2
What is the name of your dispute resolution
scheme?
What is your New Zealand Business Number
(if applicable)?
Does the entity have any past, current or pending criminal prosecutions,
civil litigations or administrative actions involving it?
If YES, please provide details.
NOTE: FMC Act licensees and authorised bodies are not required to
complete this question.
Yes No
to complete
Is your entity a licensed provider under the Financial Service Providers (Registration
and Dispute Resolution) Act 2008?
QFEs and QFE groups – is this application being made by a QFE and/or one or more
members of a QFE group under the Financial Advisers Act 2008?
If YES, please answer questions 9a – 9c.
What is the name of the QFE and/or QFE group?
Has the QFE agreed to the members of its QFE group making this application?
Would the QFE like us to treat this application as notification of its intention to change
the financial adviser services and compliance arrangements of the QFE or QFE group
for the purposes of QFE standard condition 1.8?
If YES, please provide below
any further details required for this notification that are not
addressed elsewhere in this application.
Yes No
What personalised financial adviser services does the digital advice service relate to?
Please select one or both of the options (as applicable)