Application: Work Visa
Application: Work Visa
Application: Work Visa
Date received:
Application no.:
INZ 1015
Do you need a visa to work in New Zealand? Information about this guide
OFFICE USE ONLY Client no.: Date received: / / Application no.:
INZ 1015
August 2010
Do not use this form to apply for a visa under one of the China skilled work instructions. Use the form Work Visa Application for China Skilled Work Instructions (INZ 1158). When you have completed the form, use the checklist at the end to make sure you have sent all the documents and information we need. We will process your application only when we receive all the information and documents we need. If you do not send all the required information, we will return your application. Your partner or other family members cannot apply on this application form. They must lodge separate applications for the type of visa they need.
VisaView
It is an offence to employ a person who is not entitled to work in New Zealand. One way for employers to avoid committing this offence is to check a persons entitlement to work with Immigration New Zealands online VisaView system. Disclosure of information through VisaView is authorised by legislation. If you believe that an employer has been given the wrong entitlement information via VisaView you may contact the Immigration Contact Centre (0508 558 855) to request correction of that information.
This guide will help you to complete the form Work Visa Application (INZ 1015). It will give you information about coming to New Zealand to work and help you to understand the requirements you need to meet if you want to work in New Zealand. You should read this guide before completing the application form. The guide gives you information about:
You do not need a work visa to work in New Zealand if one of the following applies to you. You are a New Zealand citizen. You hold a New Zealand residence class visa. You hold a special temporary (diplomatic, consular or official) visa. You hold a military visa. You are intending to undertake work in New Zealand that is not considered to be employment (see What work is not considered to be employment? on page 3). If you are the holder of a current Australian permanent residence visa or a current Australian resident return visa, you do not need a visa to travel to New Zealand. You must apply for a resident visa on arrival. You will do this by completing an arrival card on the aircraft/ship on your way to New Zealand.
November 2010
how to decide which visa you need to apply for what evidence you need to provide with your application form what to do if you want to later apply for residence in New Zealand.
April 2011
Do not use this form to apply to work for a recognised seasonal employer. Use the form Application to Work for a Recognised Seasonal Employer (INZ 1142).
Do not use this form to apply for a visa under one of the China skilled work instructions. Use the form Work Visa Application for China Skilled Work Instructions (INZ 1158). When you have completed the form, use the checklist at the end to make sure you have sent all the documents and information we need. We will process your application only when we receive all the information and documents we need. If you do not send all the required information, we will return your application. Your partner or other family members cannot apply on this application form. They must lodge separate applications for the type of visa they need.
VisaView
It is an offence to employ a person who is not entitled to work in New Zealand. One way for employers to avoid committing this offence is to check a persons entitlement to work with Immigration New Zealands online VisaView system. Disclosure of information through VisaView is authorised by legislation. If you believe that an employer has been given the wrong entitlement information via VisaView you may contact the Immigration Contact Centre (0508 558 855) to request correction of that information.
July 2011
When filling in this form, please print clearly using CAPITAL LETTERS.
Section A
Personal details
Attach two passport-size photographs of yourself here. The photographs must be less than six months old. Write your full name on the back of both photographs. A1 Name as shown in passport Family/last name
4.5cm
4.5cm
3.5cm
3.5cm
Given/first name(s)
A2 Preferred title
Mr
Mrs
Ms
Miss
Dr
other (specify)
A5 Gender
Male
Female
A6 Date of birth
A7 Town/city of birth Country of birth A8 Passport details Number Country A9 Country of citizenship A10 Other citizenships you hold A11 Partnership status Married/in civil union Separated A12 Are you applying for a visa on the basis of a partnership? Never married/never in civil union Engaged Yes No Widowed Partner Divorced Expiry date
Section B
Contact details
All principal applicants must complete this section. B1 Your residential address and telephone number in your home country. Address
Telephone (evening)
B2 Your New Zealand residential address and telephone number (if you are already in New Zealand). Address
Telephone (evening)
B3 Name and address for communication about this application. Same as address at Name Company name (if applicable) and address
B1
, or
Same as address at
B2
, or
As below
Yes No
Make sure that your immigration adviser completes Section R: Immigration advisers details.
B6 Would you like us to email you instructions for registering to check online how your application is progressing? Yes No
B7 Names and addresses of any friends, relatives, or contacts you have in New Zealand (if applicable). Name Address Relationship
When filling in this form, please print clearly using CAPITAL LETTERS.
Section C
Your health
Yes
Provide details
No
C2 Do you have any medical condition that requires, or may require, one of the following during your stay in New Zealand? Renal dialysis Hospital care Residential care Yes Yes Yes No No No
Residential care is long-term care provided in live-in facilities for the aged or for people with physical, sensory, intellectual, or psychiatric disabilities. C3 If you have answered Yes to any of the questions in
C2
, provide details.
Yes
No
C6 Have you submitted a medical certificate with another Immigration New Zealand application? Yes
Provide details, then go to C7
Type of application No
Go to C8
Date of application
C7 Was the medical certificate completed and dated by a medical practitioner within the last 24 months? Yes. You do not need to provide a further medical certificate now. We will tell you if we need any further information, such as tests, reports, or a new medical certificate. Go to C11 No Go to
C8
C8 How long do you intend to stay in New Zealand? If you are in New Zealand, this includes time you have already spent here. More than six months but not more than 12 months. Go to
C9 C11
More than 12 months. You must provide a Medical and Chest X-ray Certificate (INZ 1007). Go to
C9 See the list Countries, areas, and territories with a low incidence of tuberculosis in Completing Section C: Your health of the Work Visa Guide. Tick one of the options below. I am from a place that is on the list. Go to
C10
I am from a place that is not on the list. Write the name of the place below. You must provide a completed Temporary Entry X-ray Certificate (INZ 1096) with your application. Go to C11
Name of country, area, or territory
C10 Tick one of the options below. I have not spent three months or more in the past five years in a place that is not on the list. You do not have to provide a medical certificate at this stage. Go to C11 I have spent three months or more in the past five years in a place that is not on the list. Provide details
You must provide a completed Temporary Entry X-ray Certificate (INZ 1096) with your application. Go to C11 Tick one of the options below. I do not have to provide a medical certificate at this stage. I attach a Temporary Entry X-ray Certificate (INZ 1096). I attach a Medical and Chest X-ray Certificate (INZ 1007).
Children under the age of 11 years and pregnant women are not required to have an X-ray, unless a special report is needed.
C11
Section D
Your character
All applicants must complete this section. If your application is declined for character reasons, Immigration New Zealand may place a notation in your passport indicating that you applied for a visa for New Zealand.
For more information about the questions in this section, see Completing Section D: Your character in the Work Visa Guide.
D1 Have you been: convicted charged under investigation Yes Yes Yes No No No
for any offence(s) against the law in any country? D2 Have you been: excluded (refused entry) from refused a visa by removed or deported from any country? If you have answered Yes to any of the questions in
D1
No No No
and
D2
When filling in this form, please print clearly using CAPITAL LETTERS.
No. You do not need to provide any police certificates at this stage Go to Section E: Additional details D4 Are you 17 years of age or over? Yes Go to
D5
No. You do not need to provide evidence about your character Go to Section F: Employment and qualifications D5 Have you submitted a police certificate to Immigration New Zealand (with a prior application) that was issued within the last 24 months? No Yes
Go to D6 Provide details, then go to Section E: Additional details. We will tell you if we need any further information about your character.
Type of application
Date of application
D6 You must provide evidence about your character. Tick to confirm what evidence you have provided. I have attached police certificates from my country or countries of citizenship, and I have attached police certificates from all countries I have lived in for five years or more since the age of 17. D7 If you have not provided all of the police certificates required, explain why.
Section E
Additional details
Complete this section if you are 17 years of age or over. If you are under 17 years of age, go to Section F: Employment and qualifications. E1 Do you have a national identity number, or other unique identifier that was issued to you by any government? Yes No E2 Have you completed military service in any country? No Yes
Provide information about your military service including the dates of your military service, your position and rank, the unit or units that you served in, and your role within each unit.
(DD/MM/YY)
Date from / / / / / / /
Date to / / / / / / /
(DD/MM/YY)
Rank
Role
/ / / / / / /
/ / / / / / /
E3 Are you presently subject to military service obligations in any country? Yes No
If you are a citizen of a country in which compulsory military service exists, provide details.
E4 Have you been associated with any intelligence agency or group, or law enforcement agency? Yes Describe how you were involved No
E5 Have you been associated with any group or organisation that has used or promoted violence to further their aims? Yes Describe how you were involved No
E6 Have you ever committed or been involved in war crimes, crimes against humanity, and/or human rights abuses? Yes
Describe how you were involved
No
Section F
All applicants must complete this section. F1 What is your main occupation?
For more information about this question, see Completing Section F: Employment and qualifications in the Work Visa Guide.
F2 Are you currently employed? Yes Provide details Employers name Employers address No
Telephone Email
Fax
When filling in this form, please print clearly using CAPITAL LETTERS.
F4 Give details of all qualifications you hold. If you have no qualifications, write No qualifications.
Name of qualification Date obtained (DD/MM/YY) / / / / / / / / Institution where gained
Section G
Job offer
All applicants must complete this section. G1 Do you have a job offer in New Zealand? Yes No
Go to Section H: Your visa.
G2 Name and address of employer who has offered you a job. Same as name and address at Employers name Employers address
F2
, or
As below
Fax
No Go to
G4
I have attached evidence of qualifications relevant to my job offer. G4 Do you have work experience relevant to your job offer? Yes
Tick the box below to confirm you have provided the evidence we require.
No Go to
G5
G5 Do you have to meet any New Zealand registration requirements to take up your job offer? Yes Tick the box below to confirm you have provided the evidence we require. No I have attached evidence that I have met or am able to meet any New Zealand registration requirements necessary to take up my offer of employment.
For more information about this question, see Completing Section G: Job offer in the Work Visa Guide.
Section H
Your visa
All applicants must complete this section. H1 Tick one of the boxes below to show the type of visa you are applying for and provide the details required.
For more information about this question, see What is a visa? in the Work Visa Guide.
Applying for a work visa while outside New Zealand. Provide details.
Date you will arrive in New Zealand Applying for a work visa while inside New Zealand. Provide details.
Date you arrived in New Zealand H2 Date you will finally depart New Zealand H3 Which work instructions are you applying under? Work to Residence Instructions. Go to Section I: Work to Residence Instructions. Essential Skills Work Instructions (including applications that have been approved in principle). Go to Section J:
Essential Skills Work Instructions.
Study to Work Instructions (includes applications under both Graduate Job Search and Practical Experience Instructions). Go to Section K: Study to Work Instructions. Specific Purpose or Event Work Instructions. Go to Section L: Specific Purpose or Event Work Instructions. Student and Trainee Work Instructions. Go to Section M: Student and Trainee Work Instructions. Family Work Instructions. Go to Section N: Family Work Instructions. Free Trade Agreement special work instructions. Go to Section O: Free Trade Agreement Special Work Instructions. Silver Fern Practical Experience Instructions. Go to Section P: Silver Fern Practical Experience Instructions. International/Humanitarian Work Instructions (includes instructions for refugees and protection claimants, victims of domestic violence, and victims of people trafficking). Go to Section Q: Declaration by applicant. Other (includes Ministers of Religion, Missionaries and Members of Religious Orders Instructions, and Crew of Foreign Chartered Fishing Vessels Instructions). Go to Section Q: Declaration by applicant.
When filling in this form, please print clearly using CAPITAL LETTERS.
Section I
Complete this section if you are applying for a visa under Work to Residence Instructions.
For more information about the questions in this section, see Completing Section I: Work to Residence Instructions in the Work Visa Guide.
I1 I2
How many people do you intend to include in your residence application? Which instructions are you applying under? Talent (Accredited Employers) Work Instructions
Go to I3 Go to I4
Talent (Arts, Culture and Sports) Work Instructions Long Term Skill Shortage List Work Instructions
Go to I6
I5
Talent (Arts, Culture and Sports) Work Instructions applicants must provide all of the evidence below. Tick the boxes to confirm that you have attached all of the evidence we require. Go to Section Q: Declaration by applicant. I have attached a fully completed and signed Talent (Arts, Culture and Sports) Sponsorship Form (INZ 1091). I have attached evidence of my international reputation and record of excellence in my declared field. I have attached evidence that I am still prominent in my declared field. I have attached evidence that shows that my presence in New Zealand will enhance the quality of New Zealands accomplishments and participation in my declared field. I have attached evidence I am aged 55 years or under.
Section J
Complete this section if you are applying for a visa under Essential Skills Work Instructions.
For more information about the questions in this section, see Completing Section J: Essential Skills Work Instructions in the Work Visa Guide.
J1
Write your ANZSCO occupation code and occupation title (eg 321212 Diesel Motor Mechanic) if known.
J2
J3 If your occupation is skill level 1 and your base salary is NZ$55,000 or above, you may qualify for a five-year visa. Do you want to apply for a five-year visa? Yes No Not applicable
J4 Essential Skills Work Instructions applicants must provide all of the evidence below. Tick the boxes to confirm that you have attached all of the evidence we require. Go to Section Q: Declaration by applicant. I have attached a completed Employer Supplementary Form (INZ 1113) I have attached evidence that I am suitably qualified by training or experience to do the job I have been offered I have attached a copy of my employment agreement.
If you have a dependent child/children in New Zealand, you may need to meet a minimum income threshold. For more information see the Work Visa Guide.
Section K
Complete this section if you are applying for a visa under Study to Work Instructions, including Graduate Job Search Work Instructions. K1 Do you have a job offer? No
Go to K4
Yes. Tick the boxes below to confirm that you have provided all of the evidence we require. Go to
K2
I have attached a completed Employer Supplementary Form (INZ 1113) and I have attached evidence that I have completed a qualification that would qualify for points under the Skilled Migrant Category of Residence Instructions. K2 Are you the holder of a visa granted under the Graduate Job Search Work Instructions? No
Go to K3
Yes.
Tick the box below to confirm that you have provided the evidence we require. Go to K3
I have attached evidence that I am the holder of a visa granted under Graduate Job Search Work Instructions. K3 Are you applying for a three-year work visa because you are working towards obtaining a membership or registration from a New Zealand professional association? No Yes
Go to Section Q: Declaration by applicant. Tick the boxes below to confirm that you have provided all of the evidence we require. Go to Section Q: Declaration by applicant.
I have attached evidence that the membership/registration is a requirement for me to fully perform my professional duties, and the employment is considered relevant practical experience by the professional association (eg documentation from the professional association, or from the employer, stating how the employment meets the requirements set by the professional association.) I have attached evidence that my New Zealand qualification meets the requirements for registration/or membership of the professional association.
When filling in this form, please print clearly using CAPITAL LETTERS.
K4 Graduate Job Search Work Instructions applicants must provide all of the evidence below. Tick the boxes to confirm that you have attached all of the evidence we require. Go to Section Q: Declaration by applicant. I have attached evidence that I have completed a qualification that would qualify for points under the Skilled Migrant Category of Residence Instructions. I have attached evidence that I have a minimum of NZ$2,100 in funds available to maintain myself during my 12-month stay in New Zealand. (Travellers cheques or bank documents in your name are acceptable.) I have attached evidence that I am making my application no later than three months after the end date of my student visa for that course or qualification.
Section L
Complete this section if you are applying for a visa under Specific Purpose or Event Instructions.
For more information see Specific Purpose or Event Work Instructions in the Work Visa Guide.
L1
What is the specific purpose or event that you need a work visa for?
L2
Describe the evidence that you have provided. Go to Section Q: Declaration by applicant.
Section M
Complete this section if you are applying for a visa under Student and Trainee Work Instructions.
For more information on the question in this section see Student and Trainee Work Instructions in the Work Visa Guide.
M1 Describe the evidence that you have provided. Go to Section Q: Declaration by applicant.
Section N
Complete this section if your partner is a New Zealand citizen, residence class visa holder, student visa holder, work visa holder or military visa holder and you are applying for a visa on the basis of that partnership.
For more information about the questions in this section, see Completing Section N: Family Work Instructions in the Work Visa Guide.
N1 Are you and your partner living together in a genuine and stable partnership? Yes No
Explain why.
N2 How long have you and your partner been together in this partnership?
N3 Will your partner be in New Zealand for the same period of time that you are here? Yes No.
Explain why.
Yes
No
N5 If your partner is a New Zealand citizen or residence class visa holder, do you intend to apply for residence under Immigration New Zealands Partnership Instructions? Yes Go to
N6
No Go to
N7
Not applicable Go to
N7
N6 Will your partner be eligible to support your application for residence? Yes No.
Explain why.
N7 What is your partners immigration status? My partner is a New Zealand citizen/residence class visa holder My partner holds a work visa current for more than six months My partner holds a student visa My partner holds a military visa
Go to N10 Go to N12 Go to N8 Go to N9
When filling in this form, please print clearly using CAPITAL LETTERS.
N9 Partners of persons holding a work visa current for more than six months must provide all of the evidence below. Tick the boxes to confirm that you have attached all of the evidence we require. Go to Section Q: Declaration by applicant I have attached evidence that my partner and I are living together in a genuine and stable relationship. I have attached evidence that my partner and I are intending to live in New Zealand for the same period of time (eg evidence of intended travel to New Zealand if you are both overseas). I have attached evidence of my partners work visa or eligibility to obtain a work visa (eg a letter from INZ giving approval in principle to the granting of a work visa). I have attached a Form for Partners Supporting Partnership-Based Temporary Entry Applications (INZ 1146) completed by my partner. N10 Partners of student visa holders must provide all of the evidence below. Tick the boxes to confirm that you have attached all of the evidence we require. Go to N11 . I have attached evidence that my partner and I are living together in a genuine and stable relationship. I have attached evidence that my partner and I meet the minimum requirements for the recognition of a partnership. I have attached evidence that my partner and I are intending to live in New Zealand for the same period of time (eg evidence of intended travel to New Zealand if you are both overseas). I have attached a Form for Partners Supporting Partnership-Based Temporary Entry Applications (INZ 1146) completed by my partner. I have attached evidence of my partners student visa to study qualifications in an area (or areas) of absolute skill shortage as specified in the Long Term Skill Shortage List or towards postgraduate qualifications (not required if your partner is the holder of an NZ Aid Programme-supported student visa). N11 Partners of persons holding a military visa must provide all of the evidence below. Tick the boxes to confirm that you have attached all of the evidence we require. Go to Section Q: Declaration by applicant. I have attached evidence that my partner and I are living together in a genuine and stable relationship. I have attached evidence that my partner and I are intending to live in New Zealand for the same period of time (eg evidence of intended travel to New Zealand if you are both overseas). I have attached evidence of my partners military visa or eligibility to obtain a military visa (eg military movement order).
Section O
Complete this section if you are applying under one of the Free Trade Agreement special work instructions.
For more information about the requirements for job offers, qualifications, and work experience, see Completing Section O: Free Trade Agreement special work instructions in the Work Visa Guide.
O1 Tick the one option that applies to you. I am applying under the Vietnam special work instructions. I am applying under the Philippines special work instructions.
Evidence of job offer, qualifications, work experience, and registration you must provide
O2 You must have a job offer in New Zealand to apply under these instructions. Tick to confirm that you have provided the evidence we require. I have attached evidence of my job offer. O3 Do you have qualifications relevant to your job offer? Yes Tick the box below to confirm you have provided the evidence we require. No I have attached evidence of qualifications relevant to my job offer.
O4 Do you have work experience relevant to your job offer? Yes Tick the box below to confirm you have provided the evidence we require. No I have attached evidence of work experience relevant to my job offer. O5 Do you have to meet any New Zealand registration requirements to take up your job offer? Yes Tick the box below to confirm you have provided the evidence we require. No I have attached evidence that I have met or am able to meet any New Zealand registration requirements necessary to take up my offer of employment.
Go to Section Q: Declaration by applicant.
Section P
Complete this section if you are applying under the Silver Fern Practical Experience Instructions
For more information about the requirements for these instructions, see Completing Section P: Silver Fern Practical Experience Instructions in the Work Visa Guide.
P1 Tick the one option that applies to you. I hold a Silver Fern Practical Experience visa. Go to I hold a Silver Fern Job Search visa. Go to
P3 P2
P2 When was your first Silver Fern Practical Experience visa granted? P3 Write your ANZSCO occupation code and occupation title (eg 321212 Diesel Motor Mechanic) if known.
P4 Write your ANZSCO skill level (if known) P5 You must have an offer of skilled employment in New Zealand which is current for at least 12 months to apply under these instructions. Tick to confirm you have provided all of the evidence we require. I have attached evidence of my job offer. I have attached a completed Employer Supplementary Form (INZ 1113). I have attached a copy of my employment agreement, including a position description.
Go to Section Q: Declaration by applicant.
When filling in this form, please print clearly using CAPITAL LETTERS.
Section Q
Declaration by applicant
All of the people included in this application must complete this section. I have provided true and correct answers to the questions in this form. I agree to tell Immigration New Zealand about any changes to my circumstances that occur after making this application. I agree to leave New Zealand before my visa expires. If I remain in New Zealand after my visa has expired, I may be deported by Immigration New Zealand. I agree that if I am not entitled to free health care in New Zealand, I will pay for any health care or medical assistance I may require in New Zealand. I understand that if I have received immigration advice from an immigration adviser and if that immigration adviser is not licensed under the Immigration Advisers Licensing Act 2007 when they should be, Immigration New Zealand will return my application. I understand that Immigration New Zealand may provide information about my entitlement to work to potential employers via the online VisaView system. VisaView is authorised by legislation. I authorise Immigration New Zealand to provide information about my health and my immigration status to any health service agency. I authorise any health service agency to provide information about my health to Immigration New Zealand. I authorise Immigration New Zealand to make any necessary enquiries about information on this form so that they can: make a decision on this application answer enquiries about my immigration status once my application has been decided. I authorise any agency that holds information (including personal information) related to those matters to disclose that information to Immigration New Zealand. Signature of principal applicant
A parent or guardian may sign on behalf of a child under 18 years.
Date
Section R
This section must be completed by the applicants immigration adviser. If the applicant does not have an immigration adviser, this section does not have to be completed. R1 Tick the one option that applies to you. I am a licensed immigration adviser under the New Zealand Immigration Advisers Licensing Act 2007. Go to I am exempt from licensing under the New Zealand Immigration Advisers Licensing Act 2007. Go to
R3 R2
If you are unlicensed when you should be licensed under the Immigration Advisers Licensing Act 2007, Immigration New Zealand will return your clients application. It is an offence to provide immigration advice without holding a licence, unless you are exempt.
R2 Licensed advisers. Please provide your licence details. Licence type full provisional limited
List conditions specified in the register
Licence number 2 0
R3 Exempt from licensing. Tick one box below to show why you are exempt from licensing. I provided immigration advice in an informal or family context only, and I did not provide the advice systematically or for a fee. I am a New Zealand member of Parliament or member of their staff and I provided immigration advice as part of my employment agreement. I am a foreign diplomat or consular staff.
This form has been approved under section 381 of the Immigration Act 2009.
I am an employee of the New Zealand public service and I provided immigration advice within the scope of my employment agreement. I am a lawyer and I hold a current practising certificate as a barrister or as a barrister and solicitor of the High Court of New Zealand. I am employed by, or I am working as a volunteer for, a New Zealand community law centre where at least one lawyer is on the employing body of the community law centre or is employed by or working as a volunteer for the community law centre in a supervisory capacity. I am employed by, or I am working as a volunteer for, a New Zealand citizens advice bureau.
Go to Section S: Declaration by person assisting the applicant.
Section S
This section must be completed and signed by the applicants immigration adviser, or by any person who has assisted the applicant by providing immigration advice, explaining, translating, or recording information on the form for the applicant. If the applicant does not have an immigration adviser, and no one helped the applicant to fill in this form, this section does not have to be completed.
If you are unlicensed when you should be licensed under the Immigration Advisers Licensing Act 2007, Immigration New Zealand will return your clients application. It is an offence to provide immigration advice without holding a licence. For more information, go to the Immigration Advisers Authority website www.iaa.govt.nz, or email [email protected] or write to them at PO Box 6222, Wellesley Street, Auckland 1141, New Zealand.
B3
, or
as below.
Telephone (evening)
I understand that after the applicant has signed this form it is an offence for me to change or add further information, change any documents attached to the form, or attach any further documents to the form. However, if changes are needed, the person making the changes must state on the form what information or documents have been changed and give reasons for the changes. I note that the maximum penalty for this offence is a fine of up to NZ$100,000 and/or a term of imprisonment of up to seven years. I certify that the applicant asked me to help them complete this form and any additional forms. I certify that the applicant agreed that the information provided was correct before signing the declaration. I have assisted the applicant as an interpreter/translator I have assisted the applicant with recording information on the form I have assisted the applicant in another way. Specify I have provided immigration advice (as defined in the Immigration Advisers Licensing Act 2007) and my details in Section R: Immigration advisers details are correct. Signature of person assisting Date
D D M M Y Y Y Y
When filling in this form, please print clearly using CAPITAL LETTERS.
Application checklist
OFFICE USE ONLY
CHECK LIST
Information and documents you must supply I have completed the application form. I have signed the form. I have provided the application fee. I have attached passports or travel documents (the original documents). I have attached two recent passport-size photographs.
Health I have provided evidence about my health. I do not have to provide this evidence. Character I have provided evidence about my character. I do not have to provide this evidence. Immigration advisers details
Applicants with a job offer. Tick the options that apply to you. I have provided evidence of qualifications relevant to my job offer. I have provided evidence of work experience relevant to my job offer. I have provided evidence that I have met or am able to meet any necessary New Zealand registration requirements. Applicants applying under Work to Residence Instructions. I have provided the relevant evidence listed in Section I. Applicants applying under Essential Skills Work Instructions. I have provided all of the evidence listed in Section J. Applicants applying under Study to Work Instructions. I have provided all of the evidence listed in Section K. Applicants applying under Specific Purpose or Event Instructions. I have provided all of the evidence listed in Section L. Applicants applying under Student and Trainee Instructions. I have provided all of the evidence listed in Section M. Applicants applying under Family Work Instructions. I have provided all of the evidence listed in Section N. Applicants applying under Free Trade Agreement special work instructions I have provided all of the evidence listed in Section O. Applicants applying under Silver Fern Practical Experience Instructions I have provided all of the evidence listed in Section P.
I have received immigration advice on this application. I have not received immigration advice on this application.
If you do not complete this section your application will not be affected.
Section T
See our Fees Guide (INZ 1028) or our website www.immigration.govt.nz/fees for more information about current fees and payment methods.
Visa
Name of cardholder
Card number
Date
When filling in this form, please print clearly using CAPITAL LETTERS.