heartland.investorservices.co.nz
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urlscan Pro
2606:4700:7::7d
Public Scan
URL:
https://heartland.investorservices.co.nz/
Submission: On March 08 via api from US — Scanned from US
Submission: On March 08 via api from US — Scanned from US
Form analysis 1 forms found in the DOM
POST /
<form action="/" enctype="multipart/form-data" id="form49737dbbf9f1419a8992dcf3d99a743d" method="post"><input data-val="true" data-val-required="The FormId field is required." name="FormId" type="hidden"
value="f2b957a7-d4c1-48ab-87ec-1617802fb337"><input data-val="true" data-val-required="The FormName field is required." name="FormName" type="hidden" value="BlackpearlCountryValidation"><input data-val="true"
data-val-required="The RecordId field is required." name="RecordId" type="hidden" value="00000000-0000-0000-0000-000000000000"><input name="PreviousClicked" type="hidden" value=""><input name="Theme" type="hidden" value="wasteCo"> <input
type="hidden" name="FormStep" value="0">
<input type="hidden" name="RecordState" value="Q2ZESjhHZW9ueGRkeW9CQW82Z2FYMHVjLWZybUxfaDFneVZYMDNwOG1fODQxMDNXTEFnSW1EemduaFJwdlVkdjV0VWVzSlhfenF4T3h0UVpMLUhqNDFBTDdhVEZCQXlzNkZ5SUgzOV9DZGg3aFppajlONkxKLU5SMS1wRS1tUGYtS2JlVXc=">
<div class="umbraco-forms-page" id="ac498a55-4bb5-441e-a5fe-4c0421a1a454">
<fieldset class="umbraco-forms-fieldset" id="1cb80e43-987c-436a-9da0-9c3994c93b45">
<div class="row-fluid">
<div class="umbraco-forms-container col-md-12">
<div class=" umbraco-forms-field verifyyourcountryofresidence titleanddescription">
<div class="umbraco-forms-field-wrapper">
<div id="d961c320-495d-4a99-b0f6-f7476ca17fe0" data-umb="d961c320-495d-4a99-b0f6-f7476ca17fe0" class="">
<h2>Verify your country of residence</h2>
<p>Due to legal restrictions, access to this website is only available to residents of New Zealand. In order to access this website, you must provide the region and postcode for your primary residential address within New
Zealand.<br><br>To access this website, please select your country of primary residence from the following list.</p>
</div>
<span class="field-validation-valid" data-valmsg-for="d961c320-495d-4a99-b0f6-f7476ca17fe0" data-valmsg-replace="true" role="alert"></span>
</div>
</div>
<div class=" umbraco-forms-field dataconsent dropdown mandatory alternating">
<label for="3a902dca-e2de-44b5-9a69-b9843fc1ba42" class="umbraco-forms-label"> The country of my primary residence is </label>
<div class="umbraco-forms-field-wrapper">
<select class="" name="3a902dca-e2de-44b5-9a69-b9843fc1ba42" id="3a902dca-e2de-44b5-9a69-b9843fc1ba42" data-umb="3a902dca-e2de-44b5-9a69-b9843fc1ba42" data-val="true" data-val-required="Select your Country from the Dropdown Menu"
aria-required="true">
<option value="">Select Country</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Antigua & Deps">Antigua & Deps</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia Herzegovina">Bosnia Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Brazil">Brazil</option>
<option value="Brunei">Brunei</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina">Burkina</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Central African Rep">Central African Rep</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo {Democratic Rep}">Congo {Democratic Rep}</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="East Timor">East Timor</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Greece">Greece</option>
<option value="Grenada">Grenada</option>
<option value="Guatemala">Guatemala</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Honduras">Honduras</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland {Republic}">Ireland {Republic}</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Ivory Coast">Ivory Coast</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea North">Korea North</option>
<option value="Korea South">Korea South</option>
<option value="Kosovo">Kosovo</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Laos">Laos</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia">Micronesia</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar, {Burma}">Myanmar, {Burma}</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Qatar">Qatar</option>
<option value="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="St Kitts & Nevis">St Kitts & Nevis</option>
<option value="St Lucia">St Lucia</option>
<option value="Saint Vincent & the Grenadines">Saint Vincent & the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome & Principe">Sao Tome & Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Sudan">South Sudan</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Togo">Togo</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad & Tobago">Trinidad & Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Vatican City">Vatican City</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select>
<span class="field-validation-valid" data-valmsg-for="3a902dca-e2de-44b5-9a69-b9843fc1ba42" data-valmsg-replace="true" role="alert"></span>
</div>
</div>
</div>
</div>
</fieldset>
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<div class="row-fluid">
<div class="umbraco-forms-container col-md-12">
<div class=" umbraco-forms-field thestateorterritoryofmyprimaryresidenceis dropdown mandatory">
<label for="f7fa6ee7-9621-4679-b98c-607552d6c4fd" class="umbraco-forms-label"> The region of my primary residence is </label>
<div class="umbraco-forms-field-wrapper">
<select class="" name="f7fa6ee7-9621-4679-b98c-607552d6c4fd" id="f7fa6ee7-9621-4679-b98c-607552d6c4fd" data-umb="f7fa6ee7-9621-4679-b98c-607552d6c4fd" data-val="true" data-val-required="This must be checked" aria-required="true">
<option value="">Select Region</option>
<option value="Auckland">Auckland</option>
<option value="Bay of Plenty">Bay of Plenty</option>
<option value="Canterbury">Canterbury</option>
<option value="Gisborne">Gisborne</option>
<option value="Hawke's Bay">Hawke's Bay</option>
<option value="Manawatu-Wanganui">Manawatu-Wanganui</option>
<option value="Marlborough">Marlborough</option>
<option value="Nelson">Nelson</option>
<option value="Northland">Northland</option>
<option value="Otago">Otago</option>
<option value="Southland">Southland</option>
<option value="Taranaki">Taranaki</option>
<option value="Tasman">Tasman</option>
<option value="Waikato">Waikato</option>
<option value="Wellington">Wellington</option>
<option value="West Coast">West Coast</option>
</select>
<span class="field-validation-valid" data-valmsg-for="f7fa6ee7-9621-4679-b98c-607552d6c4fd" data-valmsg-replace="true" role="alert"></span>
</div>
</div>
<div class="umbraco-forms-field thepostcodeformyprimaryresidenceis shortanswer mandatory alternating umbraco-forms-hidden" style="display: none">
<label for="0960876a-b563-45c1-a4c5-94fec081973b" class="umbraco-forms-label"> The postcode for my primary residence is </label>
<div class="umbraco-forms-field-wrapper">
<input type="number" name="0960876a-b563-45c1-a4c5-94fec081973b" id="0960876a-b563-45c1-a4c5-94fec081973b" data-umb="0960876a-b563-45c1-a4c5-94fec081973b" class="text " value="" maxlength="4" placeholder="Postcode" data-val="true"
data-val-required="Postcode is required" aria-required="true" data-val-regex="Postcode does not match region" data-val-regex-pattern="(?:060[0-9]|06[1-9][0-9]|0[7-9][0-9]{2}|1[0-9]{3}|2[0-5][0-9]{2}|26[0-7][0-9]|268[0-4])">
<span class="field-validation-valid" data-valmsg-for="0960876a-b563-45c1-a4c5-94fec081973b" data-valmsg-replace="true" role="alert"></span>
</div>
</div>
<div class="umbraco-forms-field thepostcodeformyprimaryresidenceis2 shortanswer mandatory umbraco-forms-hidden" style="display: none">
<label for="a8e5e922-d976-4ea8-d40b-b464ec6fff21" class="umbraco-forms-label"> The postcode for my primary residence is </label>
<div class="umbraco-forms-field-wrapper">
<input type="number" name="a8e5e922-d976-4ea8-d40b-b464ec6fff21" id="a8e5e922-d976-4ea8-d40b-b464ec6fff21" data-umb="a8e5e922-d976-4ea8-d40b-b464ec6fff21" class="text " value="" maxlength="4" placeholder="Postcode" data-val="true"
data-val-required="Postcode is required" aria-required="true" data-val-regex="Postcode does not match region" data-val-regex-pattern="(?:301[0-9]|30[2-9][0-9]|3[1-5][0-9]{2}|36[0-7][0-9]|368[0-2])">
<span class="field-validation-valid" data-valmsg-for="a8e5e922-d976-4ea8-d40b-b464ec6fff21" data-valmsg-replace="true" role="alert"></span>
</div>
</div>
<div class="umbraco-forms-field thepostcodeformyprimaryresidenceis3 shortanswer mandatory alternating umbraco-forms-hidden" style="display: none">
<label for="67d4e2c5-8dab-4109-ab2e-b408c302be32" class="umbraco-forms-label"> The postcode for my primary residence is </label>
<div class="umbraco-forms-field-wrapper">
<input type="number" name="67d4e2c5-8dab-4109-ab2e-b408c302be32" id="67d4e2c5-8dab-4109-ab2e-b408c302be32" data-umb="67d4e2c5-8dab-4109-ab2e-b408c302be32" class="text " value="" maxlength="4" placeholder="Postcode" data-val="true"
data-val-required="Postcode is required" aria-required="true" data-val-regex="Postcode does not match region" data-val-regex-pattern="(?:726[0-9]|72[7-9][0-9]|7[3-9][0-9]{2}|8[0-9]{3}|9[0-3][0-9]{2}|94[0-8][0-9]|949[0-8])">
<span class="field-validation-valid" data-valmsg-for="67d4e2c5-8dab-4109-ab2e-b408c302be32" data-valmsg-replace="true" role="alert"></span>
</div>
</div>
<div class="umbraco-forms-field thepostcodeformyprimaryresidenceis4 shortanswer mandatory umbraco-forms-hidden" style="display: none">
<label for="213a7ae6-a0af-4341-8177-45847296ff01" class="umbraco-forms-label"> The postcode for my primary residence is </label>
<div class="umbraco-forms-field-wrapper">
<input type="number" name="213a7ae6-a0af-4341-8177-45847296ff01" id="213a7ae6-a0af-4341-8177-45847296ff01" data-umb="213a7ae6-a0af-4341-8177-45847296ff01" class="text " value="" maxlength="4" placeholder="Postcode" data-val="true"
data-val-required="Postcode is required" aria-required="true" data-val-regex="Postcode does not match region" data-val-regex-pattern="(?:3199|3[2-9][0-9]{2}|40[0-8][0-9]|409[0-4])">
<span class="field-validation-valid" data-valmsg-for="213a7ae6-a0af-4341-8177-45847296ff01" data-valmsg-replace="true" role="alert"></span>
</div>
</div>
<div class="umbraco-forms-field thepostcodeformyprimaryresidenceis5 shortanswer mandatory alternating umbraco-forms-hidden" style="display: none">
<label for="393247f5-75a7-4ddc-b273-a4b58db57885" class="umbraco-forms-label"> The postcode for my primary residence is </label>
<div class="umbraco-forms-field-wrapper">
<input type="number" name="393247f5-75a7-4ddc-b273-a4b58db57885" id="393247f5-75a7-4ddc-b273-a4b58db57885" data-umb="393247f5-75a7-4ddc-b273-a4b58db57885" class="text " value="" maxlength="4" placeholder="Postcode" data-val="true"
data-val-required="Postcode is required" aria-required="true" data-val-regex="Postcode does not match region" data-val-regex-pattern="(?:3379|33[89][0-9]|3[4-9][0-9]{2}|4[0-8][0-9]{2}|49[0-6][0-9]|4970)">
<span class="field-validation-valid" data-valmsg-for="393247f5-75a7-4ddc-b273-a4b58db57885" data-valmsg-replace="true" role="alert"></span>
</div>
</div>
<div class="umbraco-forms-field thepostcodeformyprimaryresidenceis6 shortanswer mandatory umbraco-forms-hidden" style="display: none">
<label for="46e38480-bd3e-491e-a4e8-91c90e268577" class="umbraco-forms-label"> The postcode for my primary residence is </label>
<div class="umbraco-forms-field-wrapper">
<input type="number" name="46e38480-bd3e-491e-a4e8-91c90e268577" id="46e38480-bd3e-491e-a4e8-91c90e268577" data-umb="46e38480-bd3e-491e-a4e8-91c90e268577" class="text " value="" maxlength="4" placeholder="Postcode" data-val="true"
data-val-required="Postcode is required" aria-required="true" data-val-regex="Postcode does not match region" data-val-regex-pattern="(?:392[0-9]|39[3-9][0-9]|4[0-9]{3}|5[0-7][0-9]{2}|58[0-7][0-9]|588[0-2])">
<span class="field-validation-valid" data-valmsg-for="46e38480-bd3e-491e-a4e8-91c90e268577" data-valmsg-replace="true" role="alert"></span>
</div>
</div>
<div class="umbraco-forms-field thepostcodeformyprimaryresidenceis7 shortanswer mandatory alternating umbraco-forms-hidden" style="display: none">
<label for="767e1282-4706-49b3-9499-b89c8841b7bd" class="umbraco-forms-label"> The postcode for my primary residence is </label>
<div class="umbraco-forms-field-wrapper">
<input type="number" name="767e1282-4706-49b3-9499-b89c8841b7bd" id="767e1282-4706-49b3-9499-b89c8841b7bd" data-umb="767e1282-4706-49b3-9499-b89c8841b7bd" class="text " value="" maxlength="4" placeholder="Postcode" data-val="true"
data-val-required="Postcode is required" aria-required="true" data-val-regex="Postcode does not match region" data-val-regex-pattern="(?:710[0-9]|71[1-9][0-9]|72[0-7][0-9]|728[0-5])">
<span class="field-validation-valid" data-valmsg-for="767e1282-4706-49b3-9499-b89c8841b7bd" data-valmsg-replace="true" role="alert"></span>
</div>
</div>
<div class="umbraco-forms-field thepostcodeformyprimaryresidenceis8 shortanswer mandatory umbraco-forms-hidden" style="display: none">
<label for="56e58b74-3351-48be-cd7f-c2efd485be5a" class="umbraco-forms-label"> The postcode for my primary residence is </label>
<div class="umbraco-forms-field-wrapper">
<input type="number" name="56e58b74-3351-48be-cd7f-c2efd485be5a" id="56e58b74-3351-48be-cd7f-c2efd485be5a" data-umb="56e58b74-3351-48be-cd7f-c2efd485be5a" class="text " value="" maxlength="4" placeholder="Postcode" data-val="true"
data-val-required="Postcode is required" aria-required="true" data-val-regex="Postcode does not match region" data-val-regex-pattern="(?:701[0-9]|70[2-7][0-9]|708[01])">
<span class="field-validation-valid" data-valmsg-for="56e58b74-3351-48be-cd7f-c2efd485be5a" data-valmsg-replace="true" role="alert"></span>
</div>
</div>
<div class="umbraco-forms-field thepostcodeformyprimaryresidenceis9 shortanswer mandatory alternating umbraco-forms-hidden" style="display: none">
<label for="e23f8563-d662-4d76-9cc2-0722d4c0b667" class="umbraco-forms-label"> The postcode for my primary residence is </label>
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</form>Text Content
BLACKPEARL GROUP
SHARE PURCHASE PLAN
VERIFY YOUR COUNTRY OF RESIDENCE
Due to legal restrictions, access to this website is only available to residents
of New Zealand. In order to access this website, you must provide the region and
postcode for your primary residential address within New Zealand.
To access this website, please select your country of primary residence from the
following list.
The country of my primary residence is
Select Country Afghanistan Albania Algeria Andorra Angola Antigua & Deps
Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh
Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia Herzegovina Botswana
Brazil Brunei Bulgaria Burkina Burundi Cambodia Cameroon Canada Cape Verde
Central African Rep Chad Chile China Colombia Comoros Congo Congo {Democratic
Rep} Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica
Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea
Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana
Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary
Iceland India Indonesia Iran Iraq Ireland {Republic} Israel Italy Ivory Coast
Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea North Korea South Kosovo
Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein
Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta
Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia
Montenegro Morocco Mozambique Myanmar, {Burma} Namibia Nauru Nepal Netherlands
New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New
Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russian
Federation Rwanda St Kitts & Nevis St Lucia Saint Vincent & the Grenadines Samoa
San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra
Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South
Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan
Tajikistan Tanzania Thailand Togo Tonga Trinidad & Tobago Tunisia Turkey
Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United
States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia
Zimbabwe
The region of my primary residence is
Select Region Auckland Bay of Plenty Canterbury Gisborne Hawke's Bay
Manawatu-Wanganui Marlborough Nelson Northland Otago Southland Taranaki Tasman
Waikato Wellington West Coast
The postcode for my primary residence is
The postcode for my primary residence is
The postcode for my primary residence is
The postcode for my primary residence is
The postcode for my primary residence is
The postcode for my primary residence is
The postcode for my primary residence is
The postcode for my primary residence is
The postcode for my primary residence is
The postcode for my primary residence is
The postcode for my primary residence is
The postcode for my primary residence is
The postcode for my primary residence is
The postcode for my primary residence is
The postcode for my primary residence is
The postcode for my primary residence is
I confirm that the above residency details are true and accurate in all
respects.
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