OFFICE USE ONLY Client no.: Date received: / / Application no.

INZ 1000

Residence Visa/Permit
Application
under Family Category, Residence from Work Category, and special policies

INZ 1002

INZ 1002
Use the guide to help you complete the application form
Residence Visa/Permit
Guide
a guide to completing the Residence Visa/Permit Application (INZ 1000)
For help completing this form, please refer to the Residence Visa/Permit Guide
(INZ 1002).
Who is this guide for?
About this guide
For use by applicants applying for residence under the:
This guide is intended to help you complete
• Residence From Work Category
your Residence Visa/Permit Application
OFFICE USE ONLY Client no.: Date received: /
(INZ 1000) correctly. It
/ Application no.:

INZ 1000
• Family Category
Residence Visa/Permit explains the evidence you • Refugee Family Support Category
Application
must provide when applying
under Family Category, Residence from Work Category, and special policies
• Pacific Access Category
for residence.
Use the guide to help you complete the application form
For help completing this form, please refer to the Residence Visa/Permit Guide
(INZ 1002).

Immigration Advisers Licensing Act 2007

• Samoan Quota Scheme.
You should read this
Under the Immigration Advisers Licensing Act 2007, anyone giving immigration advice will have

If you want to submit an Expression of Interest under the

to be licensed (unless they are exempt). From 4 May 2009, all immigration advisers working in

Immigration Advisers Licensing Act 2007

New Zealand must be licensed. From 4 May 2010, all immigration advisers, whether working
onshore or offshore, must be licensed. It is an offence to provide immigration advice without
holding a licence from these dates.

If your immigration adviser is not licensed when they should be, Immigration New Zealand will
return your application.

For more information and to view the Register of licensed advisers, go to the Immigration Advisers Authority website
www.iaa.govt.nz, email info@iaa.govt.nz, or write to them at PO Box 6222, Wellesley Street, Auckland 1141, New Zealand.
guide along with the Self- Skilled Migrant Category, you can either complete and submit an
Residence policy you are applying under
Which residence policy/category are you applying under?
Assessment Guide for Expression of Interest form online at www.immigration.govt.nz
Residence in New Zealand
Family Category Pacific Access Category Refugee Family Support Category

Residence from Work Samoan Quota Scheme Other (please specify)

If you are applying under Partnership or Dependent Child policies in the Family Category, answer the following question. or you can fill in a paper form (available from an Immigration New
(INZ 1003), which sets out
Is your partner or sponsor an expatriate New Zealander?

Zealand (INZ) office or our website).

Yes No

For the purposes of prioritising such applications, an expatriate New Zealander is either a New Zealand citizen, or the holder
of an indefinite returning resident’s visa, who has been absent from New Zealand for at least two years prior to the date of

the policy requirements

this application (apart from short visits).
In the case of a partnership application the New Zealand sponsor must have been living together with the principal applicant
for 12 months or more in a partnership that is genuine and stable.

for people applying for If you want to apply for residence under the Migrant Investment
residence in New Zealand. Policy, see our Investor Plus (Investor 1 Category) Guide (INZ
1162), or Investor (Investor 2 Category) Guide (INZ 1164).
For further information on immigration
September 2009
visit www.immigration.govt.nz

Please take time to read If you want to apply for residence under the Entrepreneur

Under the Immigration Advisers Licensing Act 2007 it is an offence to provide immigration
this guide carefully, and refer to it when completing your or Employee of a Relocating Business categories, see
application form. our Guide to Applying for Residence in New Zealand Under
the Entrepreneur or Employee of a Relocating Business
Numbered boxes like this B9 refer to questions in the Categories (NZIS 1057).
application form. Please make sure you answer all the
relevant questions and provide all the documents we

advice without being licensed or exempt. If your immigration adviser is not licensed when they
ask you to, otherwise we may not be able to accept your Migrant levy
application. If you are applying for residence while you
are in New Zealand on a visitor, work or student permit, If your application for residence is successful then you may
you need to make sure your permit is valid when you need to pay a migrant levy before your residence is granted.
apply for residence. You can find details of which categories of applicants are

should be, Immigration New Zealand will return your application.

required to pay the migrant levy and the amount you will need
Help us to decide your application quickly by: to pay in our Fees Guide (INZ 1028).
• reading this guide carefully; and
• providing all the required documents with your More information
application form.
You can get more information and advice from:
For more information and application forms visit our
website at www.immigration.govt.nz. • New Zealand diplomatic and consular offices
• Any of our INZ branch offices overseas. We have overseas

For more information and to view the register of licensed advisers, go to the Immigration
offices in Apia, Bangkok, Beijing, Hong Kong, Jakarta, London,
Moscow, New Delhi, Nuku’alofa, Shanghai, Singapore, Suva,
Sydney and Taipei
• Any of our INZ branch offices in New Zealand, which are
located in Auckland, Henderson, Manukau, Hamilton,

Advisers Authority website www.iaa.govt.nz or email info@iaa.govt.nz.

Palmerston North, Wellington, Christchurch and Dunedin.
All INZ forms, leaflets and fee information can be downloaded
from our website www.immigration.govt.nz.

For further information on immigration

November 2009
visit www.immigration.govt.nz

When filling in this form, please print clearly in English using CAPITAL LETTERS.

Residence policy you are applying under

Which residence policy/category are you applying under?
Family Category Pacific Access Category Refugee Family Support Category

Residence from Work Samoan Quota Scheme Other (please specify)

If you are applying under Partnership or Dependent Child policies in the Family Category, answer the following question.
Is your partner or sponsor an expatriate New Zealander?

Yes No

For the purposes of prioritising such applications, an expatriate New Zealander is either:
• a New Zealand citizen, or
• the holder of an indefinite returning resident’s visa,
and has been absent from New Zealand for at least two years prior to the date of this application (apart from short visits).
In the case of a partnership application the New Zealand sponsor must have been living together with the principal applicant
for 12 months or more in a partnership that is genuine and stable.

For further information on immigration May 2010

visit www.immigration.govt.nz
 When filling in this form, please print clearly using CAPITAL LETTERS.

Section A Principal applicant’s personal details

All principal applicants must complete this section.

Attach two passport-size photographs of yourself here.

The photographs must be less than six months old.
Write your full name on the back of the photographs.
For more information about the questions in this section, see ‘Completing
Section A: Principal applicant’s personal details’ in the Residence Visa/
Permit Guide. 4.5cm 4.5cm

A1 Name as shown in passport

Family/last name
3.5cm 3.5cm

Given/first name(s)

A2 Preferred title Mr Mrs Ms Miss Dr Other (please specify)

A3 Other names you are known by or have ever been known by

A4 Your name in ethnic script

A5 Gender Male Female A6 Date of birth

A7 Town/city of birth

Country of birth

A8 Other citizenships you hold

A9 Partnership status
Married Never married Partner Separated Widowed Divorced

For definition of partner, see ‘Completing Section D: Partner’s personal details’ in the Residence Visa/Permit Guide.

A10 What is your main occupation?

A11 Details of all passports held

Passport 1

Number Country

Expiry date Issue date Place of issue

Family/last name as shown in passport Given/first name(s) as shown in passport

2 – Residence Visa/Permit Application

 Passport 2

Number Country

Expiry date Issue date Place of issue

Family/last name as shown in passport Given/first name(s) as shown in passport

Passport 3

Number Country

Expiry date Issue date Place of issue

Family/last name as shown in passport Given/first name(s) as shown in passport

Section B Contact details

All principal applicants must complete this section.

For more information on the questions in this section see ‘Completing Section B: Contact details’ in the Residence Visa/Permit Guide.

B1 Your residential address and telephone number in your home country

Address

Telephone (daytime) Telephone (evening)

Fax Email

B2 Your New Zealand residential address and telephone number (if you are already in New Zealand)

Address

Telephone (daytime) Telephone (evening)

Fax Email

B3 Name and address for communication about this application

Same as address at B1 , or Same as address at B2 , or Other
Family/last name Given/first name(s)

Company name (if applicable) and address

Telephone (daytime) Telephone (evening)

Fax Email

B4 Do you authorise the person stated at B3 to act on your behalf? Yes No

Residence Visa/Permit Application – 3

 When filling in this form, please print clearly using CAPITAL LETTERS.

B5 Have you received immigration advice on this application?

You can find a definition of immigration advice at www.immigration.govt.nz/advice.

Yes Please make sure that your immigration adviser completes Section S: Immigration adviser’s details. Go to B6 .
No Go to B7 .

B6 Immigration adviser reference code for online enquiries (if known).

This is not the adviser’s licence number.

B7 Would you like us to email you instructions for registering to check online how your application is progressing?
Yes No

Section C Principal applicant’s family details

C1 Give details of all your family, whether migrating with you or not, including those adopted legally or by custom. It is
not necessary to list deceased family members.

For definition of partner, see ‘Completing Section D: Partner’s personal details’ in the Residence Visa/Permit Guide.
Please note: if you do not declare all your family members, your residence application could be declined. If you are granted residence and it is later
found that all family members were not declared, your residence may be revoked. In addition, any family members not declared may not be eligible
for residence.

Parents (biological and adoptive). If both parents are deceased, give details of legal guardians (if any) and/or grandparents.

Full name Gender Date of birth Partnership Country of residence

(M/F) (DD/MM/YY) status
/ /

/ /

/ /

/ /

/ /

/ /

Brothers and sisters (including half, step and adopted brothers and sisters).

Full name Gender Date of birth Partnership Country of residence

(M/F) (DD/MM/YY) status
/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

4 – Residence Visa/Permit Application

 Children (including biological, adopted and step-children, including those from previous marriages/relationships).

Full name Gender Date of birth Partnership Country of residence Does the person
(M/F) (dd/mm/yy) status intend to migrate
with you? (Y/N)
/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

Section D Partner’s personal details

A partner may be either legally married, or in a civil union, or in a de facto relationship (whether opposite or same sex).

For more information on the questions in this section see ‘Completing Section D: Partner’s personal details’ in the Residence Visa/Permit Guide.

Attach two passport-size photographs of your partner here.

The photographs must be less than six months old.
Write your partner’s full name on the back of the photograph.

D1 Partner’s name as shown in passport

4.5cm 4.5cm
Family/last name

Given/first name(s)
3.5cm 3.5cm

D2 Partner’s preferred title

Mr Mrs Ms Miss Dr Other (please specify)

D3 Other names your partner is known by or has ever been known by

D4 Partner’s name in ethnic script

D5 Partner’s gender Male Female D6 Date of birth

D7 Partner’s town/city of birth

Partner’s country of birth

Residence Visa/Permit Application – 5

 When filling in this form, please print clearly using CAPITAL LETTERS.

D8 Other citizenships your partner holds

D9 Details of all passports held by your partner

Passport 1

Number Country

Expiry date Issue date Place of issue

Family/last name as shown in passport Given/first name(s) as shown in passport

Passport 2

Number Country

Expiry date Issue date Place of issue

Family/last name as shown in passport Given/first name(s) as shown in passport

Passport 3

Number Country

Expiry date Issue date Place of issue

Family/last name as shown in passport Given/first name(s) as shown in passport

D10 Is your partner included in this application?

Yes You must provide evidence of your relationship as described in Section K of the Residence Visa/Permit Guide (INZ 1002)

No

Section E Partner’s family details

E1 Give details of all your partner’s family, whether migrating with you or not, including those adopted legally or by
custom. It is not necessary to list deceased family members.

For definition of partner, see ‘Completing Section D: Partner’s personal details’ in the Residence Visa/Permit Guide.
Please note: if you do not declare all your partner’s family members, your residence application could be declined. If you are granted residence and
it is later found that all family members were not declared, your residence may be revoked. In addition, any family members not declared may not
be eligible for residence.

Parents (biological and adoptive). If both parents are deceased, give details of legal guardians (if any) and/or grandparents.

Full name Gender Date of birth Partnership Country of residence

(M/F) (DD/MM/YY) status
/ /

/ /

/ /

/ /

/ /

/ /

6 – Residence Visa/Permit Application

 Brothers and sisters (including half, step and adopted brothers and sisters).

Full name Gender Date of birth Partnership Country of residence

(M/F) (DD/MM/YY) status

/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

Children (including biological, adopted and step-children, including those from previous marriages/relationships).

Full name Gender Date of birth Partnership Country of residence Does the person
(M/F) (dd/mm/yy) status intend to migrate
with you? (Y/N)

/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

/ /

Residence Visa/Permit Application – 7

 When filling in this form, please print clearly using CAPITAL LETTERS.

Section F Dependent children

Supply the following details for each dependent child included in this application. If you have no dependent children included
in this application, go to Section G Additional details. Please ensure that you complete F49 (at the end of this section).

For more information on the questions in this section see ‘Completing Section F: Dependent children’ in the Residence Visa/Permit Guide.

Dependent child one

Attach two recent passport-size photographs of the child here.
The photographs must be less than six months old.
Write the child’s full name on the back of the photographs.

F1 Child’s name as shown in passport 4.5cm 4.5cm

Family/last name

Given/first name(s) 3.5cm 3.5cm

F2 Child’s gender Male Female F3 Child’s date of birth

F4 Child’s country of birth

F5 Child’s passport details

Number

Country Expiry date

F6 Other citizenships child holds

F7 Partnership status (for a definition of partner, see ‘Completing Section D: Partner’s personal details’ in the Residence Visa/Permit Guide
(INZ 1002)).

Married Never married Partner Separated Widowed Divorced

F8 Does this child have children of his/her own? Yes No

Dependent child two

Attach two recent passport-size photographs of the child here.
The photographs must be less than six months old.
Write the child’s full name on the back of the photographs.

F9 Child’s name as shown in passport 4.5cm 4.5cm

Family/last name

Given/first name(s) 3.5cm 3.5cm

F10 Child’s gender Male Female F11 Child’s date of birth

F12 Child’s country of birth

8 – Residence Visa/Permit Application

F13 Child’s passport details

Number

Country Expiry date

F14 Other citizenships child holds

F15 Partnership status.

Married Never married Partner Separated Widowed Divorced

F16 Does this child have children of his/her own? Yes No

Dependent child three

Attach two recent passport-size photographs of the child here.
The photographs must be less than six months old.
Write the child’s full name on the back of the photographs. 4.5cm 4.5cm

F17 Child’s name as shown in passport

Family/last name
3.5cm 3.5cm

Given/first name(s)

F18 Child’s gender Male Female F19 Child’s date of birth

F20 Child’s country of birth

F21 Child’s passport details

Number

Country Expiry date

F22 Other citizenships child holds

F23 Partnership status.

Married Never married Partner Separated Widowed Divorced

F24 Does this child have children of his/her own? Yes No

Dependent child four

Attach two recent passport-size photographs of the child here.
The photographs must be less than six months old.
Write the child’s full name on the back of the photographs. 4.5cm 4.5cm

F25 Child’s name as shown in passport

Family/last name
3.5cm 3.5cm

Given/first name(s)

F26 Child’s gender Male Female F27 Child’s date of birth

Residence Visa/Permit Application – 9

 When filling in this form, please print clearly using CAPITAL LETTERS.

F28 Child’s country of birth

F29 Child’s passport details

Number

Country Expiry date

F30 Other citizenships child holds

F31 Partnership status.

Married Never married Partner Separated Widowed Divorced

F32 Does this child have children of his/her own? Yes No

Dependent child five

Attach two recent passport-size photographs of the child here.
The photographs must be less than six months old.
Write the child’s full name on the back of the photographs.

F33 Child’s name as shown in passport 4.5cm 4.5cm

Family/last name

Given/first name(s) 3.5cm 3.5cm

F34 Child’s gender Male Female F35 Child’s date of birth

F36 Child’s country of birth

F37 Child’s passport details

Number

Country Expiry date

F38 Other citizenships child holds

F39 Partnership status.

Married Never married Partner Separated Widowed Divorced

F40 Does this child have children of his/her own? Yes No

Dependent child six

Attach two recent passport-size photographs of the child here.
The photographs must be less than six months old.
Write the child’s full name on the back of the photographs.

F41 Child’s name as shown in passport 4.5cm 4.5cm

Family/last name

3.5cm 3.5cm
Given/first name(s)

10 – Residence Visa/Permit Application

F42 Child’s gender Male Female F43 Child’s date of birth

F44 Child’s country of birth

F45 Child’s passport details

Number

Country Expiry date

F46 Other citizenships child holds

F47 Partnership status (for a definition of partner, see Section C of the Residence Visa/Permit Guide (INZ 1002).

Married Never married Partner Separated Widowed Divorced

F48 Does this child have children of his/her own? Yes No

Give details of any additional dependants on the form Additional Dependants for Residence in New Zealand (INZ 1001),
and attach it to this page.

F49 Are you separated or divorced from the parent of any of the above children or is the parent of any of the above
children not included in this application?
Yes You must provide evidence. See ‘Completing Section F: Dependent children’ in Residence Visa/Permit Guide.

No

Section G Additional details

Complete this section for everyone included in the application aged 17 years or over.

G1 Do you or any other person included in this application have a national identity number, or other unique identifier
that was issued to you by any government?
Yes Provide details No

Name of applicant National identity number/unique identifier

1.

2.

3.

4.

5.

6.

G2 Have you or any other person included in this application been associated with any intelligence agency or group, or
law enforcement agency?
Yes Please describe how you/they were involved. No

Residence Visa/Permit Application – 11

 When filling in this form, please print clearly using CAPITAL LETTERS.

G3 Have you or any other person included in this application completed military service in any country?
Yes. Please provide information about your/their military service including the dates of your/their military service, your/their position and
rank, the unit or units that you/they served in, and your/their role within each unit.

No
Full name Date from Date to Rank Unit name or number Role
(DD/MM/YY) (DD/MM/YY)
/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

/ / / /

Please list any military identity numbers you/they were given.

G4 Are you or any other person included in this application presently subject to military service obligations in any country?
Yes No If no, and you/they are a citizen of a country in which compulsory military service exists, please give details.

G5 Have you or any other person included in this application been associated with any group or organisation that has
used or promoted violence to further their aims?
Yes Please describe how you/they were involved. No

G6 Have you or any other person included in this application ever committed or been involved in war crimes, crimes
against humanity, and/or human rights abuses?
Yes Please describe how you/they were involved. No

12 – Residence Visa/Permit Application

 Section H Character requirements
The following questions apply to every person included in this application 17 years of age and over.

For more information about the questions in this section, see ‘Completing Section H: Character requirements’ in the Residence Visa/Permit Guide.

H1 List the countries you and/or your family have lived in for 12 months or more in the last 10 years, with the dates
you began and ended living there. If you do not know the exact dates you began and ended living in a country, give
approximate dates. Please include your home country.

Name of applicant or family member

Name of country

Date of arrival Date of departure

Name of applicant or family member

Name of country

Date of arrival Date of departure

Name of applicant or family member

Name of country

Date of arrival Date of departure

Name of applicant or family member

Name of country

Date of arrival Date of departure

H2 Have you attached police certificates for each person aged 17 years and over included in your application from all
countries you have lived in for 12 months or more in the last 10 years?
Yes No
Have you attached police certificates for each person aged 17 years and over included in your application from
your country/countries of citizenship?
Yes No
If you have not provided all of the police certificates required, please explain why.

For information on how to obtain a police certificate you can visit our website at www.immigration.govt.nz/policecertificate. If you do not
have access to the internet you can call us on 0508 55 88 55 if you are in New Zealand, or (09) 914 4100 if you are in Auckland; or contact your
nearest Immigration New Zealand branch.

Residence Visa/Permit Application – 13

 When filling in this form, please print clearly using CAPITAL LETTERS.

H3 Are you and/or any of your accompanying family members currently under investigation, or wanted, by any law
enforcement agency in any country?
Yes No
Have you or any of your family members included in your application ever been:
• convicted or found guilty of any offence(s) against the law in any country? Yes No
• sentenced to serve a period of time in prison or other form of detention? Yes No
• placed on probation? Yes No
• charged with any offences against the law in any country? Yes No
• asked to leave any country, including New Zealand? Yes No
• refused entry to any country, including New Zealand? Yes No
• refused a visa/permit to visit, work, study or reside in any country, including New Zealand? Yes No
• involved in any terrorist activities or advocated similar violent activities? Yes No
• a member of, or adhered to, any terrorist organisation? Yes No
• involved in the illicit drug trade? Yes No
• a member of, or associated with, any organisation or group with criminal objectives or which
has engaged in criminal activities or advocated such activities? Yes No
• a member of, or associated with, any group of persons or organisation which, at the time of
membership or association, had objectives which were based on hostility against persons
or groups of persons on the basis of their colour, race, or ethnic or national origin, or
were based on a representation that persons of a particular race or colour are inherently
inferior or superior to other races or colours? Yes No
• convicted of an offence (including a traffic offence), committed within the last five years,
involving dangerous driving, driving having consumed excessive alcohol (including drunk
driving and driving with a blood or breath alcohol content in excess of a specified limit)
or driving having consumed drugs? Yes No
You must include all convictions for any offence(s), including any which are now regarded as having lapsed under
any legislation.
If you answered Yes to any of the questions in H3 give full details and the name of the family member(s).

Please continue on a separate sheet if necessary.

14 – Residence Visa/Permit Application

 Section I Health requirements
For more information on the questions in this section see ‘Completing Section I: Health requirements’ in the Residence Visa/Permit Guide, and
read our Health Requirements Leaflet (INZ 1121)

I1 Have you, and every required person, attached completed Medical and X-ray Certificates (INZ 1007)?
Yes No

Checklist for sections A to I

The Immigration Regulations in New Zealand require that we only accept residence applications for consideration that
include the documents below. Complete the following checklist to ensure that you have included all these documents.
Office
Check
Use Information and documents you must supply list
only

I have completed and signed the application form.

I have provided current passport(s) or certificate(s) of identity for every person included in this application

I have attached two passport-sized photographs of every person included in this application

I have attached full birth certificate(s) for every person included in this application

I have attached the application fee

I have attached a completed Medical and X-ray Certificate (INZ 1007) (less than three months old) for every required person

I have attached police certificate(s) (less than six months old) for every person included in this application.

Sections J to Q set out the information and documents required for your application to be considered under the
Residence from Work, Family, Refugee Family Support Category, Pacific Access Category or Samoan Quota Scheme
policies. You must provide ALL the information requested for the category you are applying under as outlined in the
Residence Visa/Permit Guide (INZ 1002).
Failure to provide any of the documents outlined above or the information required for Sections J to Q may result in
your application being returned.
• If you are applying under Residence from Work Category go to Section J.
• If you are applying under Family Category: Partnership Policy go to Section K.
• If you are applying under Family Category: Parent Policy go to Section L.
• If you are applying under Family Category: Sibling/Adult Child Policy go to Section M.
• If you are applying under Family Category: Dependent Child Policy go to Section N.
• If you are applying under Refugee Family Support Category go to Section O.
• If you are applying under Pacific Access Category go to Section P.
• If you are applying under Samoan Quota Scheme go to Section Q.

Residence Visa/Permit Application – 15

 When filling in this form, please print clearly using CAPITAL LETTERS.

Section J Residence from Work Category

For more information about the questions in this section, see Completing Section J: Residence from Work Category’ in the Residence Visa/
Permit Guide.

J1 Which Work to Residence option below was your work visa or permit approved for?
Long Term Skill Shortage List Talent (Accredited Employer)
Talent (Arts and Culture) Talent (Sports)

J2 Are you currently in New Zealand? Yes No You must be in New Zealand to lodge a residence application under Work to Residence policy.

J3 What date was your work permit first granted? (If issued a work visa, give the date of issue of the work permit
endorsed in your passport on your arrival in New Zealand.)

J4 What is the expiry date of your work permit?

J5 Have you held a Talent or Long Term Skill Shortage List work visa or permit for at least 24 months? Yes No

English language requirement for partner and dependants

J6 Principal applicants are not required to meet English language requirements. However, English language
requirements do apply to any partner and dependants aged 16 and over included in your application. If no partner
or children aged 16 and over are included in your application, please write “N/A” for “not applicable” below.

For more information, see our leaflet English Language Information (INZ 1060).

Name of partner or dependant Meets minimum standard of English?

Yes - list evidence provided with application No - intends to

prepurchase ESOL
tuition

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Long Term Skill Shortage List and Talent (Accredited Employer) applicants go to J7 .
Talent (Arts, Culture and Sports) applicants go to J11 .

To be completed by Long Term Skill Shortage List/Talent (Accredited Employer) applicants

J7 Please give details of your employer(s) since your Talent or Long Term Skill Shortage List work permit was granted.

Employer one
From To
Name and address of employer

16 – Residence Visa/Permit Application

 Type of business

Position held

Earnings $
Employer two

From To
Name and address of employer

Type of business

Position held

Earnings $
Employer three
From To
Name and address of employer

Type of business

Position held

Earnings $
Employer four

From To
Name and address of employer

Type of business

Position held

Earnings $
J8 Is registration required in New Zealand to practise in the occupation you are employed in?
Yes If Yes, do you have a current registration certificate? Yes No
No

Residence Visa/Permit Application – 17

 When filling in this form, please print clearly using CAPITAL LETTERS.

J9 Talent (Accredited Employer) applicants only. Have you been employed by an accredited employer (or another INZ-
approved employer) in New Zealand for at least 24 months?
Yes No

J10 Long Term Skill Shortage List applicants only. Have you been employed in an occupation on the Long Term Skill
Shortage List for at least 24 months?
Yes No

Evidence you must provide

Please attach evidence (see the Residence Visa/Permit Guide (INZ 1002)) of:
• employment in New Zealand since you were granted your Talent or Long Term Skill Shortage List work permit
• full or provisional New Zealand registration if registration is required for your occupation
• current ongoing employment that meets the salary requirements below.
Date your talent work visa or permit application was lodged Minimum base salary requirement (per annum)
Before 30 July 2007 NZ$45,000
On or after 30 July 2007 but before 28 July 2008 NZ$50,000
On or after 28 July 2008 NZ$55,000
Talent (Accredited Employer) applicants and Long Term Skill Shortage List applicants go to Section R: Declaration.

To be completed by Talent (Arts, Culture and Sports) applicants

J11 Have you attached a Talent (Arts, Culture and Sports) Sponsorship Form (NZIS 1091) sponsoring you for residence?
Yes No

J12 Have you or any person included in this application applied for or been granted any form of welfare assistance or
benefits in New Zealand since you were granted your Talent work permit?
Yes No

J13 Do you consent to INZ seeking confirmation from Work and Income that you have not applied for or been granted
welfare assistance or benefits during this time? (If No, your application may be declined.)
Yes No

Evidence you must provide

Please also attach evidence (see the Residence Visa/Permit Guide (INZ 1002)) of:
• active engagement in your field over a period of 24 months in New Zealand including a completed Summary of
Earnings form from the IRD
• your continued prominence in your field
• how your continued presence in New Zealand will enhance New Zealand’s accomplishments and participation in arts,
culture or sport.
Talent (Arts, Culture and Sports) applicants go to Section R: Declaration.

18 – Residence Visa/Permit Application

 Section K Family Category: Partnership Policy
Partnership means either legally married, or in a civil union, or in a de facto relationship (whether opposite or same sex).

For more information about the questions in this section, see ‘Completing Section K :Family Category Partnership Policy’ in the Residence Visa/
Permit Guide (INZ 1002).

K1 New Zealand partner’s family name or surname

New Zealand partner’s first name or given names

K2 This person is my: spouse partner

K3 If married, what was the date of your marriage and in what country did this marriage take place?

Country Date

K4 If in a civil union, what was the date of your civil union? Date

K5 If in a de facto relationship, when did your relationship begin? Date

K6 How long have you been living together in this partnership? Years Months
Are you living in a genuine and stable relationship? Yes No
If you are not living together, please explain.

K7 Do you meet the minimum requirements for recognition of partnerships? Yes No

K8 Is your partner an eligible sponsor? Yes No

K9 Is your partner a New Zealand citizen? Yes No

K10 Does your partner hold a New Zealand residence permit? Yes No

K11 Does your partner hold a current New Zealand returning resident’s visa? Yes No

K12 Does your partner hold a valid Australian passport? Yes No

Evidence you must provide

You must provide:
• details of your New Zealand partner in Sections D and E.
• a Sponsorship Form for Residence in New Zealand (INZ 1024) completed by your partner
• evidence of your relationship as described in Section C of the Guide to Applying for Residence in New Zealand (INZ 1002).
Your partner (if 17 years of age or over) must provide police certificate(s) for all countries that they have lived in for
12 months or more in the seven years prior to the date the application is made. However, your partner does not need to
provide a police certificate from New Zealand (INZ will obtain this on their behalf if required).
The onus is on you to provide as much evidence as possible to show you and your partner are living together in a genuine
and stable partnership.
Family Category: Partnership Policy applicants go to Section R: Declaration.

Residence Visa/Permit Application – 19

 When filling in this form, please print clearly using CAPITAL LETTERS.

Section L Family Category: Parent Policy

For more information about the questions in this section, see ‘Completing Section L: Family Category Parent Policy’ in the Residence Visa/
Permit Guide.

L1 Indicate by ticking the box next to the statement that applies to you:
I have no dependent children and all my adult children are lawfully and permanently outside the country in which I
am lawfully and permanently resident.
I have no dependent children, and an equal or greater number of my adult children are lawfully and permanently
in New Zealand than in any other single country.
I have dependent children, and an equal or greater number of my adult children are lawfully and permanently in
New Zealand than in any other single country, and the number of my dependent children is the same as or less
than the number of my adult children lawfully and permanently in New Zealand.

L2 Are you sponsored by a New Zealand resident or citizen adult child who is eligible to sponsor and has completed
and signed the Sponsorship Form for Residence in New Zealand (INZ 1024)?
Yes No

Evidence you must provide

You must submit:
• evidence of your relationship to each of your children, and their immigration status
• a completed Sponsorship Form for Residence in New Zealand (INZ 1024), and document(s) showing that your sponsor
and/or their partner meets the minimum income requirement (if applicable).
Family Category: Parent Policy applicants go to Section R: Declaration.

Section M Family Category: Sibling/Adult Child Policy

For more information about the questions in this section, see ‘Completing Section M: Family Category: Sibling/Adult Child Policy’ in the
Residence Visa/Permit Guide.

M1 Are you sponsored by a New Zealand parent, adult brother or adult sister who is eligible to sponsor and has
completed and signed the Sponsorship Form for Residence in New Zealand (INZ 1024)?
Yes No

M2 Do you have an offer of employment?

Yes Provide details No
Name and address of employer

Telephone Fax

Email

Position offered

Salary ($NZ)

20 – Residence Visa/Permit Application

 M3 What will be your annual total family income in New Zealand, and how will this be made up?

Type and source of income

Name of applicant Amount
(eg salary from job offer, interest from investments)

Total: $

Evidence you must provide

You must submit evidence:
• of your employment offer, including salary
• that your parents and siblings are not living in the same country as you; and
• your relationship to your sponsor and their completed Sponsorship Form for Residence in New Zealand (INZ 1024).
Family Category: Sibling/Adult Child Policy applicants go to Section R: Declaration.

Section N Family Category: Dependent Child Policy

For more information about the questions in this section, see ‘Completing Section N: Family Category: Dependent Child Policy’ in the Residence
Visa/Permit Guide.

N1 Are you aged 16 or under, single and totally or substantially reliant on an adult (whether your parent or not) for
financial support, whether living with them or not?
Yes No

N2 Are you aged 17 to 24 years, single, with no children and totally or substantially reliant on an adult (whether your
parent or not) for financial support, whether living with them or not?
Yes No

N3 Are you the dependent child of a person who is a citizen or permanent resident of New Zealand who is living in
New Zealand?
Yes No

Evidence you must provide

You must provide evidence of your relationship to your New Zealand resident or citizen parent(s).
Family Category: Dependent Child Policy applicants go to Section R: Declaration.

Residence Visa/Permit Application – 21

 When filling in this form, please print clearly using CAPITAL LETTERS.

Section O Refugee Family Support Category

For more information about the questions in this section, see ‘Completing Section O: Refugee Family Support Category Policy’ in the Residence
Visa/Permit Guide.

O1 Do you have a New Zealand citizen or resident sponsor who meets the requirements for tier one or tier two
sponsors under the Refugee Family Support Category?
Yes No

O2 Applicants with a tier one sponsor only. Indicate by ticking the box next to the statement that applies to you:
My sponsor has no immediate family in New Zealand.
My sponsor is the sole carer of a dependent relative or relatives in New Zealand on an ongoing basis.
Note that if your sponsor is eligible under tier one on the basis that they are a sole carer, you must provide evidence that they are a sole carer.

O3 Please supply the following details about your sponsor:

Your sponsor’s registration reference number

Your sponsor’s name

Your sponsor’s date of birth

Evidence you must provide

You must provide evidence of your relationship to your sponsor, and their immigration status.
Refugee Family Support Category applicants go to Section R: Declaration.

Section P Pacific Access Category

For more information about the questions in this section, see ‘Completing Sections P and Q: Pacific Access Category/Samoan Quota Scheme’
in the Residence Visa/Permit Guide.

P1 Please supply your registration reference number

P2 Do you have an offer of employment in New Zealand? Yes You must submit evidence of your employment offer. No

Evidence you must provide

You must submit evidence of your offer of employment.
Pacific Access Category applicants go to Section R: Declaration.

Section Q Samoan Quota Scheme

For more information about the questions in this section, see ‘Completing Sections P and Q: Pacific Access Category/Samoan Quota Scheme’
in the Residence Visa/Permit Guide.

Q1 Please supply your registration reference number

Q2 Do you have an offer of employment in New Zealand? Yes You must submit evidence of your employment offer. No

Evidence you must provide

You must submit evidence of your offer of employment.
Samoan Quota Scheme applicants go to Section R: Declaration.

22 – Residence Visa/Permit Application

 Section R Declaration
This section must be signed by the principal applicant and any partner and dependent children aged 17 years and over
who are included in the application. Make sure you understand the declarations below before you sign them.

For more information about the declaration, see Section ‘Completing Section R: Declaration’ in the Residence Visa/Permit Guide.

I understand that if I make any false statements, or provide any false or misleading information, or have changed or
altered this form in any way, my application may be declined, or my residence visa or permit may later be revoked, and
that I may also be committing an offence and be liable to prosecution.
I understand the notes and questions in this form and I declare the information given about myself, my partner and any
children is true and complete.
I declare that I have listed all my family members, including any adopted by custom and my grandparents or legal
guardians (if any) if both my parents are deceased, and understand that the non-declaration of any family members may
result in that family member not being recognised as part of my family in future applications.
I declare that I will inform Immigration New Zealand (INZ) of any relevant fact or any change of circumstances that may:
(i) affect the decision on my application for a permit, or (ii) affect the decision to grant a permit in reliance on the visa
for which I am applying.
I am aware that convictions for certain criminal offences committed up to 10 years after first being granted a
residence visa or residence permit can result in deportation from New Zealand.
I declare that there are no matters or warrants outstanding, or investigations of any kind, which could have any current or
future effect on the assessment of my good character or the good character of any other persons included in this application.
I understand that if I have received immigration advice from an immigration adviser and if that immigration adviser
is not licensed under the Immigration Advisers Licensing Act 2007 when they should be, Immigration New Zealand will
return my application.
I authorise INZ to make any enquiries it deems necessary in respect of the information provided on this form and to share
this information with other government agencies (including overseas agencies) to the extent necessary to make decisions
about my immigration status. I also consent to any organisation providing relevant information to INZ about me.
I authorise INZ to provide information about my state of health and my immigration status to any health service agency.
I authorise any health service agency to provide information about my state of health to INZ.
I accept that any advice given to me by INZ before lodging this application was intended to assist me, and acting on that
does not mean that my application for residence will be approved.
I understand that in order to work in certain occupations in New Zealand, registration is required by law. I accept that
the granting of residence does not guarantee that registration will be granted.
I have read and understood the information provided by INZ regarding the cost of living in New Zealand, found in
the booklet, New Start. New Opportunities. New Zealand, supplied with the Self-Assessment Guide for Residence in
New Zealand (INZ 1003). I have sufficient personal resources to maintain myself and my dependants for at least my first
24 months as a resident in New Zealand. (This does not apply to applicants under the Refugee Family Support Category,
applicants under the Family Category or whose sponsor has been recognised as a refugee, or applicants under the
Partnership policy or Dependent Child policies.)
The personal resources I will use are (tick at least one):
my cash and assets
a verified definite offer of employment in New Zealand (evidence attached)
support from family members in New Zealand, verified by attaching the Sponsorship Form for Residence in
New Zealand (INZ 1024), completed by a family member.

I agree that information about my personal resources and the contents of this form may be provided to Work and
Income (a service unit of the Ministry of Social Development) if I apply for an emergency benefit. I understand that I will
need to give a copy of this declaration to Work and Income if I apply for an emergency benefit.
I understand that I am not entitled to an emergency benefit, unemployment benefit on grounds of hardship or sickness
benefit on grounds of hardship from Work and Income for the first 24 months of my residence in New Zealand unless
I can show that I am in hardship. I also understand that if I apply for an emergency benefit, unemployment benefit on
grounds of hardship or sickness benefit on grounds of hardship that I will need to show that I cannot support myself
and my dependants before any application for emergency benefit, unemployment benefit on grounds of hardship or

Residence Visa/Permit Application – 23

 When filling in this form, please print clearly using CAPITAL LETTERS.

sickness benefit on ground of hardship is considered. I understand that my application for an emergency benefit,
unemployment benefit on grounds of hardship or sickness benefit on grounds of hardship may be declined if I have
deprived myself of income or property, by gift or any other method.
If my application is approved under the Family – Parent Policy, Family – Sibling or Adult Child Policy, or Talent (Arts, Culture
and Sports) Policy, I agree that the Ministry of Social Development may provide INZ with:
• any information concerning welfare assistance that I (or any other person included in my application for residence)
have applied for, or have been granted, during the 24 months in which my residence in New Zealand is sponsored; and
• any information that I provide to the Ministry of Social Development about my sponsor.
Signature of principal applicant

Date
Signature of partner

Date

Signature of parent or guardian if principal applicant is under 17 years of age

Date
Signature of accompanying dependent child 1 over 17 years of age (if applicable)

Date
Signature of accompanying dependent child 2 over 17 years of age (if applicable)

Date
Signature of accompanying dependent child 3 over 17 years of age (if applicable)

Date
Signature of accompanying dependent child 4 over 17 years of age (if applicable)

Date
Signature of accompanying dependent child 5 over 17 years of age (if applicable)

Date
Signature of accompanying dependent child 6 over 17 years of age (if applicable)

Date
Signature of accompanying dependent child 7 over 17 years of age (if applicable)

Date
Signature of accompanying dependent child 8 over 17 years of age (if applicable)

Date
Signature of accompanying dependent child 9 over 17 years of age (if applicable)

Date
Signature of accompanying dependent child 10 over 17 years of age (if applicable)

Date
Signature of accompanying dependent child 11 over 17 years of age (if applicable)

Date
Signature of accompanying dependent child 12 over 17 years of age (if applicable)

Date

24 – Residence Visa/Permit Application

 Section S Immigration adviser’s details
This section must be completed by the applicant’s immigration adviser. If the applicant does not have an immigration
adviser, this section does not have to be completed.

S1 Tick the one option that applies to you.

I am a licensed immigration adviser under the New Zealand Immigration Advisers Licensing Act 2007. Go to S2

I am exempt from licensing under the New Zealand Immigration Advisers Licensing Act 2007. Go to S3

If you are unlicensed when you should be licensed under the Immigration Advisers Licensing Act 2007, Immigration New Zealand will return your
client’s application. It is an offence to provide immigration advice without holding a licence, unless you are exempt.

S2 Licensed advisers. Please provide your licence details.

Licence type
full provisional limited. List conditions specified in the register.

Licence number 2 0 Go to Section T: Declaration by person assisting the applicant.

S3 Exempt from licensing. Tick one box below to show why you are exempt from licensing.
I provided immigration advice in an informal or family context only, and I did not provide the advice systematically
or for a fee.
I am a New Zealand member of Parliament or member of their staff and I provided immigration advice as part of
my employment agreement.
I am a foreign diplomat or consular staff.
I am an employee of the New Zealand public service and I provided immigration advice within the scope of my
employment agreement.
I am a lawyer and I hold a current practising certificate as a barrister or as a barrister and solicitor of the High
Court of New Zealand.
I am employed by, or I am working as a volunteer for, a New Zealand community law centre where at least one lawyer
is on the employing body of the community law centre or is employed by or working as a volunteer for the community
law centre in a supervisory capacity.
I am employed by, or I am working as a volunteer for, a New Zealand citizens advice bureau.
Go to Section T: Declaration by person assisting the applicant.

Residence Visa/Permit Application – 25

 When filling in this form, please print clearly using CAPITAL LETTERS.

Section T Declaration by person assisting the applicant

This section must be completed and signed by the applicant’s immigration adviser, or by any person who has assisted
the applicant by providing immigration advice, explaining, translating, or filling in the form for the applicant. If the
applicant does not have an immigration adviser, and no one helped the applicant to fill in this form, this section does
not have to be completed.
If you are unlicensed when you should be licensed under the Immigration Advisers Licensing Act 2007, Immigration New Zealand will return your client’s
application. It is an offence to provide immigration advice without holding a licence.
For more information, go to the Immigration Advisers Authority website www.iaa.govt.nz, or email info@iaa.govt.nz or write to them at PO Box 6222,
Wellesley Street, Auckland 1141, New Zealand.

Name and address of person assisting applicant Same as address given at B3 , or as below.
Family/last name Given/first name(s)

Company name (if applicable) and address

Telephone (daytime) Telephone (evening)

Fax Email
I understand that after the applicant has signed this form it is an offence for me to change or add further information,
change any documents attached to the form, or attach any further documents to the form. However, if changes are
needed, the person making the changes must state on the form what information or documents have been changed and
give reasons for the changes.
I note that the maximum penalty for this offence is a fine of up to NZ$100,000 and/or a term of imprisonment of up to
seven years.
I certify that the applicant asked me to help them complete this form and any additional forms. I certify that the
applicant agreed that the information provided was correct before signing the declaration.
I have assisted the applicant as an interpreter/translator
I have assisted the applicant with recording information on the form
I have assisted the applicant in another way. Please specify
I have provided immigration advice (as defined in the Immigration Advisers Licensing Act 2007) and my details in
Section S: Immigration adviser’s details, are correct.

Signature of person assisting

Date D D M M Y Y Y Y

26 – Residence Visa/Permit Application This form has been approved under section 132(1) of the Immigration Act 1987
 About the information you provide Section U Paying your application fee
See our Fees Guide (INZ 1028) or our website
Immigration New Zealand collects the www.immigration.govt.nz/fees for more information about
information about you on this form to decide current fees and payment methods.
whether you are eligible for a residence visa or
permit. We may also use the information to contact
you for research purposes or to advise you on Your application fee
immigration matters.
Amount you are paying:
The address of Immigration New Zealand is
PO Box 3705, Wellington, New Zealand. This is not Currency
where your application should be sent.
Collecting the information is authorised by the Application number
(office use only)
Immigration Act 1987 and the Immigration Regulations
made under that Act. You do not have to provide the
information, but if you do not we are likely to decline your Preferred methods of payment
application.
We recommend that you use one of the following methods
Deciding whether you are eligible to board a flight to of payment for better security and faster processing.
New Zealand
Bank cheque/bank draft
The information we collect may also be used to
determine whether you are allowed to board a flight to Mastercard*
New Zealand. Visa*
We will not share your personal information with
SWITCH card (UK only) SWITCH card issue number
airline check-in agents; however, we will send a
boarding message to the airline check-in agent based
Credit card*/SWITCH card details
on the information you have provided in this form.
Name of cardholder
Immigration New Zealand may also share the
information you have provided with other government
agencies that are entitled to it by law, or with other
agencies (as you have agreed in the declaration). Card number

If you come to New Zealand, you will be able to ask to

see the information we hold about you and have any of
it corrected if you think it is necessary. Expiry date D D M M Y Y Y Y

Other documents we may need or you may wish to send Signature of cardholder
We may ask for additional documents or information so
that we can consider it with this application.
You may wish to send other documents or information Date D D M M Y Y Y Y

so that we can consider it with this application. Send

photocopies only (not original documents), as these
documents will not be returned to you. If we need to see
an original document, we will ask you to produce it later.
For more information
If you have questions about completing the form:
• see our website www.immigration.govt.nz
• telephone our call centre on 0508 558 855 (within
New Zealand)
• contact one of Immigration New Zealand’s offices.
We have offices in Apia, Bangkok, Beijing, Ho Chi Minh
City, Hong Kong, Jakarta, London, Manila, Moscow, New
Delhi, Nuku’alofa, Shanghai, Singapore, Suva, Sydney and
Taipei. You can also contact New Zealand diplomatic and
consular offices.In New Zealand offices are located in
Auckland, Henderson, Manukau, Hamilton, Palmerston
North, Wellington, Christchurch, Queenstown and Dunedin.
Other methods of payment
Personal cheque. Note that we will hold your application for
10 working days to allow the cheque to be cleared.
Cash. Cash should not be sent through the mail for security reasons.
We do not accept money orders.
To be removed and securely destroyed after credit card transaction is
processed.
*Your CVC/CVV number is required if you are paying by
electronic credit card and your application is being lodged
at Immigration New Zealand’s Bangkok branch or London
branch. If your application will be lodged in one of these
three branches, please provide your CVC/CVV number here.
Note: your CVC/CVV number is the three-digit number found
on the signature strip on the back of your credit card.

Residence Visa/Permit Application – 27

Application checklist Refunds for payments made in New Zealand
Office
Use Information and documents you must supply Check
list We do not usually issue refunds for unsuccessful
only
applications. However, if you become eligible for a refund,
I have completed the application form. we can either issue a cheque, which will take approximately
20 days to process, or pay the refund directly into a
Each person included in the application has New Zealand bank account. To nominate a bank account if
signed the form. you do become eligible for a refund, complete bank details
I have provided the application fee. below. If you do not have a New Zealand bank account you
may nominate another person’s New Zealand bank account.
I have attached passports or travel documents
Bank name (eg Westpac) and branch
(the original documents) for each person
included in the application.
I have attached full birth certificates for every Bank account holder name
person included in the application
I have attached a completed Medical and X-ray Bank account number
Certificate (INZ 1007) (less than three months
old) for every required person
I have attached police certificate(s) (less than Signature of applicant or adviser
six months old) for every person included in this
application.
If you do not complete this section your application will not
I have attached two recent passport-size be affected.
photograph of each person included in the
application.
I have attached the required evidence as
outlined in sections J to Q, and in the Residence
Visa/Permit Guide (INZ 1002).

Returning your documents

Please tick one of the following options
I wish to collect my documents when ready.
(This option is not available to applicants in the Auckland region.)

Please return all documents to me by secure post

at the address given at B3 .