New Zealand Certified Locator Program

Statutory Declaration

I (Enter your full name)

Invalid Input

of (Enter the address where you live)

Invalid Input

(Enter your occupation – for example, bricklayer, teacher, unemployed)

Invalid Input

Declaration

(List the facts in your own words. Number each point to make it clearer)

Please tick the following statements if true (tick all that apply):

I have completed a minimum number of 100 hours of locating in the last 12 months
I use the required equipment Invalid Input

(List any other relevant facts in your own words. Number each point to make it clearer)

Invalid Input