SIO Supervisor Consent

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To become an SIO Supervisor you must provide the Application Number of the SIO Application. The person applying for the SIO can provide you with the Application Number.

Before your Consent can be processed you may need to complete a separate SIO Supervisor Application process, particularly if this is your first time. See the Information Library for further details.

SIO Application Number

Estate Number

First Name	*
Last Name	*

What is your physical address?

Street name and number

This is also my postal address

PO Box or Private Bag Number

Flat/Apartment No

Street Number

PO Box

Please type in full eg PO Box 12 or Private Bag 32

Street Name

Suburb

City/Town

Post Code

Find Post Code

Country

New Zealand

Overseas and other addresses

Email Address

What is your correspondence address?

Address Type

Street name and number

PO Box or Private Bag Number

Flat/Apartment No

Street Number

PO Box

Please type in full eg PO Box 12 or Private Bag 32

Street Name

Suburb

City/Town

Post Code

Find Post Code

Country

New Zealand

Overseas and other addresses

Email Address

Email Address

Telephone Number

Country	Code		Area Code		Number
New Zealand

Mobile Number

Country	Code		Area Code		Number
New Zealand

Date of Birth

I hereby consent to becoming the SIO Supervisor for SIO Estate Number

ITS maintains a list of SIO Supervisors that are currently supervising Summary Instalment Orders within New Zealand. ITS publishes this list to enable prospective SIO Applicants to locate a potential supervisor for their SIO. Note that you have no obligation to accept the supervision of an applicant's SIO if they contact you. If you wish to be added to this list, check the box below. If at any time you wish to be removed from this list, contact ITS on 0508 467658.

Please note that if for any reason your Consent or the Debtor's application is not accepted, then you will not be added to the SIO Supervisor List.

I would like to be added to the list of SIO Supervisors

I would like to view and print a copy of the consent, and will then return the signed front page to ITS.

I would like ITS to send a copy of the consent to my Correspondence Address, and will then return the signed front page to ITS.

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