IMPORTANT! This document must be uploaded online OR faxed to 0508 266 736 (0508 CONSENT) or +64 9 913 4213
Please do not return this document by post
Consent and certificate of director
Section 152 Companies Act 1993
Company name Company number
IMPORTANT Please ensure that you are not disqualified from being a director of this company before signing this consent form. Please read the
disqualification details below.
Director’s details (Please ensure your full legal name is provided. Initials are not allowed)
First name(s)
Surname
Full residential address
Date of appointment
Director’s consent
I consent to be a director of the above company and certify that I am not disqualified from being appointed or holding office as a director of a
company.
Signature …………………………………………………………….………………………………………………………………………………………………………………………………………….
Name of signatory
Date
DISQUALIFICATION DETAILS
Please ensure that you are not disqualified from being a director for this company before signing this consent form
1. A person who is not a natural person cannot be a director of a company.
2. A person cannot be a director of a company if he or she is any of the following:
› under 18 years of age
› an undischarged bankrupt
› prohibited from being a director or promoter of, or being concerned or taking part in the management of, a company under any statutory provisions
› subject to a property order under section 30 or 31 of the Protection of Personal and Property Rights Act 1988
› not eligible because of requirements contained in the company's constitution (if any).
Prohibited persons
3. Persons prohibited from being a director or promoter of, or being concerned or taking part in the management of, a company include,
but are not limited to,—
› people who have been convicted of a crime involving dishonesty in the last five years
› people prohibited by the Registrar of Companies or the Financial Markets Authority from managing a company
› people prohibited under the laws of a prescribed country, State, or territory (outside New Zealand) from being a director or promoter of, or being
concerned or taking part in the management of, an overseas company
› people prohibited under section 103A, 103B, 103D, or 103E of the Limited Partnerships Act 2008 from being a general partner or promoter of, or being
concerned or taking part in the management of, a limited partnership
› people prohibited under the laws of a prescribed country, State, or territory (outside New Zealand) from being a general partner or promoter of, or being
concerned or taking part in the management of, an overseas limited partnership.
For more information refer to sections 151 and 382 to 385 of the Companies Act 1993. View a copy of the Act online for free at www.legislation.govt.nz
.
Completed by
Page 1 of 1
Form 9
Form version | October 2017
Name:
Postal address:
