Your Name
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Date of birth
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Day
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Month
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Gender
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Mobile
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Home Phone
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Email
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Work Status
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No of Employees
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1-5
6-10
11-20
21-50
51-100
101-200
200+
21 - 100
N/A
Education
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School Cert/NCEA Level 1
UE /NCEA Level 2
Bursary/NCEA Level 3
Trade Certificate or Apprenticeship
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Ethnicity
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Home Situation
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Owner
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Suburb
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City
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Children
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Personal income
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$100-$149,000
$150,000-$199,000
$200,000+
$31-$49,000
$50-$74,000
$75-$99,000
<$30,000
Household Income
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$100-$149,000
$150,000-$199,000
$200,000+
$31-$49,000
$50-$74,000
$75-$99,000
<$30,000
Supermarket
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Investment Property
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>5
1-2
3-5
None
Bank
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InvestNow
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Drink Alcohol
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Vehicle Model
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Referred By
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