Taonga tūturu collector registration

Please return the completed form by email to taonga@mch.govt.nz

Applicant information

Full name

Organisation name (if applying on behalf of)

Email address

Phone number

Physical address

Address where taonga will be held (if different to physical address)

Are you ordinarily a resident of New Zealand? (select one)

Declaration and signature

By completing and signing this form:

I declare that the contents of this application are to the best of my knowledge true and correct.

I undertake to comply with all conditions required of a Registered Collector of Taonga Tūturu pursuant to the Protected Objects Act 1975.

I declare that I and/or the business listed has not been convicted of any offences against the provisions of the Protected Objects Act 1975 or the Pouhere Taonga Heritage New Zealand Act 2014. I understand that any Registered Collectors Certificate issued to the named applicant of this form by Manatū Taonga will be revoked if this changes if I or the organisation listed are subsequently convicted of an offence against the provisions of either of these Acts.

Your signature

Date

Privacy statement

By completing and submitting this form, you are providing and trusting Manatū Taonga Ministry for Culture and Heritage with personal information. We will keep your personal information secure, and will only disclose personal information with your consent, or if we are legally required to do so. You have the right to see any information we hold about you, and to ask us to correct any of your information that we hold, in accordance with the Privacy Act 2020. Please address all such requests through email to info@mch.govt.nz