Horizons Immigration CVE Ltd
address
Level 10, Jarden Building, 21 Queen Street, Auckland 1010, New Zealand
phone
+64 280 808080
Email
info@horizonscvecom
Details as shown in Passport
Preferred Title
Mr
Mrs
Ms
Miss
Dr
First Name as shown in passport *
Middle Name (if you have)
Family Name as shown in passport *
Other names you are known by or have ever been known by
Date Of Birth (dd-mm-yyyy)
Gender
Male
Female
Country Passport Issued
Please select one
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia, Plurinational State of
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, the former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela, Bolivarian Republic of
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country Of Interest
Please select one
New Zealand
Australia
Town/City Passport Issued
Passport Number
Passport Expiry Date
Current Visa type
Please select one
2021 RV -Phase 1
2021 RV -Phase 2
Accredited Employer Work Visa
Appeal - IPT
BUNAC/IEP
Citizenship
Complaint
Consultation
Critical Purpose Visitor Visa
Deportation liability response
Employer accreditation
Employer Approval in Principal
Entrepreneur Further Work Visa
Entrepreneur Work Visa
Event Visa
Expression of Interest
Expression of Interest – Parent Category
Expression of Interest – SMC
Interim Visa
Investor
Investor (Investor 2 Category)
Investor Plus (Investor 1 Category)
Job Check
Limited Visa
Long term Business Visa
Ministerial Intervention
None
NZQA
Offshore
OIA requests
Other Visa
Passport
Permanent Resident Visa
PPI
Professional registration
Prospect
Reconsideration Request
Recruitment assistance
Request to immigration ombudsman
Residence – Entrepreneur
Residence – FAM
Residence - Parent Category
Residence – Parent retirement Category
Residence – SMC
Residence - Victim of Domestic Violence
Residence – Work Visa
Residence- Dependent Child
Residence from work
Residence under Partnership
Residence Visa - VOC
Residence-Religious Worker
Skilled Migrant Category - Removal of Section 49(1) conditions
Student Placement
Student Visa - Dependant
Student Visa – General
Student Visa – Sec 61
Student Visa – VOC
Talent
Talent (Sport)
Temporary Retirement Visa
Tier Two Refugee Family Support Category
Tourist
Transfer visa stamp
Unlawful
Variation of conditions
Visitor Visa - Dependant
Visitor Visa – General
Visitor Visa – Grandparent
Visitor Visa – Guardian
Visitor Visa – Parent
Visitor Visa – Partnership
Visitor Visa – Sec 61
Visitor Visa - Special
VOTC (Variation of Travel Conditions)
Work to Residence
Work to residence Visa LTSSL
Work Visa
Work Visa – Essential Skills
Work Visa – Partnership Category
Work Visa – Post Study Employer Assisted
Work Visa – Post Study Open
Work Visa – Residence
Work Visa – Sec 61
Work Visa - Talent (Accredited Employer)
Work Visa - Talent (Arts - Culture - Sports)
Work Visa – VOC
Work Visa- Religious Worker
Working Holiday
Visa Expiry Date
Birth Place: Country
Please select one
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia, Plurinational State of
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, the former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela, Bolivarian Republic of
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Birth Place: State
Birth Place: Town
Overseas Address
National ID number
Partnership Status
Single
Married
Divorced
Seperated
Partner
Engaged
Widowed
Defacto
Contact Details (Current Residential Address)
Flat No
Entrance No
Building No
Street No and Name
Suburb
Post Code
Telephone(Landline)
Telephone(Mobile)
Email
Financial Support Details (For Study Visa)
A third Party (relative,friend or a supporting organisation)is providing a financial undertaking
Yes
No
You have sufficient funds equivalent to NZ S15,000 for a full year of study,or NZ 1,250 pm
Yes
No
You have sufficient funds to pay your tution fee
Yes
No
You are fully funded by the award of a full scholarship
Yes
No
You have sponsorship for temporary entry by an acceptable sponsor
Yes
No
Financial Support Details (For Work/Visit Visa)
How will you be financially supporting your stay in New Zealand ?
You have sufficient funds to support your stay ?
Yes
No
Your sponsor is financially supporting your stay?
Yes
No
Your employer or another third party is supporting your stay?
Yes
No
Principal applicant’s family details
Partner information
Full Name
Gender
Date of Birth
Partnership Status
Country of Residence
Occupation
Birth Place
Brothers and sisters (including half, step and adopted brothers and sisters).
Full Name
Gender
Date of Birth
Partnership Status
Country of Residence
Occupation
Birth Place
add new line
Children (including biological, adopted and step-children,
including those from previous marriages/relationships).
Full Name
Gender
Date of Birth
Partnership Status
Country of Residence
Occupation
Birth Place
add new line
Friends, relatives or contacts in New Zealand
First Name
Middle Name
Last Name
Address Line 1
Address Line 2
Relationship
Telephone
Email
DOB
Educational History
Education history, including English language studies (if applicable)
Qualification
Start Date
End Date
Name of Institute
Address
add new
Health and Character Details
Have you been convicted for any type of offence, including any driving offence?
Have you ever been under investigation in any country, including NZ?
Have you ever been excluded,refused,deported from any country including New Zealand?
Have you ever been refused entry Or any visa to any country (Including New Zealand) Please provide details
If You Have Any Health Condition That Is Likely To Require Ongoing Treatment Or Medication, Please Provide Details
Are you submitting your medical certificate with this visa application? if yes, provide code
When did you submit your last General Medical (dd-mm-yy)?
When did you submit your last X-ray (dd-mm-yy)?
When did you submit your Police certificate(dd-mm-yy)?
Have you previously applied for a visa for New Zealand?
Yes
No
If yes then client number
Are you pregnant?
Yes
No
Do you have tuberculosis (TB)?
Yes
No
Do you have any Renal Disease?
Yes
No
If you have TB or Renal Disease please provide details
Would you like to add your Work History?
Yes
No
Work History
Type of Employment
Employer Name
Employer Address
Start Date
End Date
add new
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.
SAVE