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Refugee Form

Full Name

as is appears on your birth certificate or passport

First Name

Last Name

Date of Birth

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Additional Family Members

If your claim includes additional family members please list the full name and date of birth (dd - mm - yyyy) of each individual

Nationality

Religion

Where were you born?

Where did you spend the majority of your time in your home country?

How long have you been in New Zealand?

What have you been doing whilst in New Zealand?

When does your visa expire?

What kind of visa do you have?

What/Who do you fear if you return to your home country?

Will you bring a support person to your Initial consultation? If so, how many and who?

Will you require an interpreter? (Note: if Legal aid decline your application, you will be liable to pay the cost of the interpreter):

Will you require a carpark when attending the Initial Consultation?

Family Law Onboarding

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Your role in the dispute

Brief Summary of Issues

Are there any Court proceedings on foot?

When is the next Court date?

Court location:

Are you currently represented? Is yes, name of lawyer:

Will you be needing Legal Aid assistance?

Name's and DOB's of children and whom they reside with: (if applicable)

Name of any Lawyer for Child: (if applicable)

First Name

Last Name

Other parties details (Name, Role & Lawyer if known):

Māori Land Onboarding

Full Name

First Name

Last Name

Phone

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What does your enquiry relate to?

What are you seeking to achieve from our services?

Details of Relevant Land (i.e., Lot Number, Address, Description)

What is your role in the dispute?

Brief Summary of Issues

Are there any Court proceedings on foot?

When is the next Court date?

Court location:

Will you be needing Legal Aid assistance?

Are there any trusts relevant to the matter?

Are you currently represented? If yes, name of lawyer:

Details of other parties involved, if known (Name, Role & Lawyer if known):

Contact Info

09 620 6240
09 620 6250
admin@dixonandcolawyers.com

Address

Level 8, 56 Cawley Street, Ellerslie, Auckland
PO Box 11 359, Ellerslie, Auckland 1542

Office Hours

Monday - Friday 8:30 am to 5:00 pm

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