NZLS | CPD self-audit status application

Organistation details

Name of organisation

Postal address

NZLS Firm ID

Number of lawyers in organisation

Type of organisation Law firm Law firm branch Barrister practise Incorporated law firm Incorporated law firm branch In-house lawyers Other

Person applying on behalf of organisation

Name

Position in organistation

Phone

Email

Proposed CPD officer

Name

Position in organisation

Phone

Address

Email

Describe how the CPD officer is to review and monitor compliance with the CPD Rules, and the organisation’s CPD policies and procedures/the organisation’s self-auditing plan

Brief description of experience (i.e. years of practice and areas)

Do you agree to act as the CPD officer for the organisation stated in section 1? Yes No

Do you agree to an audit of your CPDPR? Yes No

Are you aware of any matter that may adversely affect your ability to carry out this role? Yes No

Date