User

Dreams Immigration Services Ltd

address

220 Queen Street, Auckland CBD

phone

0212227102 0220324302

Email

[email protected]

ENQUIRY/ASSESSMENT FORM

Full Name

ENQUIRY/ASSESSMENT FORM

This is not an official Government form but has been designed by us in line with Privacy Act 2020, to gather all the information required to assess your eligibility to meet your immigration objective. All information received through this form will be treated in the strictest confidence and will not be passed on to any third party without your express permission.

PERSONAL DETAILS – PRINCIPAL APPLICANT

1. NAME:

2. DATE OF BIRTH

3. PASSPORT NO.

4. MARITAL STATUS:

5. PHONE:

6. EMAIL:

7. ADDRESS:

8. CURRENT VISA:

9. EXPIRY DATE:

10. EDUCATIONAL BACKGROUND (NZ & OVERSEAS):

11. WHAT VISA YOU WANT TO APPLY:

12. ANY PREVIOUS CONVICTION OR VISA REFUSAL:

PARTNER’S DETAILS (IF APPLICABLE)

13. NAME:

14. DATE OF BIRTH:

15. OCCUPATION WITH CURRENT DESIGNATION (IF APPLICABLE):

16. ANY PREVIOUS CONVICTION OR VISA REFUSAL:

17. PLEASE PROVIDE ANY OTHER INFORMATION THAT YOU THINK MAY BE RELEVANT: