WCC New Manager's Certificate

Applicant details

Before you start the process, tell us a bit about yourself.

First name

Middle name(s)

Last name

Date of birth

You must be at least 20 years of age

Country of Birth

Place of Birth

Gender Male Female Other

Contact details

Email address

Confirm email address

Contact phone

Mobile phone

Flat number

Residential street address

Suburb

City

Is your mailing address different from the above? Yes No

Identification

You are required to provide and attach one form of identification.

Passport Number

Drivers Licence Number

Upload a copy of a legal form of identification E.G. passport, drivers licence, 18+ card (png, gif, jpg, jpeg, doc, xls, docx, xlsx, pdf)

Upload

Criminal record check

You are required to state any criminal convictions you have inside or outside of New Zealand. You do not need to state convictions for offences against provisions of the Land Transport Act 1998 not contained in Part 6, and offences to which the Criminal Records (Clean Slate) Act 2004 applies. This application will go to the police for a full criminal convictions check.

Do you have any criminal convictions? Yes No

Current employment

Do you intend to be the manager of a specific licensed premises? Yes No

Employment history

If applicable, tell us about your previous roles in the hospitality industry.

Name of employer

Occupation

Period of employment from

Period of employment to

Upload two signed and dated work references that are less than one year old. One must be from the premises you intend to manage and must describe your character and suitability. (References from family members and relatives are not acceptable)

If you have any issues or queries regarding this, please contact secretaryDLC@wcc.govt.nz

Upload two character references (png, gif, jpg, jpeg, doc, xls, docx, xlsx, pdf)

Upload

Experience & qualifications

Have you had any experience in managing licensed premises? Yes No

Upload a copy of your Licence Contoller Qualification (LCQ) (png, gif, jpg, jpeg, doc, xls, docx, xlsx, pdf)

Upload

Please indicate the Unit Standards that your LCQ was issued under 1989 2012

Applicant details

First name

Middle name(s)

Last name

Date of birth

Country of birth

Place of birth

Gender

Contact details

Contact phone

Mobile phone

Flat number

Residential street address

Suburb

City

Is your mailing address different from the above?

Identification

Passport Number

Drivers Licence Number

Uploaded copies of identification

Criminal record check

Criminal convictions

Current employment

What is the name of the licensed premises that you intend to be a Duty Manager for?

Premises type

What will your role be?

Employment history

Name of employer

Occupation

Period of employment from

Period of employment to

Character references

Uploaded two signed and dated work references

Experience & qualifications

Have you had any experience in managing licensed premises?

Uploaded copy of your Licence Contoller Qualification (LCQ)

Unit Standards that your LCQ was issued under

Interview

If your application is accepted, you will be invited to attend an interview. Would your preference be: Morning Afternoon

Fees

The application fee is $316.25.

How would you like to pay? Credit Card
Account 2 Account

By ticking this box, I confirm that all the information I have provided in this application is true and correct.

By ticking this box, I authorise New Zealand Police to disclose any personal information it considers relevant to my application to the Medical Officer of Health and/or the Licensing Inspector for the purpose of assessing my suitability.

Privacy statement

Information contained in your application and any supporting information will be held by Wellington City Council to enable your application to be processed under the Sale and Supply of Alcohol Act 2012. This information will be made available to the public on request. The information will be provided to the Wellington District Licensing Committee, the Police, and the Council's Inspectors. This information may form part of a public hearing of your application before the Wellington District Licensing Committee and may be used in the Committee's decision for your application. Decisions will be made publicly available. The Council is required to keep a statutory register of all manager's certificate applications and the District Licensing Committee's decisions on them. The Council is required to report statistics about applications to the Alcohol Regulatory and Licensing Authority. Any member of the public may request access to this information under the Local Government Official Information and Meetings Act 1987. This information may also be used under the Privacy Act 2020. You have the right to see and correct personal information that the Council holds about you.

Refer to Terms and Conditions on the website.

If you need help or have any questions, call us on 04 499 4444.

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Email address

Confirm email address

By clicking 'Save & Send' an email will be sent to the above address containing a link to reload this form at its current state.

New Manager's Certificate

Applicant details

Contact details

Identification

Criminal record check

Current employment

Employment history

Experience & qualifications

Applicant details

Contact details

Identification

Criminal record check

Current employment

Employment history

Character references

Experience & qualifications

Interview

Fees

Privacy statement

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Thanks, your application is submitting.

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Thanks, your application will be received after successful payment.

If you have any questions please contact the Public Health Team (04) 499 4444 or email publichealthenquiries@wcc.govt.nz

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