ELIGIBILITY ASSESSMENT QUESTIONNAIRE FOR MIGRATION TO NEW ZEALAND

Full Name

PERSONAL DETAILS-MAIN APPLICANT

1. Last name:

2. Given name:

3. Title:

4. Date of Birth:

5. Street Address:

6. Suburb:

7. City:

8. Country

9. Email Address:

10. Telephone:

11. Mobile:

12. Fax:

13. Marital Status:

14. How long have you lived together?:

15. Have you ever been divorced?:

16. If divorced, state date?

17. How did you hear about us?

PERSONAL DETAILS - SPOUSE OR PARTNER

18. Last name:

19. Given name:

20. Title:

21. Date of Birth:

22. Street Address:

23. Suburb:

24. City:

25. Country:

26. Email Address:

27. Telephone:

28. Mobile:

29. Fax:

30. Marital Status:

31. How long have you lived together?:

32. Are you a NZ Citizen or Resident?

33. Have you ever been divorced?If Yes, state date?

PERSONAL DETAILS - CHILDREN ( including those from a previous relationship)

34. Full name

35. Date of birth

36. Sex( M/F)

Male Female

37. Country of residence

38. Country of Citizenship

39. Adopted ( Yes / No)

Yes No

40. Do you have full custody ( Yes/ No)

Yes No

VISA DETAILS - Only complete this if you are currently in Canada or previously have been in Canada

41. Main Applicant or Spouse/Partner or Child

42. Arrival Date:

43. Visa Type:

44. Expiry date:

45. Departure date:

CHARACTER

Please list ALL countries you or anyone included in this application aged 17 years or over have spent a total of 10 years(not necessarily consecutively) in the last 10 years including your country of residence.

46. Main Applicant or Spouse/Partner or Child

47. Country

48. Date of entry:

49. Date of departure:

Has any person included in this application spent a total of 5 years or more(not necessarily consecutively)in any countrysince their 17th birthday? If so , please provide the relevant details below

50. Main Applicant or Spouse/Partner or Child

51. Name

52. Country

53. Date of Entry

54. Date of Departure

VISA HISTORY

55. Has any person associated with this application ever had an application for temporary or permanent visa declined by any government or country, or have been deported/removed at any time from any country?

Yes No

56. Name

57. Provide Details :

IMMEDIATE FAMILY ( parents, brother, sister, step and half brothers, sisters)

Please list all immediate family members for YOU below-

58. Name

59. Date of birth

60. Country

61. Immigration status

62. Relationship to you

Please list all immediate family members for YOUR SPOUSE/PARTNER below-

63. Name

64. Date of birth

65. Country

66. Immigration status

67. Relationship to you

YOUR EDUCATION AND QUALIFICATIONS (please incldude short & long term coures latest to previous)

68. Type of school

69. Name of School

70. Start Date

71. Finish date

72. Qualification acheived

YOUR SPOUSE's / PARTNER's EDUCATION AND QUALIFICATIONS (please incldude short & long term coures latest to previous)

73. Type of school

74. Name of School

75. Start Date

76. Finish date

77. Qualification acheived

YOUR WORK EXPERIENCE

78. TOTAL EXPERIENCE : _______________ years

79. Job title

80. Company name

81. Country

82. Start date

83. Finish date

84. Full/part time

85. Evidential docs(Yes/No)

Yes No

YOUR SPOUSE'S / PARTNER'S WORK EXPERIENCE

86. TOTAL EXPERIENCE : _______________ years

87. Job title

88. Company name

89. Country

90. Start date

91. Finish date

92. Full/part time

93. Evidential docs(Yes/No)

OFFER OF EMPLOYMENT OR CURRENTLY EMPLOYED IN NEW ZEALAND

Do you or your Spouse have a avlaid offer of employment or are currently in New Zealand and having either an Offer of employment or currently employed / Please furnish these details below

94. Name of Employer

95. Location

96. Job Position & brief description

97. Type of job ( Casual/Full/Part time)

98. Start Date

99. Wage/ Salary offered

100. Current Visa type

101. Visa expiry date

AVAILABLE FUNDS

We seek this information from you to ascertain whether you are eligible under certain categories of immigration instructions. This information will be treated with strcitest confidenceand will not be released to any third party without your express permission

102. What is your estimated (combined) net worth including Cash,property, investments and other assets/

103. Do you have net worth (assets or transefrable funds) in excess of 1.5 million NZD?

104. Would you be prepared to transfer a minimum of $1.5 million to NZ within 12 months of your visa being successful?

105. Are you part of a group of investors /business wth a Start-up Business idea that NZ might be interested in with export potential or potential to provide jobs to min. 3 NZers?

106. Have you ever been involved in a business ( as owner or senior employee) that had at least 5 full time staff and an annual turnover /sales equivalent of NZ $1 million over 3 years(not necessarily consecutively)?

BUSINESS EXPERIENCE - Only consider if you are considering owning a business in NZ

107. Have you ever owned a business?

Yes No

If YES, please provide the following details:

108. Type of business

109. Your shareholding in that business( if applicable)

110. Years in operation

111. Average revenue / sales/ turnover over the last three trading years

112. Number of staff employed

113. Have you ever been involved in a failing business or been bankrupted?

114. What type and nature of business you want to establish in New Zealand

115. Have you done any research into purchasing or establishing a business in New zealand? If yes , please list below:

Yes No

Research:

116. What sort or level of capital do you think you would need to purchase or establish this business?

117. Would the business you propose to start be Innovative or export oriented?

118. How many employees Would your proposed business potentially employ?

119. Estimated turnover of this proposed business?

HEALTH

120. Do you or any person included in this application have any current medical condition that requires medication,monitoring or care by your Doctor or Specialist? If YES, please provide details of this condition , date of diagnosis, duration of this condition, any treatment or prognosis, - in the space below-

Yes No

121. Details:

122. Have you or any person included in this application had any medical condition for which you/they were referred to a Specialist or spent time in the hospital? If YES, please provide details below-

Yes No

123. Details:

EDUCATIONAL BACKGROUND - children over 16 years of age

124. Name

125. Country you completed Secondary/High school education

126. Highest qualification and year you achieved it

127. Language of Instruction

128. How would you rate your English Language Skills ( scale of 1-10 , 1 =poor,10 + Excellent)

129. Have you ever appeared for a IELTS exam ?

130. Date and score of IELTS exams

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.

Drop or click here to attach CV and other documents. Max 10 files

EdVantage International Consulting Limited

address

Ground Floor, 82 Symonds Street, Grafton, Auckland 1010, New Zealand

phone

+6421909861

Email

[email protected]

ELIGIBILITY ASSESSMENT QUESTIONNAIRE FOR MIGRATION TO NEW ZEALAND

Full Name

1. Last name:

2. Given name:

3. Title:

4. Date of Birth:

5. Street Address:

6. Suburb:

7. City:

8. Country

9. Email Address:

10. Telephone:

11. Mobile:

12. Fax:

13. Marital Status:

14. How long have you lived together?:

15. Have you ever been divorced?:

16. If divorced, state date?

17. How did you hear about us?

18. Last name:

19. Given name:

20. Title:

21. Date of Birth:

22. Street Address:

23. Suburb:

24. City:

25. Country:

26. Email Address:

27. Telephone:

28. Mobile:

29. Fax:

30. Marital Status:

31. How long have you lived together?:

32. Are you a NZ Citizen or Resident?

33. Have you ever been divorced?If Yes, state date?

34. Full name

35. Date of birth

36. Sex( M/F)

37. Country of residence

38. Country of Citizenship

39. Adopted ( Yes / No)

40. Do you have full custody ( Yes/ No)

41. Main Applicant or Spouse/Partner or Child

42. Arrival Date:

43. Visa Type:

44. Expiry date:

45. Departure date:

Please list ALL countries you or anyone included in this application aged 17 years or over have spent a total of 10 years(not necessarily consecutively) in the last 10 years including your country of residence.

46. Main Applicant or Spouse/Partner or Child

47. Country

48. Date of entry:

49. Date of departure:

50. Main Applicant or Spouse/Partner or Child

51. Name

52. Country

53. Date of Entry

54. Date of Departure

55. Has any person associated with this application ever had an application for temporary or permanent visa declined by any government or country, or have been deported/removed at any time from any country?

56. Name

57. Provide Details :

Please list all immediate family members for YOU below-

58. Name

59. Date of birth

60. Country

61. Immigration status

62. Relationship to you

63. Name

64. Date of birth

65. Country

66. Immigration status

67. Relationship to you

68. Type of school

69. Name of School