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Please fill out all your information below.

First Name *

Last Name

Email *

IRD No *

Address

WHEN DID YOU START DRIVING?

WHAT DO YOU DRIVE? *

UBER EATS

TAXI (UBERX, OLA ETC)

WHEN DID YOU START DRIVING?

HOW MANY HOURS DO YOU DRIVE ON AVERAGE PER WEEK? *

Less than 20 hours

More than 20 hours

CAR PURCHASE DATE

CAR PURCHASE VALUE

DID YOU PURCHASE THE CAR ON FINANCE?

Yes (please attach loan statement)

No

Not Applicable

DID YOU BUY A PHONE IN THE LAST FINANCIAL YEAR?

YES

NO

PHONE PURCHASE DATE

PHONE PURCHASE VALUE

HOW DID YOU PURCHASE YOUR PHONE?

Full Payment Upfront

Monthly Plan

Not Applicable

HOW MUCH HOUSE RENT DO YOU PAY PER WEEK?

ANY OTHER INFORMATION YOU WOULD LIKE US TO KNOW?

Declaration *

I declare that the information provided above is accurate and complete to file my income tax returns for the relevant financial year.

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