Eligible persons register application form

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Particulars of applicant

Legal name of company

Business address

Application submitted by

Applicant name

Position in company

Contact number

Email address

Please tick one of the following criteria and refer to next paragraph for supporting documents

The applicant wishes to register with the Commission as an eligible person on the following basis:

(a) as a person who provides a telecommunications service by means of some component of a PSTN or PDN that is operated by that person
(b) as an access seeker or an access provider of (i) a designated service or specified service or (ii) a service supplied under a registered undertaking
(c) as a person who has a material interest in a draft code because that person is about to become, within the foreseeable future, a person referred to in paragraph (a) or (b)

Please upload the supporting documents below, depending on the relevant criteria:

If you ticked option (a):
- information describing the telecommunication service provided by the applicant
- a diagram or description of the applicant’s network in New Zealand
- information explaining the nature of the relationship between the applicant and any network provider
- any other information that may be relevant.
If you have ticked option (b):
- state the relevant designated service, specified service, or service supplied under a registered undertaking
- provide information to the Commission to demonstrate that the applicant is an access provider or an access seeker in respect of that service.
If you have ticked option (c):
- provide evidence of your plans for the foreseeable future. We would expect that such plans should be confirmed as true and correct and signed by a director of the applicant.

Supporting evidence

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