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Basic Information Form
Information – New Zealander(s) of Pakistan origin stranded outside of New Zealand
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Name (Main contact person)
*
First
Last
Email
*
Phone Number
*
Phone (WhatsApp Number)
Address in New Zealand
*
Address in Pakistan/Overseas
*
Name(s) (Please list all family members (i.e. New Zealand residents and New Zealand citizens) who are stranded outside of New Zealand)
*
1.
I am a
*
New Zealand Citizen
New Zealand Resident
In New Zealand on a work visa
International student currently studying in New Zealand
Summary of needs
*
(Briefly provide a summary of needs and your current situation. You may provide a summary of your special needs if any including medical, travel, and any other)
Consent
*
I confirm that I have provided correct information in this form, and that I/my family are stranded outside of New Zealand due to Covid-19 pandemic. I also confirm that I have only added members of my family in this form to whom I can lawfully represent. I understand that Pakistan Association of New Zealand (PANZ) are assisting me to return back to New Zealand. I therefore provide a full consent to PANZ on my and my family’s behalf to use my and my family’s information for the purpose of their assistance to me and my family to return to New Zealand; and that PANZ is able to share my information to other bodies including but not limited to New Zealand Embassy in Tehran, New Zealand government organisations and persons and organisations which may become part of providing me and my family with the assistance.
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