Telephone numbers
Business:
Home:
Mobile:
Fax:
Current workplace (if any)
Name and address of real estate agency business:
Name of franchise group or marketing group under which the above real estate agency business operates (if any):
Continuing education
[Select the paragraph below that applies.]
I have completed the following continuing education as required by the Real Estate Agents Authority: [specify details]. My evidence that I have completed that continuing education is [specify proof of continuing education as required by the Registrar].
or
I am not required to complete any continuing education because [specify reason].
Eligibility to be licensed
The circumstances that make me eligible to hold a licence in respect of sections 36 and 37 of the Real Estate Agents Act 2008 have not changed since my most recent application relating to the licence or last advice to the Registrar regarding a change of circumstances in accordance with section 67 of the Real Estate Agents Act 2008.
Consent and certification
I consent to the making of inquiries to, and the exchange of information with, the authorities in New Zealand or in any participating jurisdiction regarding matters relevant to this application.
I certify that the above particulars are true and correct.
Date:
Signature:
Name: [print name]
(applicant)
Notes
1 A copy of this application, together with the prescribed fee, and any supporting documents (including sufficient authorisation to release information concerning the applicant's criminal history and any proof of continuing education undertaken that is required by the Registrar) must be sent to the Registrar. Fees are prescribed by the Authority by Gazette notice and can be found on the Authority's Internet site.
Section 52, Real Estate Agents Act 2008
Real Estate Agents Authority
Application
I apply for renewal of the agent's licence, registration number [number], issued to the company on [date].
Details of applicant
Company name:
Trading name of business:
Name of franchise group or marketing group (if any):
Address of registered office:
Address of principal place of business (if different from above):
Address for communications: [specify preferred address for communications. If your preferred address for communications is not one of the addresses specified above, provide details of your preferred address for communications (for example, specify an email address or postal address).]
Contact person for inquiries about this application:
Telephone number:
Email address:
Eligibility to be licensed
I confirm that the following officer/officers* of the company is/are* licensed as an agent as required by section 44(2) of the Real Estate Agents Act 2008:
[List the name, position in company, and licence registration number of each officer.]
The following, who are officers of the company, are proper persons to be officers of a licensee company by reason of personal character and financial position:
[List the following details of all officers of the company (including the officer(s) listed in the previous section):
Consent and certification
I consent to the making of inquiries to, and the exchange of information with, the authorities in New Zealand or in any participating jurisdiction regarding matters relevant to this application.
I certify that the above particulars are true and correct and that I am duly authorised to make this application.
Date:
Signature:
Name: [print name]
Position in the company:
Notes
1 A copy of this application, together with the prescribed fee, and any supporting documents (including sufficient authorisation to release information concerning the criminal history of every officer of the company) must be sent to the Registrar. Fees are prescribed by the Authority by Gazette notice and can be found on the Authority's Internet site.
3 An applicant who provides misleading or false information commits an offence and is liable to a penalty, in the case of an individual, of a fine not exceeding $40,000 or, in the case of a company, of a fine not exceeding $100,000.