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HHR Registration - Information

Applications for the General Health Grants must be applied for by a nominated Household Representative (HHR).
The HHR will make the General Health Grant applications on behalf of all whanau who live in your home;
and the grant will be paid into the bank account of the nominated HHR.
General Health Grant applications will only be processed once a Household Representative Registration
Form has been received with supporting documentation, signed consents and declaration.

Please complete online form below:

HHR Registration - International

  • Personal Details - must be over the age of 18

  • DD slash MM slash YYYY
  • Contact Information

  • Address

  • Bank Account

  • Branch
  • Drop files here or
    Max. file size: 250 MB.
      (e.g. Bank Statement, deposit slip or bank chit)
    • Household Members Details

    • MM slash DD slash YYYY
    • MM slash DD slash YYYY
    • MM slash DD slash YYYY
    • MM slash DD slash YYYY
    • MM slash DD slash YYYY
    • Declaration