User

IEF Limited

address

 

326 New North Road, Kingsland

phone

 

09 3772233

SMC evaluation

Full Name

PRINCIPAL APPLICANT

What is your Surname ? *

Given/first name

What is your age? *

What is your gender? *

Partnership status *

What is your citizenship? *

What is your contact number? *

What is your WeChat ID?

Email address *

What is your current visa type?

What is your visa expiry date?

IELTS/PTE Scores ?

What is the IELTS test date?

Where did you find us ? (Details)

PRINCIPAL APPLICANT'S EDUCATIONAL HISTORY

What is your qualification? *

What is the name of institute? *

What is the completion date of education? *

PRINCIPAL APPLICANT'S EMPLOYMENT HISTORY

Type of work/occupation/job title

Employer (Company) name

What is the employer's address?

Start date

What is the employment commencement date ?

What is the job end date ?

End date

PRINCIPAL APPLICANT'S HEALTH & CHARACTER REQUIREMENTS

Have you been refused/declined an application for a visa in NZ or any other country ? If yes, please provide details *

Are you or anyone included in this application, currently wanted for questioning for any offence in any country? *

Are you or anyone included in this application, currently is under investigation for any offence in any country? *

Are you or anyone included in this application, currently is facing charges for any offence in any country? *

Do you or does anyone included in this application, currently have an outstanding arrest warrant in any country? *

Have you or has anyone included in this application, ever been excluded from any country, including NZ? *

Have you or has anyone included in this application, ever been refused entry from any country, including NZ? *

Have you or has anyone included in this application, ever been removed or deported from any country, including NZ? *

Have you or anyone included in this application, been convicted at any time of any offence, including any driving offence? *

IF you answered YES, please provide details:

Do you or does anyone included in this application have Tuberculosis (TB)? *

Do you or does anyone included in this application have any medical condition that requires or may require renal dialysis during your stay in NZ? *

Do you or does anyone included in this application have any medical condition that requires, or may require, hospital care during your stay in NZ? *

Do you or does anyone included in this application have any medical condition that requires, or may require residential care during your stay in NZ? *

Do you or does anyone have severe haemophilia? *

If you have any health condition that is likely to require ongoing treatment or medication, please provide details

SPOUSE/PARTNER

Spouse/partner’s family/last name

Spouse/partner’s given/first name

What is your partner's age?

What is your partner's gender?

Partner IELTS test - If your partner has completed an IELTS test, provide their overall score

Have you and your partner been living together for 12 months or more in a partnership that is genuine and stable?

PARTNER'S EDUCATIONAL HISTORY

What is your qualification?

What is the name of your School / University?

What is the completion date of education?

PARTNER'S WORK HISTORY

Please list all your partner's employment history (name of company, location, position held, headquarters abroad if any and period of work)

PRINCIPAL APPLICANT'S CHILDREN DETAILS

Child Name

Date of birth

PRINCIPAL APPLICANT'S CURRENT EMPLOYMENT

Type of work/occupation/job title

Name of employer

Employer’s Address

What is the hourly rate offered to you?

Start date

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.