Step 1 - Applicant Details
Step 1
Step 2
Step 3
Step 4
What type of licence is this application for?
Please Select
Class A (friable and non-friable asbestos removal)
Class B (non-friable asbestos removal)
Applicant Details
Full legal name of business:
i.e. name registered with Companies Office or Inland Revenue
Trading name:
New Zealand Business Number (NZBN):
Contact person
Title:
Please Select
Mr
Miss
Mrs
Ms
First name:
Last name:
Work phone:
Mobile phone:
Email:
Physical address
Level/unit:
Building name:
Street number:
Street name:
Suburb:
Town/city:
Postcode:
Postal address
Same as above:
Please Select
Yes
No
P.O Box:
Level/unit:
Building name:
Street number:
Street name:
Suburb:
Town/city:
Postcode:
