NEW ZEALAND BUILDERS ASSOCIATION

NZBA 10-Year Building Guarantee

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Application Form

Basic Information

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Contractor Details

Owner Details

THE PERSONNEL OR LICENSED BUILDING PRACTITIONERS (LBP) WHO CARRIED OUT OR SUPERVISED THE RESTRICTED BUILDING WORK ARE AS FOLLOWS (If not applicable, please leave blank.)

Carpentry work LBP Details

Name

Drainlayer License Details

Name

Plumber License Details

Name

Electrician License Details

Name

THE PERSONNEL OR LICENSED BUILDING PRACTITIONERS (LBP) WHO CARRIED OUT OR SUPERVISED THE RESTRICTED BUILDING WORK ARE AS FOLLOWS (If not applicable, please leave blank.)

Gas Fitter License Details

Name

Foundation work LBP Details

Name

Bricklaying LBP Details

Name

External plastering LBP Details

Name

THE PERSONNEL OR LICENSED BUILDING PRACTITIONERS (LBP) WHO CARRIED OUT OR SUPERVISED THE RESTRICTED BUILDING WORK ARE AS FOLLOWS (If not applicable, please leave blank.)

Roofing work LBP Details

Name

Acknowledgment

The parties to this agreement confirms that:
1. Upon this application being accepted, a Provisional Guarantee certificate shall be issue.
2. On completion of the project work and passed the final inspection, a Guarantee Certificate shall be issued.
3. The information provided are correct at the time of this application.
4. Further the parties agrees to immediately inform if there is any change to the information provided in this application.
5. If any of the information provided in this application were to be incorrect, misleading or correct information to be withheld, this agreement immediately is at end.
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Max. file size: 2 GB.
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Max. file size: 2 GB.