{"id":2067,"date":"2018-04-19T11:58:53","date_gmt":"2018-04-18T23:58:53","guid":{"rendered":"https:\/\/pkw.co.nz\/?page_id=2067"},"modified":"2018-04-19T12:21:05","modified_gmt":"2018-04-19T00:21:05","slug":"shareholder-form","status":"publish","type":"page","link":"https:\/\/pkw.co.nz\/shareholder-form\/","title":{"rendered":"Shareholder Form"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row][vc_column]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2064-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/wp-json\/wp\/v2\/pages\/2067#wpcf7-f2064-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"2064\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.8.7\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2064-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:2064,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;bank&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;details-bank&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Bank Account Details&quot;}]},{&quot;then_field&quot;:&quot;contact&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;details-contact&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Contact Details&quot;}]},{&quot;then_field&quot;:&quot;personal&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;details-personal&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Personal Details&quot;}]},{&quot;then_field&quot;:&quot;blank&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;country&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;&quot;}]},{&quot;then_field&quot;:&quot;au&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;country&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Australia&quot;}]},{&quot;then_field&quot;:&quot;nz&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;country&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;New Zealand&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:&quot;500&quot;,&quot;animation_outtime&quot;:&quot;500&quot;,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:&quot;&quot;,&quot;wpcf7cf_settings_saved&quot;:&quot;1&quot;,&quot;notice_dismissed_rollback-cf7-5.8.6&quot;:true}}\" \/>\n<input type=\"hidden\" name=\"redirect_nonce\" value=\"39669c06e8\" \/>\n<input type=\"hidden\" name=\"wpcf7cfpdf_hidden_name\" value=\"PKW-Shareholder-Form\" \/>\n<input type=\"hidden\" name=\"wpcf7cfpdf_hidden_reference\" value=\"662ec0e5ae475\" \/>\n<input type=\"hidden\" name=\"wpcf7cfpdf_hidden_date\" value=\"April29,2024\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<p><span id=\"wpcf7-662ec0e5af78f-wrapper\" class=\"wpcf7-form-control-wrap honeypot-403-wrap\" ><input type=\"hidden\" name=\"honeypot-403-time-start\" value=\"1714340069\"><input type=\"hidden\" name=\"honeypot-403-time-check\" value=\"15\"><label for=\"wpcf7-662ec0e5af78f-field\" class=\"hp-message\">Please leave this field empty.<\/label><input id=\"wpcf7-662ec0e5af78f-field\"  class=\"wpcf7-form-control wpcf7-text\" type=\"text\" name=\"honeypot-403\" value=\"\" size=\"40\" tabindex=\"-1\" autocomplete=\"off\" \/><\/span>\n<\/p>\n<h2 style=\"padding: 40px 0 40px 0\">Enter your details\n<\/h2>\n<div class=\"address-box-left\">\n\t<p><label> Shareholder Number (required)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"shareholder-number\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number tel-main text-sup\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"shareholder-number\" \/><\/span>\n\t<\/p>\n\t<p><label> Shareholder Name or Name of Trust (required)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"shareholder-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required text-sup\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"shareholder-name\" \/><\/span>\n\t<\/p>\n\t<p><label> Your Email Address (required)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"shareholder-email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email text-sup\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"shareholder-email\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"address-box-right\">\n\t<p>What information would you like to update?\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"details-personal\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"details-personal[]\" value=\"Personal Details\" \/><span class=\"wpcf7-list-item-label\">Personal Details<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"details-contact\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"details-contact[]\" value=\"Contact Details\" \/><span class=\"wpcf7-list-item-label\">Contact Details<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"details-bank\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"details-bank[]\" value=\"Bank Account Details\" \/><span class=\"wpcf7-list-item-label\">Bank Account Details<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div style=\"clear: both\">\n<\/div>\n<div data-id=\"personal\" data-orig_data_id=\"personal\"  data-class=\"wpcf7cf_group\">\n<hr style=\"margin-top: 50px\" \/>\n\t<h2 style=\"padding: 40px 0 40px 0\">Personal Details\n\t<\/h2>\n\t<div class=\"address-box-left\">\n\t\t<p><label> Date of Birth<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"shareholder-birthday\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text text-sup\" aria-invalid=\"false\" placeholder=\"dd\/mm\/yyyy\" value=\"\" type=\"text\" name=\"shareholder-birthday\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"address-box-right\">\n\t\t<p><label> IRD Number <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"shareholder-ird1\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number gst-sup\" min=\"0\" max=\"999\" aria-invalid=\"false\" placeholder=\"123\" value=\"\" type=\"number\" name=\"shareholder-ird1\" \/><\/span>-<span class=\"wpcf7-form-control-wrap\" data-name=\"shareholder-ird2\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number gst-sup\" min=\"0\" max=\"999\" aria-invalid=\"false\" placeholder=\"456\" value=\"\" type=\"number\" name=\"shareholder-ird2\" \/><\/span>-<span class=\"wpcf7-form-control-wrap\" data-name=\"shareholder-ird3\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number gst-sup\" min=\"0\" max=\"999\" aria-invalid=\"false\" placeholder=\"789\" value=\"\" type=\"number\" name=\"shareholder-ird3\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"clear: both\">\n\t<\/div>\n\t<p><em style=\"padding-bottom: 20px\">Tick the iwi you whakapapa\/affiliate to:<\/em><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"iwi\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"iwi[]\" value=\"Ng\u0101 Tama\" \/><span class=\"wpcf7-list-item-label\">Ng\u0101 Tama<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"iwi[]\" value=\"Ng\u0101 Mutunga\" \/><span class=\"wpcf7-list-item-label\">Ng\u0101 Mutunga<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"iwi[]\" value=\"Te Atiawa\" \/><span class=\"wpcf7-list-item-label\">Te Atiawa<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"iwi[]\" value=\"Ng\u0101ti Maru\" \/><span class=\"wpcf7-list-item-label\">Ng\u0101ti Maru<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"iwi[]\" value=\"Taranaki\" \/><span class=\"wpcf7-list-item-label\">Taranaki<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"iwi[]\" value=\"Ng\u0101ruahine\" \/><span class=\"wpcf7-list-item-label\">Ng\u0101ruahine<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"iwi[]\" value=\"Ng\u0101  Ruanui\" \/><span class=\"wpcf7-list-item-label\">Ng\u0101  Ruanui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"iwi[]\" value=\"Ng\u0101 Rauru\" \/><span class=\"wpcf7-list-item-label\">Ng\u0101 Rauru<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div data-id=\"contact\" data-orig_data_id=\"contact\"  data-class=\"wpcf7cf_group\">\n<hr style=\"margin-top: 50px\" \/>\n\t<h2 style=\"padding: 40px 0 40px 0\">Contact Details\n\t<\/h2>\n\t<div class=\"address-box-left\">\n\t\t<p><label> Postal Address (required)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"shareholder-address\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea text-sup\" aria-invalid=\"false\" name=\"shareholder-address\"><\/textarea><\/span><br \/>\n<label> Post Code (required)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"shareholder-postcode\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number postcode-sup\" min=\"00\" max=\"9999\" aria-invalid=\"false\" placeholder=\"1234\" value=\"\" type=\"number\" name=\"shareholder-postcode\" \/><\/span><br \/>\n<a href=\"https:\/\/www.nzpost.co.nz\/tools\/address-postcode-finder\" target=\"_blank\">Click here to find your postcode &raquo;<\/a>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"address-box-right\">\n\t\t<p><label> Landline<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"shareholder-landline\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel text-sup\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"shareholder-landline\" \/><\/span><br \/>\n<label> Mobile <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"shareholder-mobile\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel text-sup\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"shareholder-mobile\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"clear: both\">\n\t<\/div>\n<\/div>\n<div data-id=\"bank\" data-orig_data_id=\"bank\"  data-class=\"wpcf7cf_group\">\n<hr style=\"margin-top: 50px\" \/>\n\t<h2 style=\"padding: 40px 0 40px 0\">Bank Account Details\n\t<\/h2>\n\t<p><label> Country (required)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"country\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"country\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"New Zealand\">New Zealand<\/option><option value=\"Australia\">Australia<\/option><\/select><\/span>\n\t<\/p>\n\t<div data-id=\"blank\" data-orig_data_id=\"blank\"  data-class=\"wpcf7cf_group\">\n\t\t<p><em>Please select your country above to display relevant bank account fields.<\/em>\n\t\t<\/p>\n\t<\/div>\n\t<div data-id=\"nz\" data-orig_data_id=\"nz\"  data-class=\"wpcf7cf_group\">\n\t\t<div class=\"address-box-left\">\n\t\t\t<p><label> Account Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nz-account-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text text-sup\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nz-account-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label> Name of Bank<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nz-bank-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text text-sup\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nz-bank-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label>Branch<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nz-branch\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text text-sup\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nz-branch\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"address-box-right\" style=\"padding-top: 30px\">\n\t\t\t<p><strong>Photo ID Upload (required)<\/strong><br \/>\n<em>JPG or PDF smaller than 2MB<\/em>\n\t\t\t<\/p>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nz-id-upload\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".pdf,.jpg,.jpeg\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"nz-id-upload\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><strong>Account Confirmation Upload (required)<\/strong><br \/>\n<em>JPG or PDF smaller than 2MB<\/em>\n\t\t\t<\/p>\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"nz-confirmation-upload\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".pdf,.jpg,.jpeg\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"nz-confirmation-upload\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div style=\"clear:both\">\n\t\t<\/div>\n\t\t<p><label> Bank Account Number (required) <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nz-account-number\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required text-sup\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"12-1234-1234567-012\" value=\"\" type=\"text\" name=\"nz-account-number\" \/><\/span>\n\t\t<\/p>\n\t\t<p style=\"font-weight: bold; color: #148073\">If you are supplying your bank account, you must a attach a legible copy of your photo ID, eg: a Passport or Driver\u2019s Licence.\n\t\t<\/p>\n\t\t<p style=\"font-weight: bold; color: #148073\">PKW is not responsible if the bank account provided is incorrect, therefore, please attach a bank confirmation of the account number.\n\t\t<\/p>\n\t<\/div>\n\t<div data-id=\"au\" data-orig_data_id=\"au\"  data-class=\"wpcf7cf_group\">\n\t\t<div class=\"address-box-left\">\n\t\t\t<p><label> Name of Account<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"au-account-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text text-sup\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"au-account-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label> Name of Bank<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"au-bank-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text text-sup\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"au-bank-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label>Branch<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"au-branch\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text text-sup\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"au-branch\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label> Bank Address<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"au-bank-address\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea text-sup\" aria-invalid=\"false\" name=\"au-bank-address\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t\t<p><label> Full Residential Address (please include your postcode)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"aus-resident-address\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea text-sup\" aria-invalid=\"false\" name=\"aus-resident-address\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"address-box-right\" style=\"padding-top: 20px\">\n\t\t\t<p style=\"color: red; font-weight: bold\">Australian account holders, read this first:\n\t\t\t<\/p>\n\t\t\t<p style=\"background:#eee; padding: 20px;\"><em>Electronic transfers to Australia incur an international bank charge of up to NZ$43. Only dividends greater than $100 will be paid. PKW does not transfer dividends to Beneficiary Banks eg: Credit Unions, Teachers or Policy and Nurses Unions etc and, the Australian SWIFT Code is mandatory.<\/em>\n\t\t\t<\/p>\n\t\t\t<p><strong>Photo ID Upload (required)<\/strong><br \/>\n<em>JPG or PDF smaller than 2MB<\/em><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"au-id-upload\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".pdf,.jpg,.jpeg\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"au-id-upload\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<p><strong>Account Confirmation Upload (required)<\/strong><br \/>\n<em>JPG or PDF smaller than 2MB<\/em><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"au-confirmation-upload\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".pdf,.jpg,.jpeg\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"au-confirmation-upload\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div style=\"clear:both\">\n\t\t<\/div>\n\t\t<div class=\"address-box-left\">\n\t\t\t<p><label>BSB <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"au-bsb\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text text-sup\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"au-bsb\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"address-box-right\">\n\t\t\t<p><label>Swift Code<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"au-swift\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text text-sup\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"au-swift\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div style=\"clear: both\">\n\t\t<\/div>\n\t\t<p><label>Account Number<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"au-account-number\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text text-sup\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"au-account-number\" \/><\/span>\n\t\t<\/p>\n\t\t<p style=\"font-weight: bold; color: #148073\">If you are supplying your bank account, you must a attach a legible copy of your photo ID, eg: a Passport or Driver\u2019s Licence.\n\t\t<\/p>\n\t\t<p style=\"font-weight: bold; color: #148073\">PKW is not responsible if the bank account provided is incorrect, therefore, please attach a bank confirmation of the account number.\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div style=\"margin-top: 50px\">\n<\/div>\n<hr style=\"margin-top: 50px\" \/>\n<h2 style=\"padding: 40px 0 40px 0\">Please sign\n<\/h2>\n<p style=\"font-weight: bold; color: red\">If there is more than one executor, administrator or trustee, a second authorised signatory must also sign this section.\n<\/p>\n<div class=\"address-box-left\">\n\t<p><label>Name (required)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"signature-name1\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required text-sup\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"signature-name1\" \/><\/span><br \/>\n<label>Date (required)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"signature-date1\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required text-sup\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"signature-date1\" \/><\/span><br \/>\n<label>Signature (required)<\/label>\n\t<\/p>\n\t<p><em>Please draw your signature in the box below:<\/em><br \/>\n<div class=\"wpcf7-form-control-signature-global-wrap\" data-field-id=\"signature1\">\n\t\t\t\t<div class=\"wpcf7-form-control-signature-wrap\" style=\"width:520px;height:200px;\">\n\t\t\t\t\t<div class=\"wpcf7-form-control-signature-body\">\n\t\t\t\t\t\t<canvas data-color=\"#000000\" data-background=\"#C5E2DB\" id=\"wpcf7_signature1_signature\" class=\"signature1\"><\/canvas>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wpcf7-form-control-clear-wrap\">\n\t\t\t\t\t<input id=\"wpcf7_signature1_clear\" type=\"button\" value=\"Clear\"\/>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<span class=\"wpcf7-form-control-wrap wpcf7-form-control-signature-input-wrap signature1\">\n\t\t\t\t<input aria-invalid=\"false\" value=\"\" type=\"hidden\" name=\"signature1\" id=\"wpcf7_input_signature1\"\/><input type=\"hidden\" name=\"signature1-attachment\" id=\"wpcf7_input_signature1_attachment\"\/><input type=\"hidden\" name=\"signature1-inline\" id=\"wpcf7_input_signature1_inline\"\/>\n\t\t\t<\/span>\n\t\t\t\n\t<\/p>\n<\/div>\n<div class=\"address-box-right\">\n\t<p><label>Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"signature-name2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text text-sup\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"signature-name2\" \/><\/span><br \/>\n<label>Date<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"signature-date2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text text-sup\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"signature-date2\" \/><\/span><br \/>\n<label>Signature<\/label>\n\t<\/p>\n\t<p><em>Please draw your signature in the box below:<\/em><br \/>\n<div class=\"wpcf7-form-control-signature-global-wrap\" data-field-id=\"signature2\">\n\t\t\t\t<div class=\"wpcf7-form-control-signature-wrap\" style=\"width:520px;height:200px;\">\n\t\t\t\t\t<div class=\"wpcf7-form-control-signature-body\">\n\t\t\t\t\t\t<canvas data-color=\"#000000\" data-background=\"#C5E2DB\" id=\"wpcf7_signature2_signature\" class=\"signature2\"><\/canvas>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wpcf7-form-control-clear-wrap\">\n\t\t\t\t\t<input id=\"wpcf7_signature2_clear\" type=\"button\" value=\"Clear\"\/>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<span class=\"wpcf7-form-control-wrap wpcf7-form-control-signature-input-wrap signature2\">\n\t\t\t\t<input aria-invalid=\"false\" value=\"\" type=\"hidden\" name=\"signature2\" id=\"wpcf7_input_signature2\"\/><input type=\"hidden\" name=\"signature2-attachment\" id=\"wpcf7_input_signature2_attachment\"\/><input type=\"hidden\" name=\"signature2-inline\" id=\"wpcf7_input_signature2_inline\"\/>\n\t\t\t<\/span>\n\t\t\t\n\t<\/p>\n<\/div>\n<div style=\"clear: both; margin-top: 60px\">\n\t<p>&nbsp;\n\t<\/p>\n<\/div>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-shareholder\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-shareholder\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">By checking this box I confirm that I am the owner (or trustee\/administrator\/executor) of the shares shown above<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p>\n<span class=\"wpcf7-form-control-wrap recaptcha\" data-name=\"recaptcha\"><span data-sitekey=\"6LdUVh4TAAAAAMySw_cd287RVQywSEXWoD-5BYzg\" class=\"wpcf7-form-control wpcf7-recaptcha g-recaptcha\"><\/span>\r\n<noscript>\r\n\t<div class=\"grecaptcha-noscript\">\r\n\t\t<iframe loading=\"lazy\" src=\"https:\/\/www.google.com\/recaptcha\/api\/fallback?k=6LdUVh4TAAAAAMySw_cd287RVQywSEXWoD-5BYzg\" frameborder=\"0\" scrolling=\"no\" width=\"310\" height=\"430\">\r\n\t\t<\/iframe>\r\n\t\t<textarea name=\"g-recaptcha-response\" rows=\"3\" cols=\"40\" placeholder=\"reCaptcha Response Here\">\r\n\t\t<\/textarea>\r\n\t<\/div>\r\n<\/noscript>\r\n<\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit Form Now\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/pkw.co.nz\/wp-json\/wp\/v2\/pages\/2067"}],"collection":[{"href":"https:\/\/pkw.co.nz\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pkw.co.nz\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pkw.co.nz\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pkw.co.nz\/wp-json\/wp\/v2\/comments?post=2067"}],"version-history":[{"count":4,"href":"https:\/\/pkw.co.nz\/wp-json\/wp\/v2\/pages\/2067\/revisions"}],"predecessor-version":[{"id":2071,"href":"https:\/\/pkw.co.nz\/wp-json\/wp\/v2\/pages\/2067\/revisions\/2071"}],"wp:attachment":[{"href":"https:\/\/pkw.co.nz\/wp-json\/wp\/v2\/media?parent=2067"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}