Business support grant application

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First name

Last name

Phone number

New Zealand Business Number (NZBN)

Business legal name

Business trading name

Business physical address

Business IRD number

Bank account name

Bank account number

Bank account verification

Please attach a bank deposit slip or bank account verification that clearly shows bank logo, name of person or business that has applied and the account number - eg. the top of a bank statement or a clearly visible screenshot from your online banking

By ticking each box, the applicant declares that:

The information provided is true and correct.

The business is primarily located in Tairāwhiti.

The business was operating and viable before Cyclone Gabrielle and will continue to be viable after the event.

They commit to acting in line with employment law and with due regard to your employee(s).

The business has not received or are eligible to recieve any funding from the MPI recovery fund at the time the business is being considered for a grant under the Business Recovery Grants Programme.

They are the business owner or have the authority to act on behalf of the business owner.

They agree to and accept the terms and conditions of this application.

I am not a robot

Terms & Conditions