User

IEF Limited

address

 

326 New North Road, Kingsland

phone

 

09 3772233

Email

 

admin@ief.co.nz

Work Visa Evaluation 工作签证评估表

Full Name

Identity 个人信息

1. Family name 姓 *

2. Given names 名 *

3. Gender 性别 *

4. Date of birth 生日 *

5. Partnership status 婚姻状况 *

6. Contact Number 联系电话 *

7. Email address 邮箱 *

8. Wechat 微信号

9. New Zealand residential address 新西兰地址

10. Most recent overseas address 海外地址

11. If you are a NZ visa holder please state the visa type and expiry date 如果你已持有新西兰签证,请说明签证类别和有效期日

NZ job offer details 新西兰本地工作信息

12. What position have you been offered? 获聘职位

13. What salary have you been offered? 获聘时薪

14. What is the commencement date of the employment? 开始日期

15. What is the employer's company name? 雇主公司名称

16. What is the employers NZ address? 公司地址

17. Contact person name 雇主联系人姓名

18. Contact person's position 联系人职位

19. Contact person's email address 联系人邮箱

20. Contact person's phone number 联系人电话

Qualification History 学历背景

21. Qualification full name 学位全称

22. Your major 专业主修

23. Name of Institution 学校名称

24. Qualification start date 课程开始日

25. Qualification end date 课程结束日

If you have more than one qualification, you may click + to include more details 

如果你有多个学历,可以点击+补充信息

Previous Employment History 过去工作背景

26. Name of employer 雇主名称

27. Position held 职位

28. Country of employment 公司所在国家

29. Employment start date 工作开始时间

30. Employment end date 工作结束时间

If you have more than one work experience, you may click + to include more details

如果你有多个工作经验,可以点击+补充信息

Health 身体健康

31. Please provide the date that you last submitted a general medical certificate 上次向移民局提供身体体检的时间

32. Please provide the date you last submitted a chest x-ray certificate 上次向移民局提供胸透体检的时间

33. What countries have you visited or lived in for more than 3 months within the last 5 years? 过去5年停留累积时间超过3个月的国家

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

35. Do you have any medical conditions that requires renal dialysis? 是否患有任何需要肾透析的疾病

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

37. Do you have any medical conditions that requires residential care? 是否有任何需要家庭护理的疾病?

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

39. 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

Character 品格

40. Please provide the date that you last submitted a police certificate 上次向移民局提供无犯罪证明的时间

41. have you ever been convicted at any time of any offence including any driving offence? 是否有任何任何犯罪记录(包括交通违法行为)?

42. Have you ever been removed from, deported from, expelled from, excluded from or refused entry to any country including NZ? 是否曾被任何国家排除/拒绝入境/被遣返或驱逐出境?

43. Are you currently under investigation, wanted for questioning or facing charges for any offence in any country including NZ? 是否曾因违反任何国家/地区的法律而被定罪/指控/接受调查

44. Have you ever been refused a visa in any country including NZ? 是否曾经被包括新西兰在内的任何国家拒绝签证,,包括新西兰?

45. Have you lived in any country for more than 5 years since the age of 17 (not including your country of citizenship)? 17岁以后是否在任何(不包括国籍所在地)国家居住超过5年?

46. If you have answered yes to any of the questions in this section please provide a detailed explanation below 以上问题,您有任何回答“是”,请提供更多详细信息

New Zealand Contacts 新西兰联系人

47. Family Name 姓

48. Given Name 名

49. Relationship to you 关系

50. Address 地址

51. Mobile Number 电话

52. Email address 邮箱

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.