User

IEF Limited

address

 

326 New North Road, Kingsland

phone

 

09 3772233

Entrepreneur Work Visa Evaluation 创业移民评估表

Full Name

Principal Applicant 主申请人

1. Surname 姓 *

2. Given Name 名 *

3. Date of birth 生日 *

4. Gender 性别 *

5. Partnership status 婚姻状况 *

6. Country of Citizenship 国籍

7. Contact Number 联系电话 *

8. WeChat ID 微信号

9. Email Address 电子信箱 *

10. Current New Zealand Visa Type 若已持有新西兰签证,请说明签证类别

11. Current Visa Expiry Date 签证有效期至

12. How did you find out about us? 如何找到我们的? *

13. Please select the preferred IEF contact person 请选择您想联络的IEF员工

Business experience 从商经验

14. Duration 时间 (何时至何时) *

15. Name of business/employer 雇主/公司名

16. Country 所在国家

17. Job title/position 职位

18. Job Nature 职务范围

19. Business Type 业务性质

20. Industry 所在行业

21. Company background 公司背景

22. Number of employees 企业雇佣员工人数

23. Ownership 产权

24. Shares in company. If yes please provide details 如有股份,请说明

25. Annual turnover and profit 年营业额和利润

26. Have you ever been involved in a business failure or bankruptcy? 您是否曾经卷入过企业倒闭或破产

27. Have you ever been convicted of fraud or financial impropriety? 您是否曾经因为欺诈或财务不当而被定罪?

28. If you have answered yes to any of the questions in this section please provide a detailed explanation below 如果您对本节中的任何问题回答“是”,请在下面提供详细说明

Proposed business in New Zealand 拟在新西兰开展的业务

29. Business Nature 业务性质

30. Industry 行业

31. New products or services to NZ 新西兰的新产品或服务

32. % shareholding 持股百分比

33. Target customers 目标客户

34. Suppliers or distributors 供应商或分销商

35. Number of full-time employment created 创造的全职工作数量

36. Forecasted turnover over a year 一年的预计营业额

37. Location of business 营业地点

38. Describe the extent of your knowledge regarding the New Zealand business environment 描述您对新西兰商业环境的了解程度

39. Have you had any previous involvement with any New Zealand businesses? 您以前有没有参与过新西兰的任何业务?

40. Have you commissioned any independent research regarding the potential and the viability of your proposed business? 您是否委托调查过有关拟议业务的潜力和可行性?

41. Have you made contact or sought advice from any relevant trade associations in New Zealand? 您是否已与新西兰的任何相关贸易协会取得联系或寻求建议?

42. Do you have any family members or associates who are currently operating similar businesses in New Zealand? 您目前在新西兰有没有经营类似业务的家庭成员或同事?

43. Have you obtained local council or Economic Development Agency formal endorsement or chamber of commerce support (new business only)? 您是否获得了地方委员会或经济发展局的正式认可或商会的支持(仅限新业务)?

44. Have you obtained formal endorsement or support from New Zealand Trade and Enterprise, or MBIE? 您是否已获得新西兰贸易与企业局(MBIE)的正式认可或支持?

45. If you have answered yes to any of the questions in this section, please provide a detailed explanation below 如果您对本节中的任何问题回答“是”,请在下面提供详细说明

Investment and Settlement Fund 投资资金及安居资金

46. Amount of capital invested 投资资金数目 *

47. Amount of settlement fund 安居资金数目 *

Income Source 收入来源

please list your earnings for at least the last 5 years and the sources of this income 

请说明过去五年的收入来源

48. Year 1 income earned (after tax) 第一年所赚取收入 (税后)

49. Year 1 source of income 收入来源

50. Year 2 income earned (after tax) 第二年所赚取收入 (税后)

51. Year 2 source of income 收入来源

52. Year 3 income earned (after tax) 第三年所赚取收入 (税后)

53. Year 3 source of income 收入来源

54. Year 4 income earned (after tax) 第四年所赚取收入 (税后)

55. Year 4 source of income 收入来源

56. Year 5 income earned (after tax) 第五年所赚取收入 (税后)

57. Year 5 source of income 收入来源

Fit and proper person requirements 合适人选要求

58. Have all businesses you have had significant influence over complied with all immigration, employment and taxation laws? Significant influence includes but is not limited to, control of management and administrative functions when acting as a director or senior manager 受你重大影响的所有业务是否都符合所有移民,就业和税法?重大影响包括但不限于在担任董事或高级经理时对管理和行政职能的控制 *

59. Have you ever been investigated by the Serious Fraud Office or the New Zealand Police for any offences arising in the course of, or resulting from business dealings? 您是否曾经过严重欺诈办公室或新西兰警方的调查,以了解在商业交易过程中或由此产生的任何违法行为? *

60. Have you ever been involved in business fraud or financial impropriety? 您是否曾经涉及商业欺诈或财务不当行为? *

Qualification 学历

61. Qualification Name 学历证书全程

62. Major Area of Study 主修

63. Date obtained 毕业日期

64. Date commenced studies 开课日期

65. Date completed studies 结业日期

66. Institution Name 学院名称

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

请点击+号 填写更多学历信息

Spouse/Partner 伴侣信息

67. Surname 姓

68. Given name 名

69. Date of birth 生日

70. Gender 性别

71. Have you and your partner been living together for 12 months or more in a partnership that is genuine and stable? 您和伴侣是否已经稳定地生活在一起超过12个月以上?

Principal Applicant's Children's Details 子女信息

Please click + sign to include more children details

请点击+号 填写更多子女信息

72. Full Name 姓名

73. Date of birth 生日

74. Gender 性别

75. Place of Birth 出生地

Character 品行

76. Have you or anyone included in this application been refused/declined an application for a visa in NZ or any other country? 您/任何包含在此次申请中的人是否有任何国家的拒签记录? *

77. Are you or anyone included in this application currently wanted for questioning for any offence in any country? 您/任何包含在此次申请中的人是否在任何国家因任何指控被盘讯? *

78. Are you or anyone included in this application currently under investigation for any offence in any country? 您/任何包含在此次申请中的人是否在任何国家因任何指控被调查? *

79. Are you or anyone included in this application currently facing charges for any offence in any country? 您/任何包含在此次申请中的人是否正受到任何国家的犯罪指控? *

80. Do you or anyone included in this application currently have an outstanding arrest warrant in any country? 您/任何包含在此次申请中的人是否在任何国家收到逮捕令? *

81. Have you or anyone included in this application ever been excluded from any country? 您/任何包含在此次申请中的人是否被任何国家(包括新西兰)驱逐? *

82. Have you or anyone included in this application ever been refused entry from any country? 您/任何包含在此次申请中的人是否有任何国家的被拒绝入境记录? *

83. Have you or anyone included in this application been removed or deported from any country? 您/任何包含在此次申请中的人是否曾被任何国家递解出境? *

84. Have you or anyone included in this application been convicted at any time of any offence including any driving offence? 您/任何包含在此次申请中的人是否有过犯罪记录?包括交通违章记录 *

85. If you have answered yes to any of the questions in this section please provide a detailed explanation below 如果以上任何问题您回答为是,请提供详细信息

Health 健康状况

86. Do you or anyone included in this application have tuberculosis? 您/任何包含在此次申请中的人是否有肺结核病(TB)? *

87. Do you or anyone included in this application have any medical condition that requires or may require renal dialysis?您/任何包含在此次申请中的人是否有可能需要在新西兰逗留期间接受肾透析治疗? *

88. Do you or anyone included in this application have any medical conditions that may require hospital care during your stay? 您/任何包含在此次申请中的人是否有可能需要在新西兰逗留期间接受住院治疗? *

89. Do you or anyone included in this application have any medical condition that requires or may require residential care during your stay? 您/任何包含在此次申请中的人是否有可能需要在新西兰逗留期间需要陪床看护? *

90. Do you or anyone included in this application have haemophilia? 您/任何包含在此次申请中的人是否有严重的血友病? * *

91. Do you or anyone included in this application have any other medical conditions that you are aware of that may affect the application? 您或您申请内包含的任何人 ,是否有其他可能会影响申请的健康状况? *

92. 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。

Declaration 声明

93. 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。 *