Full name:
Age:
Date and Place of Birth:
Please state your main country of citzenship:
Current residential address:
Current postal address (if different from the above):
Contact telephone numbers: Day:
Night:
Mobile:
Email:
What is your current marital (or partnership) status?:
How many children do you have?
Will any of these children be included in your residence, visitors or work application?
please choose
yes
no
Do you have any immediate family living in New Zealand? (please note 'immediate' means parents, siblings, partner)
please choose
yes
no
If you answer 'yes' to the above question, are they a New Zealand Resident or Citizen?
please choose
yes
no
Please state whether you or anyone in your family has ever been convicted of any offence in any country. If so, please provide full details below: (include dates and types of conviction). You should also state whether you or anyone in your family has been deported or refused entry by any country
Please state whether you or anyone in your family suffers from any medical condition. If so please provide full details below:
Please complete the relevant section.
VISITORS
How will your stay in New Zealand be financially supported?
What arrangements have you made for outward travel from New Zealand?
Please state your intended arrival date:
Please state your intended departure date:
What is the purpose of your travel?
RESIDENCE AND WORK APPLICATIONS
What is your main occupation?
Do you hold any qualifications?
please choose
yes
no
If yes to above please state the qualification and the institution you obtained the qualification from:
Have you been employed in New Zealand in this occupation?
please choose
yes
no
If you answered 'yes' to this question, have you been employed in New Zealand in this occupation for 12 months or longer?
please choose
yes
no
Do you have a job offer in New Zealand?
please choose
yes
no
If you are employed in New Zealand or have a job offer in New Zealand, in what town or city is this employment/job offer?
Please state the number of years of work experience you have had in your occupation (anywhere):
Please state the number of years of work experience you have had in your occupation in New Zealand:
If you have a partner, please state your partner's age:
Will your partner be included in your application?
please choose
yes
no
Please state your partner's occupation:
Does your partner have any qualifications?
please choose
yes
no
If yes to above please state the qualification and the institution your partner obtained the qualification from:
Do your partner have any immediate family living in New Zealand? (please note 'immediate' means parents, siblings, partner)
please choose
yes
no
ENTREPRENEUR CATEGORY (Only complete if you intend to be self employed and setup a business)
Are you currently self employed?
please choose
yes
no
Please state the nature of your business:
Do you intend to start a business in New Zealand?
please choose
yes
no
Is your proposed business new or established?
please choose
new
established
Please state the amount of funds in $NZ that you have available to start up your business:
What is your intended role or involvement in the operation of the proposed business?
What is your past and present business management experience?
Have you ever been involved in business failure or bankruptcy?
please choose
yes
no
Have you ever been convicted of fraud or financial impropriety?
please choose
yes
no
Please provide details of any business or trade qualifications and university degrees: (include details of the institution and qualification type)
Finally please state your inquiry:
