User

NZL Immigration

address

 

9 Bellwood Place, Chartwell

phone

 

+64 21 067 3368

Questionnaire for 2021 Resident Visa

Full Name

About you

1. First name(s): *

2. Surname: *

3. Email: *

4. Mobile number:

5. Date of birth: *

6. Gender: *

7. Your passport country: *

Your place of residence

8. Are you currently in New Zealand? *

9. If yes, your residential address in NZ:

10. When did you first arrive in NZ?

11. List the dates you have spent outside of NZ:

ONLY list dates between 29 Sept 2018 to 29 Sept 2021 (inclusive):

For example:

1 Oct-31 Oct 2018 and 10 Feb-3 Mar 2019

Your employment in NZ

12. What is your job title?

13. What is your salary, excluding commission and bonus?

14. How many hours do you work per week?

15. Do you hold an occupational registration in NZ?

16. Please upload your employment agreement

17. Please upload your eVisa

18. Please upload your occupational registration, if any

19. Have you previously submitted an EOI under the Skilled Migrant Category?

20. Have you applied for residence under the Skilled Migrant Category?

21. Have you applied for Residence from Work?

About your partner

22. Your partnership status: *

If you are NOT in a relationship, skip to the next section.

23. Partner's first name(s):

24. Partner's surname:

25. Gender:

26. Partner's date of birth:

27. Partner's passport country

28. If you're married, date of marriage:

29. How long have you lived together?

About your children: Pls click "+" to add your children's details

30. First name(s):

31. Surname:

32. Gender:

33. Date of birth:

34. Passport country:

Other information

35. Have you or your family ever been charged with or convicted of an offence in any country, including traffic offence? *

36. Have you or your family ever been refused or declined a visa to any country? *

37. Have you or your family ever had any adverse immigration history in any country, such as overstaying, breach of visa conditions? *

38. Do you or your family have any health issues that require on-going medications or hospital treatments? *

39. How did you hear about NZL Immigration? *

Tick to acknowledge and agree: 1) That the information you have provided is true and correct to the best of your knowledge. 2) That any false information, misrepresentation or omission of facts may lead to visa decline and NZL Immigration can no longer represent you. 3) That the information provided will need to be verified and supported with evidence at a later stage. 4) That NZL Immigration will contact you via email. 5) That NZL Immigration may send emails to you regarding other immigration information, unless you email us to unsubscribe. 6) That NZL Immigration will store your details on Ezymigrate, a third-party Client Management Software provider