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Untitled Document
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Welcome to Psychotherapists Board of Aotearoa New Zealand's online registration process.
At the completion of your online registration you will be given a link. This link will take you to a registration information form, registration checklist and templates. You are required to send your completed registration checklist and templates to the Board as part of your registration application.
The information contained in this link can also be found on the Psychotherapists Board of Aotearoa New Zealand website
www.pbanz.org.nz/index.php?Forms
Your full name.
Preferred title:
Mr
Mrs
Ms
Miss
Dr
First name:
Middle name(s):
Last name:
Gender:
Male
Female
X
Date of birth:
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
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18
19
20
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24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
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1951
1952
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1961
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1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
When we contact you, we will use the name you prefer to be called (eg "Jacq" instead of "Jacquelyn").
Name you wish to be called by:
You will be able to log into the PBANZ website using your email address and a password of your own choosing. Email is the primary means of communication by the Board to you. It is important that your email address is correct and kept up to date (and is not an email you share with another Psychotherapist).
Email:
Password:
Confirm password:
To prevent spam and this page being used by automated programmes, please enter the letters and numbers that appear below into the field below it.
Note: If your uncompleted application is older than 6 months it will automatically be deleted. If this happens, you will be required to complete a new application.
19 Feb 2019, 12:00pm
New live site