| Sex * |
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Male
Female
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| Ethnicity * |
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| Location * |
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| How many children do you have? * |
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| Are you a child of divorced/divorcing parents * |
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Yes
No
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| Site Visitor Category * |
Separated
Divorced
I am a friend of someone going through divorce
I am a friend of someone going through divorce
I am considering separation or divorce from a marital or defacto partner
I am considering separation or divorce from a marital or defacto partner
I work for an organisation or company providing services to the Divorce community
Other
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| What Type of Relationship are you In? * |
Married less than 2 years
Married more than 2 years
Separated less than 2 years
Separated more than 2 years
Defacto less than 2 years
Defacto more than 2 years
Remarried
I am not in a relationship
Other
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New Zealand and Australian Residents Only.
Although the remainder of this registration form is not compulsory, please continue to assist us in tailoring
our content to suit our users' needs.
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| If you would like to share your opinions reguarly and wish to be
enlisted to our DIVORCE PANEL please enter your personal details below. |
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Yes, I would like to join the Divorce Panel
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| Street Address |
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| Suburb |
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| City |
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| Phone |
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| Fax |
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If you have children, do you care for them full-time
or share parenting.
Select which applies to you. |
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| Do you pay child maintenance? |
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Yes
No
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| Do you receive child maintenance? |
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Yes
No
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| Do you pay child maintenance through the IRD? |
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Yes
No
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| Do you receive child maintenance from the IRD? |
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Yes
No
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| What is Your Employment Status? |
Full Time Job
Paid Employment (less than 20 Hours)
Paid Employment (greater than 20 hours)
Self Employed
On a benefit
Student
Volunteer
Unemployed
Other
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| What is your personal income? |
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| What is your household income? |
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| Accommodation. Tick the one that applies to you. |
Own my Own Home
Board
Rent
Other
Weekly cost $
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