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Locum Panel
Locum Panel Registration Form
Locum Panel Registration Form
Complete this form to join the national Locum Panel.
1.
Personal Details
2.
Experience/Qualifications
3.
Referees
Personal Details
Title
-- please select --
Mr
Mrs
Miss
Ms
Dr
Prof
Surname
First names
Firm or practice name
Law Society Branch
-- please select --
Auckland
Waikato Bay of Plenty
Gisborne
Hawke’s Bay
Taranaki
Whanganui
Manawatu
Wellington
Marlborough
Nelson
Canterbury-Westland
Otago
Southland
Phone number
Email address
Address
Year of admission
Experience/Qualifications
Practice Areas
ACC
Arbitration
Administrative/Public
Bank/Finance
Civil Litigation
Company/Commercial
Criminal
Employment
Family
Health
Immigration
In-house counsel
Insurance
Intellectual Property
Lending Activities
Media law
Mediation
Privacy law
Property
Resource Management
Selling Real Estate
Tax
Treaty/Maori
Trusts and Estates
Other - please list below
(Optional)
Please give an indication of your experience and/or qualifications to provide advice for the practice areas you have ticked.
Practice on own account?
Yes
No
Trust account supervisor?
Yes
No
Are you prepared to work anywhere in New Zealand?
Yes
No
Please give an indication below of the areas/localities you are prepared to work in: (Optional)
Referees
Referee 1
Referee 2
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