1. What is your full name?
2. What is your citizenship?
3. What is your sex?
Male
Female
4 (a) What is your date of birth? (day/month/year)
4 (b) Are you currently married?
Yes
No
If "yes", please state your spouse's full name:
4 (c) What is your spouse's citizenship
4 (d) Have you or your current spouse ever been previously married?
You:
Yes
No
Your spouse:
Yes
No
5. Do you or your spouse have any immediate relatives currently living in New Zealand with permanent residence or citizenship?
Yes
No
If "yes" how long have they had permanent residence in NZ?
And what is your relationship to them (eg. niece, father...)
6. If you have any high school qualification, please provide full details of the following;
a) Full name of high school from which diploma or qualifiaction was obtained:
d) The length of time normally required to obtain that type of diploma or qualification; if you received a "grade" when you obtained the degree (ie: "good" or "first class" etc) please also state what the grade was:
e) The month and year in which you obtained the degree, certificate or diploma:
7 (a). If you have any post high school education, please provide full details of the following:
a) Full name of college or university or polytechnic from which degree was obtained:
b) Field of study in which degree obtained:
c) Name of Diploma or certificate which you obtained (ie: Bachelors Degree, Licence, etc):
d) The length of time normally required to obtain that type of diploma, certificate or degree; if you received a "grade" when you obtained the degree (ie: "good" or "first class" etc) please also state what the grade was:
e) The month and year in which you obtained the degree, certificate or diploma:
f) If you obtained any post-graduate degrees please set out the names of those degrees, the fields of study in which they were obtained, the name of the institution from which they were obtained, the grade you received (if applicable) and the month and year in which you obtained each post-graduate degree:
7 (b). If your spouse has any post high school education, please provide full details of the following:
a) Full name of college or university or polytechnic from which degree was obtained:
b) Field of study in which degree obtained:
c) Name of Diploma or certificate which you obtained (ie: Bachelors Degree, Licence, etc):
d) The length of time normally required to obtain that type of diploma, certificate or degree; if you received a "grade" when you obtained the degree (ie: "good" or "first class" etc) please also state what the grade was:
e) The month and year in which you obtained the degree, certificate or diploma:
f) If you obtained any post-graduate degrees please set out the names of those degrees, the fields of study in which they were obtained, the name of the institution from which they were obtained, the grade you received (if applicable) and the month and year in which you obtained each post-graduate degree:
8. If you do not have an academic qualification, have you completed training or obtained a qualification in a trade or vocation? (example: carpentry, plumbing, etc):
Yes
No
If "yes", state your trade / vocation field:
How long did it take to qualify?
Name of qualification and institute it was gained from:
Did you have to serve an apprenticeship to obtain the qualifiction?
Yes
No
Date you obtained your trade / vocation qualification:
9(a).
Please show below, your complete employment history. (Please be sure to state the day, month and year that you began and finished working for each employer, if at all possible). Work experience gained both before and after obtaining a qualification may count for immigration points, if the work experience is relevant to your qualification, (eg: applicant started as an accounts clerk, worked up to manager of accounts department and achieved an accounting qualification along the way).
10. Do you have a job offer in New Zealand?
Yes
No
If "yes", please state the position offered:
Name of employer:
11. Do you have work experience in New Zealand?
Yes
No
If "yes", please state the position held:
Duration of the position:
12. Please state whether you own or have owned your own business.
Yes
No
If so, how long you have owned your own business
13. Please stated whether you have at least 2 years experience in conducting your own business in a management role of a lawful business, if yes, please outline position title, dates held and duties undertaken.
14. Do you have experience in New Zealand? (Business experience is defined as owning (25% ) a business in New Zealand or senior management experience in a Business in New Zealand
Yes
No
If "yes", is that experience for one full year or two or more full years?
Yes
No
15. Please set out below your full postal address, telephone number, e-mail address (if any) and, a "safe" facsimile number which we can use to communicate with you about immigration matters:
Postal Address:
Telephone Number:
Facsimile Number:
Email Address:
16. NB: If you are married and your spouse has educational qualifications and work experience similar to yours you should also send to us one of these questionnaires separately for your spouse, as your spouse may be able to score more points than you and therefore be a better principal applicant .
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