Beruflich Dokumente
Kultur Dokumente
INZ 1000
Residence
Application
under Family Category, Residence from Work Category, and special instructions
INZ 1002
INZ 1002
Use the guide to help you complete the application form
Residence
Guide
a guide to completing the Residence Application (INZ 1000)
Residence Visa/Permit
Guide
a guide to completing the Residence Visa/Permit Application (INZ 1000)
INZ 1002
INZ 1002
Use the guide to help you complete the application form
For help completing this form, please refer to the Residence Visa/Permit Guide
You should read this
guide along with the Self- If you want to submit an Expression of Interest under the
(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).
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
Family Category Pacific Access Category Refugee Family Support Category
If you are applying under Partnership or Dependent Child policies in the Family Category, answer the following question.
Residence in New Zealand or you can fill in a paper form (available from an Immigration New
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, who has been absent from New Zealand for at least two years prior to the date of
(INZ 1003), which sets out Zealand (INZ) office or our website).
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.
the policy requirements
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
For further information on immigration
visit www.immigration.govt.nz
September 2009
Under the Immigration Advisers Licensing Act 2007 it is an offence to provide immigration
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
If your application for residence is successful then you may
Assessment Guide for Skilled Migrant Category, you can either complete and submit
are in New Zealand on a visitor, work or student permit,
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
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,
When filling in this form, please print clearly in English using CAPITAL LETTERS.
Yes No
out the instructions Immigration New Zealand (INZ) office or our website).
Under the Immigration Advisers Licensing Act 2007 it is an offence to provide immigration
For the purposes of prioritising such applications, an expatriate New Zealander is either:
• a New Zealand citizen, or
advice without being licensed or exempt. If your immigration adviser is not licensed when they
or Employee of a Relocating Business categories, see our
when completing your application form. Entrepreneur/ERB Guide (INZ 1057).
For more information and to view the register of licensed advisers, go to the Immigration
• providing all the required documents with your You can get more information and advice from:
application form. • Any of our INZ branch offices overseas. We have overseas
For more information and application forms visit our offices in Apia, Bangkok, Beijing, Ho Chi Minh City, Hong Kong,
website at www.immigration.govt.nz. Jakarta, London, Moscow, Mumbai, New Delhi, Nuku’alofa,
Pretoria, Shanghai, Singapore, Suva, Sydney and Taipei.
For the purposes of prioritising such applications, an expatriate New Zealander is either:
• a New Zealand citizen, or
• the holder of a residence class 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 partner must have been living together with the principal applicant
for 12 months or more in a partnership that is genuine and stable.
3.5cm 3.5cm
Given/first name(s)
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 Guide.
Passport 1
Number Country
2 – Residence Application
Passport 2
Number Country
Passport 3
Number Country
For more information on the questions in this section see ‘Completing Section B: Contact details’ in the Residence Guide.
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
Fax Email
Residence Application – 3
When filling in this form, please print clearly using CAPITAL LETTERS.
No
B6 Would you like us to email you instructions for registering to check online how your application is progressing?
Yes No
For definition of partner, see ‘Completing Section D: Partner’s personal details’ in the Residence Guide.
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, you may become liable for deportation. 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 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)
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
For more information on the questions in this section see ‘Completing Section D: Partner’s personal details’ in the Residence Guide.
Given/first name(s)
3.5cm 3.5cm
D5 Partner’s gender Male Female D6 Date of birth
Residence Application – 5
When filling in this form, please print clearly using CAPITAL LETTERS.
Number Country
Passport 2
Number Country
Passport 3
Number Country
No
For definition of partner, see ‘Completing Section D: Partner’s personal details’ in the Residence Guide.
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, you may become liable for deportation. 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 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 Application – 7
When filling in this form, please print clearly using CAPITAL LETTERS.
For more information on the questions in this section see ‘Completing Section F: Dependent children’ in the Residence Guide.
Family/last name
3.5cm 3.5cm
Given/first name(s)
Number
F7 Partnership status For a definition of partner, see ‘Completing Section D: Partner’s personal details’ in the Residence Guide.
Family/last name
3.5cm 3.5cm
Given/first name(s)
8 – Residence Application
F13 Child’s passport details
Number
Family/last name
3.5cm 3.5cm
Given/first name(s)
Number
Family/last name
3.5cm 3.5cm
Given/first name(s)
Residence Application – 9
When filling in this form, please print clearly using CAPITAL LETTERS.
Number
Family/last name
3.5cm 3.5cm
Given/first name(s)
Number
Family/last name
3.5cm 3.5cm
Given/first name(s)
10 – Residence Application
F42 Child’s gender Male Female F43 Child’s date of birth
Number
F47 Partnership status (for a definition of partner, see Section C of the Residence Guide (INZ 1002).
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 Guide.
No
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
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 Describe how you/they were involved. No
Residence 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. 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)
/ / / /
/ / / /
/ / / /
/ / / /
/ / / /
/ / / /
/ / / /
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, 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 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 Describe how you/they were involved. No
12 – Residence 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 Guide.
H1 List the countries you and/or your family have lived in for 12 months or more in (whether on one visit or
intermittently) 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 country
Date of arrival Date of departure
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 (whether on one visit or intermittently) 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.
Applicants under the Partnership or Dependent Child Categories only: if a police certificate is not attached to this
application because it was previously submitted with a temporary entry visa application, provide details.
The certificate must be less than 24 months old when this application is lodged.
Residence Application – 13
When filling in this form, please print clearly using CAPITAL LETTERS.
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.
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
• required 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).
14 – Residence Application
Section I Health requirements
For more information on the questions in this section see ‘Completing Section I: Health requirements’ in the Residence Guide, and read our
leaflet Health Requirements (INZ 1121)
I1 Have you, and every required person, attached completed Medical and Chest X-ray Certificates (INZ 1007)?
Yes No
OFFICE
CHECK
USE Information and documents you must supply LIST
ONLY
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 a completed Medical and Chest 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 Category, Family Category, Refugee Family Support Category, Pacific Access Category or Samoan
Quota Scheme. You must provide ALL the information requested for the category you are applying under as outlined in
the Residence 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: Residence from Work Category.
• If you are applying under Family: Partnership Category go to Section K: Family: Partnership Category.
• If you are applying under Family: Parent Category go to Section L: Family: Parent Category.
• If you are applying under Family: Sibling/Adult Child Category go to Section M: Family: Sibling/Adult Child Category.
• If you are applying under Family: Dependent Child Category go to Section N: Family: Dependent Child Category.
• If you are applying under Refugee Family Support Category go to Section O: Refugee Family Support Category.
• If you are applying under Pacific Access Category go to Section P: Pacific Access Category.
• If you are applying under Samoan Quota Scheme go to Section Q: Samoan Quota Scheme.
Residence Application – 15
When filling in this form, please print clearly using CAPITAL LETTERS.
J1 Which Work to Residence option below was your work visa approved for?
Long Term Skill Shortage List Talent (Accredited Employer)
Talent (Arts and Culture) Talent (Sports)
J3 What date was your work visa first granted? (If your work visa was granted while you were outside New Zealand
give the date you first arrived in New Zealand on that visa.)
J5 Have you held a Talent or Long Term Skill Shortage List work visa for at least 24 months? Yes No
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).
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 .
16 – Residence Application
To be completed by Long Term Skill Shortage List/Talent (Accredited Employer) applicants
J7 Give details of your employer(s) since your Talent or Long Term Skill Shortage List work visa was granted.
Employer one
From To
Name and address of employer
Type of business
Position held
Base salary $
Employer two
From To
Name and address of employer
Type of business
Position held
Base salary $
Employer three
From To
Name and address of employer
Type of business
Position held
Base salary $
Employer four
From To
Name and address of employer
Residence Application – 17
When filling in this form, please print clearly using CAPITAL LETTERS.
Type of business
Position held
Base salary $
J8 Is registration required in New Zealand to practise in the occupation you are employed in?
Yes Do you have a current registration certificate? Yes No
No
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
Talent (Accredited Employer) applicants and Long Term Skill Shortage List applicants go to Section R: Declaration.
J11 Have you attached a Talent (Arts, Culture and Sports) Sponsorship Form (INZ 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 visa?
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
18 – Residence Application
Section K Family: Partnership Category
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 Instructions’ in the Residence Guide.
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
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.
K10 Does your partner hold a New Zealand residence class visa? Yes No
Residence Application – 19
When filling in this form, please print clearly using CAPITAL LETTERS.
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 (INZ 1024)?
Yes No
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 (INZ 1024)?
Yes No
Telephone Fax
Position offered
Salary ($NZ)
20 – Residence Application
M3 What will be your annual total family income in New Zealand, and how will this be made up?
Total: $
N1 Are you aged 17 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 18 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 New Zealand citizen or residence class visa holder and who is
living in New Zealand?
Yes No
Residence Application – 21
When filling in this form, please print clearly using CAPITAL LETTERS.
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.
P2 Do you have an offer of employment in New Zealand? Yes You must submit evidence of your employment offer. No
Q2 Do you have an offer of employment in New Zealand? Yes You must submit evidence of your employment offer. No
22 – Residence Application
Section R Declaration
This section must be signed by the principal applicant and any partner and dependent children aged 18 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 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 I may become liable for deportation.
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 will inform Immigration New Zealand of any relevant fact or change of circumstances that may (i) affect the decision on
my application for a visa, or (ii) affect the decision to grant entry permission based 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 class visa 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 understand that Immigration New Zealand may provide information about my entitlement to work to potential
employers via the online VisaView system. VisaView is authorised by legislation.
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 a residence class visa 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 categories or whose sponsor has been recognised as a refugee, or applicants under the
Family: Partnership Category or Family: Dependent Child Category.)
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 (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 Application – 23
When filling in this form, please print clearly using CAPITAL LETTERS.
sickness benefit on grounds 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 Category, Family: Sibling or Adult Child Category, or Talent (Arts,
Culture and Sports) Instructions, 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 supported; and
• any information that I provide to the Ministry of Social Development about my sponsor.
Should my residence application be approved under the Family: Parent Category, I understand that my resident visa
will be subject to the condition under section 55 of the Immigration Act 2009 for five years, that my sponsor must
meet the obligations they agreed to in the Sponsorship Form for Residence (INZ 1024). If my sponsor fails to meet their
obligations, I understand I may become liable for deportation.
Should my residence application be approved under the Family: Sibling Adult Child Category or the Talent (Arts Sport
and Culture) Instructions, I understand that my resident visa will be subject to the condition under section 55 of the
Immigration Act 2009 for two years, that my sponsor must meet the obligations they agreed to in the Sponsorship Form
for Residence (INZ 1024). If my sponsor fails to meet their obligations, I understand I may become liable for deportation.
Date
Signature of accompanying dependent child 2 over 18 years of age (if applicable)
Date
Signature of accompanying dependent child 3 over 18 years of age (if applicable)
Date
Signature of accompanying dependent child 4 over 18 years of age (if applicable)
Date
Signature of accompanying dependent child 5 over 18 years of age (if applicable)
Date
Signature of accompanying dependent child 6 over 18 years of age (if applicable)
Date
Signature of accompanying dependent child 7 over 18 years of age (if applicable)
Date
Signature of accompanying dependent child 8 over 18 years of age (if applicable)
Date
Signature of accompanying dependent child 9 over 18 years of age (if applicable)
Date
Signature of accompanying dependent child 10 over 18 years of age (if applicable)
Date
24 – Residence 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.
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.
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 Application – 25
When filling in this form, please print clearly using CAPITAL LETTERS.
Name and address of person assisting applicant Same as address given at B3 , or as below.
Family/last name Given/first name(s)
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. 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.
26 – Residence Application This form has been approved under section 381 of the Immigration Act 2009
Section U Paying your application fee
About the information you provide
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 resident visa. We may
also use the information to contact you for research
purposes or to advise you on immigration matters. Your application fee
The address of Immigration New Zealand is Amount you are paying:
PO Box 3705, Wellington, New Zealand. This is not
where your application should be sent. Currency
Collecting the information is authorised by
the Immigration Act 2009 and the Immigration Application number
(office use only)
Regulations made under that Act. You do not have
to provide the information, but if you do not we are Preferred methods of payment
likely to decline your application.
It is an offence to employ a person who is not We recommend that you use one of the following methods
entitled to work in New Zealand. One way for of payment for better security and faster processing.
employers to avoid committing this offence is Bank cheque/bank draft
to check a person’s entitlement to work with Mastercard*
Immigration New Zealand’s online VisaView system.
VisaView is authorised by legislation. Visa*
If you believe that an employer has been given the wrong SWITCH card (UK only) SWITCH card issue number
entitlement information via VisaView you may contact
the Immigration Contact Centre (0508 558 855) to Credit card*/SWITCH card details
request correction of that information.
Name of cardholder
Deciding whether you are eligible to board a flight
to New Zealand
The information we collect may also be used to
Card number
determine whether you are allowed to board a flight
to New Zealand.
We will not share your personal information with Expiry date D D M M Y Y Y Y
airline check-in agents; however, we will send a
boarding message to the airline check-in agent based Signature of cardholder
on the information you have provided in this form.
Immigration New Zealand may also share the
information you have provided with other government Date D D M M Y Y Y Y
agencies that are entitled to it by law, or with other
agencies (as you have agreed in the declaration).
Other methods of payment
If you come to New Zealand, you will be able to ask to
see the information we hold about you and have any Personal cheque. Note that we will hold your application for
of it corrected if you think it is necessary. 10 working days to allow the cheque to be cleared.
Other documents we may need or you may wish to send Cash. Our New Zealand branches do not accept cash. Most of our
branches outside New Zealand do not accept cash.
We may ask for additional documents or information
so that we can consider it with this application. We do not accept money orders.
You may wish to send other documents or information
so that we can consider it with this application. Send To be removed and securely destroyed after credit card transaction is
processed.
photocopies only (not original documents), as these
documents will not be returned to you. If we need to see *Your CVC/CVV number is required if you are paying by
an original document, we will ask you to produce it later. electronic credit card and your application is being lodged
at Immigration New Zealand’s Bangkok branch or London
branch or the MFAT post in the Hague. If your application
will be lodged in one of these 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 Application – 27
When filling in this form, please print clearly using CAPITAL LETTERS.
28 – Residence Application