User

IEF Limited

address

 

326 New North Road, Kingsland

phone

 

09 3772233

Dependent Child Category evaluation 未成年子女类移民评估表

Full Name

Applicant Details 申请人信息

1. Surname 姓 *

2. Given name 名 *

3. Gender 性别 *

4. Date of Birth 出生日期 *

5. Country of citizenship 国籍 *

6. Partnership status 婚姻状况 *

7. Are you eligible to be included in previous residence application with the parents? 是否有资格包括在之前的移民申请里? *

8. Do you have any children of you own? 是否有子女? *

9. If you are aged 21 to 24 years, are you totally or substantially reliant on an adult (whether your parent or not) for financial support? 如果您的年龄在21至24岁之间,您是否完全或基本上依靠成年人(无论是否您的父母)作经济支持? *

10. Are you the biological child of your parents? 您是否是父母的亲生孩子? *

11. Are you legally adopted by your parents? 您是否被父母合法收养? *

12. If you already have a NZ visa, what is the visa type 若已持有新西兰签证,请说明类别

13. What is your current visa expiry date 当前新西兰签证到期日期

14. Please select the preferred IEF contact person 您希望由IEF哪位员工与您联络 *

15. How did you find us? 您是如何知道我们的? *

Contact Details 联系方式

16. Contact Number 联系电话 *

17. Email 邮箱 *

18. WeChat ID 微信号

19. Whatsapp ID

Father's details 父亲信息

20. Surname 姓 *

21. First name 名 *

22. Partnership status 婚姻状况 *

23. Citizenship 国籍 *

24. Occupation 职业 *

25. Preferred contact detail 联系方式

26. Are you actually residing in New Zealand? 您是否真正居住在新西兰吗? *

27. Are you a NZ resident or citizen? 是否已拿到新西兰身份(resident or citizen)? *

28. If yes, please provide the date that you were first granted residence in NZ. 如是的话,第一次拿到resident visa的日期

Mother's detail 母亲信息

29. Surname 姓 *

30. First name 名 *

31. Partnership status 婚姻状况 *

32. Citizenship 国籍 *

33. Occupation 职业 *

34. Preferred contact detail 联系方式

35. Are you actually residing in New Zealand? 您是否真正居住在新西兰吗? *

36. Are you a NZ resident or citizen? 是否已拿到新西兰身份(resident or citizen)? *

37. If yes, please provide the date that you were first granted residence in NZ. 如是的话,第一次拿到resident visa的日期

Applicant‘s CHARACTER 申请人的品格

38. Have you ever been convicted at any time of any offence, including any driving offence? 您是否在任何国家触犯过法律,包括交通违章? *

39. Have you ever been removed from, deported from, expelled from, excluded from or refused entry to, any country? 您是否被任何国家驱逐或拒绝入境过? *

40. In any country, including New Zealand, are you currently under investigation, wanted for questioning, or facing charges for any offence? 在包括新西兰在内的任何国家/地区中,您目前正在接受调查,被怀疑接受讯问还是面临任何指控? *

41. Have you ever been a member of; or adhered to; any terrorist organisation? 您是否属于(或曾经属于)任何恐怖组织的成员? *

42. Have you at any time in a public speech or public comments; or a public broadcast; or in publicly distributing or publishing a document; argued that one race or colour is inherently inferior or superior to another race or colour; or used language intended to encourage hostility or ill will against any person or group of persons on the basis of colour;race, or ethnic or national origins of that person or group? 您是否曾经参与或公开支持过种族歧视相关的言论或活动? *

43. Have you been (or currently are) a member of an organisation or group which had objectives or principals based on hostility against people or groups on the basis of colour, race or ethnic/national origins; or an assumption that persons of a particular race or colour are inherently inferior or superior to other races or colours? 您是否(曾)隶属任何种族歧视组织? *

44. Have you had (or currently have) an association with, membership of, or involvement with, any government, regime, group or agency that has advocated or committed war crimes, crimes against humanity and/or other gross human rights abuses? 您是否加入过任何反人类、反人权的国家、政府或组织? *

45. Do you have an outstanding arrest warrant in any country, including New Zealand? 您是否在包括新西兰在内的任何国家/地区被下过逮捕证? *

46. Have you ever been refused a visa by any country? 您是否曾经被任何国家拒绝签证? *

47. If you answered Yes to any of the questions in this section you must provide a full explanation about the surrounding circumstances. 以上问题,若您有任何回答“是”,请提供解释。

48. List the countries you have lived in for 12 months or more in the past 10 years; since the age of 17. 请列出17岁以后(过去10年间)居住时间累积超过12个月的国家

Applicant‘s HEALTH 申请人的健康

49. Do you have tuberculosis? 您是否患有肺结核? *

50. Do you have any medical conditions requiring renal dialysis? 您是否患有任何需要肾透析的疾病? *

51. Do you have any medical condition that requires hospital care? 您是否有任何需要住院治疗的疾病? *

52. Do you have a medical condition that requires residential care? 您是否有任何需要家庭护理的疾病? *

53. Have you been identified as a person who requires special education services? 您是否被鉴定为需要特殊教育服务*?

*A child is considered to require special education services if they need a specialist teacher and/or other specialists such as a speech language therapist, an occupation therapist, a physiotherapist, and an educational psychologist to assist with their education. 

*如果申请人需要专业老师,例如言语治疗师,职业治疗师,物理治疗师,教育心理学家或其他专家来协助他们的教育则被鉴定为需要特殊教育服务

54. Do you have any other medical conditions that you are aware of that may affect the application? 您是否有其他可能会影响申请的健康状况? *

55. If you answered Yes to any of the questions in this section you must provide a full explanation about the surrounding circumstances. 以上问题,若您有任何回答“是”,请提供解释

Brother's and sister's details 兄弟姐妹信息

56. Name 姓名

57. Gender 性别

58. Date of birth 出生日期

59. Citizenship 国籍

60. Already obtain NZ residence/citizenship? 是否已有新西兰身份?

请点击+号填写更多兄弟姐妹信息

If you have more than one brother/sisters, please click + sign to include their details 

DECLARATION 声明

61. I hereby declare that the information given by me in this application is true and correct to the best of my knowledge.I understand and agree that any false information, misrepresentation, or omission of facts in this application and the application process may be justification for refusal/ decline.I further understand and agree that all information furnished in this application and the application process may be verified as may be necessary. 我特此声明,我在本表格中提供的信息是真实和正确的。我理解并同意,在本表格和整个申请过程中所提供的任何虚假信息,虚假陈述或遗漏事实均可能成为申请被拒绝的原因。我进一步理解并同意在必要时可以查核本表格和申请过程中提供的所有信息。 *

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