Immigration Form

OFFICE USE ONLY Client no.
Date received:
Application no.:
INZ 1000
Residence Application
under Family Category, Residence from Work Category, and special instructions
INZ 1002
Use the guide to help you complete the application form

For help completing this form, please refer to the Residence Guide (INZ 1002).
Residence Guide
a guide to completing the Residence Application (INZ 1000)
INZ 1002
About this guide

This guide is intended to help you complete your Residence Application (INZ 1000) correctly. It explains the evidence you must provide Residence when applying for residence. Application
Date received: / / Application no.:
Who is this guide for?

For use by applicants applying for residence class visa under the: Residence From Work Category Family categories Pacific Access Category Samoan Quota Scheme, or Special Residence categories. If you want to submit an Expression of Interest under the Skilled Migrant Category, you can either complete and submit an Expression of Interest form online at www.immigration. govt.nz or you can fill in a paper form (available from an Immigration New Zealand (INZ) office or our website). If you want to apply for residence under the Migrant Investment Instructions, see our Investor Plus (Investor 1 Category) Guide (INZ 1162), or Investor (Investor 2 Category) Guide (INZ 1164). If you want to apply for residence under the Entrepreneur or Employee of a Relocating Business categories, see our Entrepreneur/ERB Guide (INZ 1057).
OFFICE USE ONLY Client no.:
INZ 1000
under Family Category, Residence from Work Category, and special instructions
INZ 1002
Residence Guide
About this guide
This guide is intended to help you complete your Residence Application (INZ 1000) correctly. It explains the evidence you must provide Residence Visa/Permit when applying for residence. Application
Date received: / / Application no.:
INZ 1002

For help completing this form, please refer to the Residence Guide (INZ 1002).
a guide to completing the Residence Application (INZ 1000)
Who is this guide for?

For use by applicants applying for residence class visa under the: Residence From Work Category Family categories Refugee Family Support Category Pacific Access Category, or Samoan Quota Scheme. If you want to submit an Expression of Interest under the Skilled Migrant Category, you can either complete and submit an Expression of Interest form online at www.immigration. govt.nz or you can fill in a paper form (available from an Immigration New Zealand (INZ) office or our website). If you want to apply for residence under the Migrant Investment Instructions, see our Investor Plus (Investor 1 Category) Guide (INZ 1162), or Investor (Investor 2 Category) Guide (INZ 1164). If you want to apply for residence under the Entrepreneur or Employee of a Relocating Business categories, see our Entrepreneur/ERB Guide (INZ 1057).
OFFICE USE ONLY Client no.:
INZ 1000
under Family Category, Residence from Work Category, and special policies

For help completing this form, please refer to the Residence Visa/Permit Guide (INZ 1002).
Immigration Advisers Licensing Act 2007

Under the Immigration Advisers Licensing Act 2007 it is an offence to provide immigration advice without being licensed or exempt. 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 or email info@iaa.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 Residence from Work Pacific Access Category Samoan Quota Scheme Refugee Family Support Category 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 residents 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.
You should read this guide along with the SelfAssessment Guide for Residence in New Zealand (INZ 1003), which sets out the instructions requirements for people applying for residence in New Zealand.

Under the Immigration Advisers Licensing Act 2007 it is an offence to provide immigration advice without being licensed or exempt. 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 or email info@iaa.govt.nz.
For further information on immigration visit www.immigration.govt.nz
May 2010
Please take time to read this guide carefully, and refer to it when completing your application form. Numbered boxes like this B9 refer to questions in the application form. Please make sure you answer all the relevant questions and provide all the documents we ask you to, otherwise we may not be able to accept your application. If you are applying for residence while you are in New Zealand on a visitor, work or student visa, you need to make sure your visa is valid when you apply for residence. Help us to decide your application quickly by: reading this guide carefully, and providing all the required documents with your application form. For more information and application forms visit our website at www.immigration.govt.nz.
Migrant levy
If your application for residence is successful then you may need to pay a migrant levy before your residence is granted. You can find details of which categories of applicants are required to pay the migrant levy and the amount you will need to pay in our Fees Guide (INZ 1028).
More information
You can get more information and advice from: Any of our INZ branch offices overseas. We have overseas offices in Apia, Bangkok, Beijing, Ho Chi Minh City, Hong Kong, Jakarta, London, Moscow, Mumbai, New Delhi, Nukualofa, Pretoria, Shanghai, Singapore, Suva, Sydney and Taipei. Any of our INZ offices in New Zealand, which are located in Auckland, Henderson, Manukau, Hamilton, Palmerston North, Wellington, Queenstown, Christchurch and Dunedin Your nearest New Zealand Embassy or High Commission. All INZ forms, leaflets and fee information can be downloaded from our website www.immigration.govt.nz.
November 2010
Residence category/instructions you are applying under

Which residence category are you applying under? Family Residence from Work Pacific Access Category Samoan Quota Scheme Refugee Family Support Category Other (Specify)
If you are applying under the Family: Partnership Category or the Family: Dependent Child Category, answer the following question. Is your partner or parent 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 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.
You should read this guide along with the SelfAssessment Guide for Residence in New Zealand (INZ 1003), which sets out the instructions requirements for people applying for residence in New Zealand.

Under the Immigration Advisers Licensing Act 2007 it is an offence to provide immigration advice without being licensed or exempt. 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 or email info@iaa.govt.nz. Lawyers provide immigration advice and are exempt from licensing under the Immigration Advisers Licensing Act. For more information and to view the register of immigration lawyers, go to the New Zealand Law Society website www.lawsociety.org.nz.
April 2011
Please take time to read this guide carefully, and refer to it when completing your application form. Numbered boxes like this B9 refer to questions in the application form. Please make sure you answer all the relevant questions and provide all the documents we ask you to, otherwise we may not be able to accept your application. If you are applying for residence while you are in New Zealand on a visitor, work or student visa, you need to make sure your visa is valid when you apply for residence. Help us to decide your application quickly by: reading this guide carefully, and providing all the required documents with your application form. For more information and application forms visit our website at www.immigration.govt.nz.
Migrant levy
If your application for residence is successful then you may need to pay a migrant levy before your residence is granted. You can find details of which categories of applicants are required to pay the migrant levy and the amount you will need to pay in our Fees Guide (INZ 1028).
More information
You can get more information and advice from: Any of our INZ branch offices overseas. We have overseas offices in Apia, Bangkok, Beijing, Ho Chi Minh City, Hong Kong, Jakarta, London, Moscow, Mumbai, New Delhi, Nukualofa, Pretoria, Shanghai, Singapore, Suva, Sydney and Taipei. Any of our INZ offices in New Zealand, which are located in Auckland, Henderson, Manukau, Hamilton, Palmerston North, Wellington, Queenstown, Christchurch and Dunedin Your nearest New Zealand Embassy or High Commission. All INZ forms, leaflets and fee information can be downloaded from our website www.immigration.govt.nz.
July 2011
When filling in this form, please print clearly in English using CAPITAL LETTERS.
Residence category/instructions you are applying under

Which residence category are you applying under? Family Residence from Work Pacific Access Category Samoan Quota Scheme Refugee Family Support Category Other (Specify)
If you are applying under the Family: Partnership Category or the Family: Dependent Child Category, answer the following question. Is your partner or parent 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 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 12months or more in a partnership that is genuine and stable.
November 2011
When filling in this form, please print clearly using CAPITAL LETTERS.
Section A
Principal applicants 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 thephotographs.
For more information about the questions in this section, see Completing Section A: Principal applicants personal details in the Residence 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 (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: Partners personal details in the Residence Guide.
A10 What is your main occupation? A11 Details of all passports held Passport 1 Number Expiry date Issue date Country Place of issue Given/first name(s) as shown in passport Passport 2 Number Expiry date Issue date Country Place of issue Given/first name(s) as shown in passport
Family/last name as shown in passport
2 Residence Application
Passport 3 Number Expiry date Issue date Country Place of issue 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 Guide.
B1 Your residential address and telephone number in your home country Address Telephone (daytime) Fax Email Telephone (evening)
B2 Your New Zealand residential address and telephone number (if you are already in New Zealand) Address Telephone (daytime) Fax Email Telephone (evening)
B3 Name and address for communication about this application Same as address at Family/last name Company name (if applicable) and address
B1
, or
Same as address at
B2
, or
Other
Given/first name(s)
Telephone (daytime) Fax B4 Do you authorise the person stated at

B3
Telephone (evening) Email to act on your behalf? Yes No
B5 Have you received immigration advice on this application?

You can find a definition of immigration advice at www.immigration.govt.nz/advice.
Yes No
Make sure that your immigration adviser completes Section S: Immigration advisers details.
B6 Would you like us to email you instructions for registering to check online how your application is progressing? Yes No
Residence Application 3
Section C
Principal applicants 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: Partners 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 (M/F) Date of birth (DD/MM/YY) / / / / / / / / / / / / Partnership status Country of residence
Brothers and sisters (including half-, step- and adopted brothers and sisters). Full name Gender (M/F) Date of birth (DD/MM/YY) / / / / / / / / / / / / / / / / / / / / / / Partnership status Country of residence
Children (including biological, adopted and step-children, including those from previous marriages/relationships). Full name Gender (M/F) Date of birth (dd/mm/yy) / / / / / / / / / / / / / / / / / / / / / / / / Partnership status Country of residence Does the person intend to migrate with you? (Y/N)
Section D
Partners 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: Partners personal details in the Residence Guide.
Attach two passport-size photographs of your partner here. The photographs must be less than six months old. Write your partners full name on the back of thephotograph. D1 Partners name as shown in passport Family/last name
4.5cm
4.5cm
Given/first name(s)
3.5cm 3.5cm
D2 Partners preferred title Mr Mrs Ms Miss Dr Other (specify)
D3 Other names your partner is known by or has ever been known by
D4 Partners name in ethnic script D5 Partners gender Male Female D6 Date of birth
D7 Partners town/city of birth Partners country of birth D8 Other citizenships your partner holds D9 Details of all passports held by your partner Passport 1 Number Expiry date Issue date Country Place of issue Given/first name(s) as shown in passport Passport 2 Number Expiry date Issue date Country Place of issue Given/first name(s) as shown in passport
Passport 3 Number Expiry date Issue date Country Place of issue Given/first name(s) as shown in passport D10 Is your partner included in this application? Yes No
You must provide evidence of your relationship as described in Section C of the Residence Guide (INZ 1002).
Section E
Partners family details
E1 Give details of all your partners 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: Partners personal details in the Residence Guide. Note: if you do not declare all your partners 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 (M/F) Date of birth (DD/MM/YY) / / / / / / / / / / / / Partnership status Country of residence
Brothers and sisters (including half, step and adopted brothers and sisters). Full name Gender (M/F) Date of birth (DD/MM/YY) / / / / / / / / / / / / / / / / / / / / / / / / Partnership status Country of residence
Children (including biological, adopted and step-children, including those from previous marriages/relationships). Full name Gender (M/F) Date of birth (dd/mm/yy) / / / / / / / / / / / / / / / / / / / / / / / / Partnership status Country of residence Does the person intend to migrate with you? (Y/N)
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 (atthe end of thissection).
For more information on the questions in this section see Completing Section F: Dependent children in the Residence 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 childs full name on the back of thephotographs. F1 Childs name as shown in passport Family/last name
4.5cm 4.5cm
Given/first name(s)
3.5cm
3.5cm
F2 Childs gender
Male
Female
F3
Childs date of birth
F4 Childs country of birth F5 Childs passport details Number Country F6 Other citizenships child holds F7 Partnership status For a definition of partner, see Completing Section D: Partners personal details in the Residence Guide. Married Never married Partner Separated Widowed Divorced Expiry date
F8 Does this child have children of his/her own?
Yes
No
Dependent child two

4.5cm 4.5cm
Given/first name(s)
3.5cm
3.5cm
F10 Childs gender
Male
Female
F11 Childs date of birth
F12 Childs country of birth F13 Childs passport details Number Country Expiry date
F14 Other citizenships child holds F15 Partnership status. Married Never married Partner Separated Yes No Widowed Divorced
Dependent child three

4.5cm 4.5cm
Given/first name(s)
3.5cm
3.5cm
F18 Childs gender
Male
Female
F22 Other citizenships child holds
F23 Partnership status. Married Never married Partner Separated Yes No Widowed Divorced
Dependent child four

3.5cm 3.5cm 4.5cm 4.5cm
Given/first name(s)
F26 Childs gender
Male
Female
Dependent child five

3.5cm 3.5cm 4.5cm 4.5cm
Given/first name(s)
F34 Childs gender
Male
Female
Dependent child six

4.5cm 4.5cm
Given/first name(s)
3.5cm
3.5cm
F42 Childs gender
Male
Female
F46 Other citizenships child holds F47 Partnership status (for a definition of partner, see Section D of the Residence Guide (INZ 1002). Married Never married Partner Separated Yes No Widowed Divorced
Give details of any additional dependants on the form Additional Dependants for Residence in New Zealand (INZ1001), 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 No
You must provide evidence. See Completing Section F: Dependent children in the Residence Guide.
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
Describe how you/they were involved.
No
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 (DD/MM/YY) / / / / / / / / / / / / / / Date to (DD/MM/YY) / / / / / / / / / / / / / / Rank Unit name or number Role
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, givedetails.
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 theiraims? Yes
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
No
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 applicant or family member Name of country Date of arrival Name of applicant or family member Name of country Date of arrival Name of applicant or family member Name of country Date of arrival Name of applicant or family member Name of country Date of arrival Date of departure Date of departure Date of departure 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.
Name of applicant or family member Type of application Name of applicant or family member Type of application Name of applicant or family member Type of application Name of applicant or family member Type of application Date of application Date of application Date of application Date of application
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? sentenced to serve a period of time in prison or other form of detention? placed on probation? charged with any offences against the law in any country? required to leave any country, including New Zealand? refused entry to any country, including New Zealand? refused a visa/permit to visit, work, study or reside in any country, including New Zealand? involved in any terrorist activities or advocated similar violent activities? a member of, or adhered to, any terrorist organisation? involved in the illicit drug trade? a member of, or associated with, any organisation or group with criminal objectives or which has engaged in criminal activities or advocated such activities? 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 Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No No No No
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).
Continue on a separate sheet if necessary.
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
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 Use only
Information and documents you must supply 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 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.
ChecK list
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.
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 Guide.
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) J2 Are you currently in New Zealand? Yes No
You must be in New Zealand to lodge a residence application under the Work to Residence Category.
Religious Worker
J3 What date was your work visa first granted? (If your work visa was granted while you were outside NewZealand give the date you first arrived in New Zealand on that visa.) J4 What is the expiry date of your work visa? J5 Have you held a Talent or Long Term Skill Shortage List work visa for at least 24 months? Yes No
English language requirement for partner and dependants and Religious Worker applicants
J6 Principal applicants are not required to meet English language requirements, with the exception of principal applicants under Religious Worker instructions (see J7 ). However, English language requirements apply to partners and dependants aged 16 and over included in any Residence from Work application (including under Religious Worker instructions). 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 Yes Yes Yes Yes Yes No No No No No No
J7 Principal applicants under Religious Worker instructions are required to meet a minimum standard of English. Please list below the evidence you have provided with your application to demonstrate you meet the minimum standard of English required for your application:
Long Term Skill Shortage List and Talent (Accredited Employer) applicants go to J8 . Talent (Arts, Culture and Sports) applicants go to J12 . Religious Worker applicants go to J15 .
To be completed by Long Term Skill Shortage List/Talent (Accredited Employer) applicants

J8 Give details of your employer(s) since your Talent or Long Term Skill Shortage List work visa was granted. Employer one From Name and address of employer To
Type of business Position held Base salary $ Employer two From Name and address of employer To
Type of business Position held Base salary $ Employer three
From Name and address of employer
To
Type of business Position held Base salary $ Employer four
From Name and address of employer
To
Type of business Position held Base salary $
J9 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 J10 Talent (Accredited Employer) applicants only. Have you been employed by an accredited employer (or another INZapproved employer) in New Zealand for at least 24 months? Yes No
J11 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

Attach evidence (see the Residence Guide) of: employment in New Zealand since you were granted your Talent or Long Term Skill Shortage List work visa full or provisional New Zealand registration if registration is required for your occupation (refer to the Long Term Skill Shortage List) current ongoing employment that meets the salary requirements below.
Date your talent work visa application was lodged On or after 30 July 2007 but before 28 July 2008 On or after 28 July 2008 Minimum base salary requirement (per annum) NZ$50,000 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

J12 Have you attached a Talent (Arts, Culture and Sports) Sponsorship Form (INZ 1091) sponsoring you for residence? Yes No
J13 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
J14 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

Also attach evidence (see the Residence Guide) 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 Zealands accomplishments and participation in arts, culture or sport.
Talent (Arts, Culture and Sports) applicants go to Section R: Declaration
To be completed by Religious Worker instructions applicants

J15 Have you been employed by a religious organisation as a religious worker on a Religious Worker work visa for at least three years? Yes No
J16 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 a work visa under Religious Worker instructions? Yes No
J17 Do you consent to INZ seeking information from Work and Income that you have not applied for any form of welfare assistance or benefits during this time? (If No, your application may be declined.) Yes No

Also attach evidence to support your resident visa application under Religious Worker instructions (see the Residence Guide), including: a copy of the sponsoring organisations Charities Commission registration certificate, evidence of the sponsoring organisations financial ability to sponsor you for five years, an employment agreement or a description of the religious work from the sponsoring organisation, and evidence of a long-term need for a religious worker with the sponsoring organisation. Religious Worker applicants go to Section R: Declaration.
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.
K1 New Zealand partners family name or surname New Zealand partners 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 K4 If in a civil union, what was the date of your civil union? Date 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? Are you living in a genuine and stable relationship? Yes If you are not living together, please explain. Years No Months
K7 Do you meet the minimum requirements for recognition of partnerships? K8 Is your partner eligible to support you? K9 Is your partner a New Zealand citizen? Yes Yes No No Yes No No
Yes
No
K10 Does your partner hold a New Zealand residence class visa? K11 Does your partner hold a valid Australian passport? Yes

You must provide: details of your New Zealand partner in sections D and E a Partnership Support Form for Residence (INZ 1178) completed by your partner evidence of your relationship as described in the Residence Guide at Completing Section K: Family: Partnership Category. Your partner (if 17 years of age or over) must provide police certificate(s) for all countries that they have lived in for 12months 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 (we 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: Partnership Category applicants go to Section R: Declaration.
Section L
Family: Parent Category
For more information about the questions in this section, see Completing Section L: Family: Parent Category in the Residence 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 (INZ 1024)? Yes No

You must submit: evidence of your relationship to each of your children, and their immigration status a completed Sponsorship Form for Residence, and document(s) showing that your sponsor and/or their partner meets the minimum income requirement (if applicable).
Family: Parent Category applicants go to Section R: Declaration.
Section M
Family Category: Sibling/Adult Child Instructions
For more information about the questions in this section, see Completing Section M: Family: Sibling/Adult Child Category in the Residence 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 (INZ 1024)? Yes No
M2 Do you have an offer of employment? Yes

Provide details
No
Name and address of employer
Telephone Email Position offered Salary ($NZ) Fax
M3 What will be your annual total family income in New Zealand, and how will this be made up?
Name of applicant Type and source of income (eg salary from job offer, interest from investments) $ $ $ $ $ $ $ Total: $ Amount

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.
Family: Sibling/Adult Child Category applicants go to Section R: Declaration.
Section N
Family: Dependent Child Category
For more information about the questions in this section, see Completing Section N: Family Category: Dependent Child Instructions in the Residence Guide.
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 NewZealand? Yes No

You must provide evidence of your relationship to your New Zealand resident or citizen parent(s).
Family: Dependent Child Category applicants go to Section R: Declaration.
Section O
Refugee Family Support Category
For more information about the questions in this section, see Completing Section O: Refugee Family Support Category Instructions in the Residence 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 Supply the following details about your sponsor: Your sponsors registration reference number Your sponsors name Your sponsors date of birth

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 Guide.
P1 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

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 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

You must submit evidence of your offer of employment.
Samoan Quota Scheme applicants go to Section R: Declaration.
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 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, applicants under the Family: Partnership Category or Family: Dependent Child Category, or applicants under the Religious Worker instructions.) 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 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, 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 Religious Worker instructions, I understand that my resident visa will be subject to the condition, under Section 55 of the Immigration Act 2009, that my sponsor must meet the obligations they agreed to in the Sponsorship Form for Religious Workers (INZ 1190) for five years. If my sponsor fails to meet their obligations, I understand I may be liable for deportation. 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 five years 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: 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. Signature of principal applicant Signature of partner Date Date
Signature of parent or guardian if principal applicant is under 18 years of age Date Signatures of accompanying dependent children over 18 years of age (if applicable) Child one Child two Child three Child four Child five Child six Child seven Child eight Child nine Child ten Date Date Date Date Date Date Date Date Date Date
Section S
Immigration advisers details
This section must be completed by the applicants 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 I am exempt from licensing under the New Zealand Immigration Advisers Licensing Act 2007. Go to
S3 S2
If you are unlicensed when you should be licensed under the Immigration Advisers Licensing Act 2007, Immigration New Zealand will return your clients 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.
Section T
Declaration by person assisting the applicant
This section must be completed and signed by the applicants 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 clients 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 POBox6222, Wellesley Street, Auckland 1141, New Zealand.
Name and address of person assisting applicant Family/last name
Same as address given at Given/first name(s)
B3
, or
as below.
Company name (if applicable) and address
Telephone (daytime) Fax Email
Telephone (evening)
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 advisers details, are correct. Signature of person assisting Date
This form has been approved under section 381 of the Immigration Act 2009
About the information you provide

Immigration New Zealand collects the information about you on this form to decide 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. The address of Immigration New Zealand is POBox3705, Wellington, NewZealand. This is not where your application should be sent. Collecting the information is authorised by the Immigration Act 2009 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 application. It is an offence to employ a person who is not entitled to work in New Zealand. One way for employers to avoid committing this offence is to check a persons entitlement to work with Immigration New Zealands online VisaView system. VisaView is authorised by legislation. If you believe that an employer has been given the wrong entitlement information via VisaView you may contact the Immigration Contact Centre (0508 558 855) to request correction of that information. Deciding whether you are eligible to board a flight to New Zealand The information we collect may also be used to determine whether you are allowed to board a flight to New Zealand. We will not share your personal information with airline check-in agents; however, we will send a boarding message to the airline check-in agent based on the information you have provided in this form. 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). 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. Other documents we may need or you may wish to send 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 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.
Section U
Paying your application fee
Please see our Fees Guide (INZ1028) or our website www.immigration.govt.nz/fees for more information about current fees and payment methods.
Your application fee

Amount you are paying: Currency Application number
(office use only)
Preferred methods of payment

We recommend that you use one of the following methods of payment for better security and faster processing: Bank cheque/bank draft Credit card* (choose one) Mastercard SWITCH card (UK only)
Name of cardholder
Visa
SWITCH card Issue number
Card number*
Expiry date
Signature of cardholder
Date
To be removed and securely destroyed after credit card transaction is processed.
*Your CVC/CVV number is also required if you are paying by electronic credit card and your application is being lodged at Immigration New Zealand branches in Moscow, London or Pretoria, or the MFAT posts in The Hague or Paris. 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.
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. Our New Zealand branches do not accept cash. Most of our
branches outside New Zealand do not accept cash.
We do not accept money orders.
Application checklist
Office Use only
Refunds for payments made in New Zealand

Check list
Information and documents you must supply I have completed the application form. Each person included in the application has signed the form. I have provided the application fee. I have attached passports or travel documents (the original documents) for each person included in the application. I have attached full birth certificates for every person included in the application. I have attached a completed Medical and Chest X-ray Certificate (INZ1007) (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. I have attached two recent passport-size photographs of each person included in the application. I have attached the required evidence as outlined in sections J to Q, and in the Residence Guide (INZ 1002).
We do not usually issue refunds for unsuccessful applications. However, if you become eligible for a refund, we can either issue a cheque, which will take approximately 20 days to process, or pay the refund directly into a NewZealand bank account. To nominate a bank account if you do become eligible for a refund, complete bank details below. If you do not have a New Zealand bank account you may nominate another persons New Zealand bank account.
Bank name (eg Westpac) and branch
Bank account holder name
Bank account number
Signature of applicant or adviser
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 .
If you do not complete this section your application will not be affected.
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
NewZealand)
contact one of Immigration New Zealands offices. We have offices in Apia, Bangkok, Beijing, Dubai, HoChi Minh City, Hong Kong, Jakarta, London, Manila, Moscow, Mumbai, New Delhi, Nukualofa, Pretoria, Shanghai, Singapore, Suva, Sydney and Taipei. Our New Zealand offices are located in Auckland, Henderson, Manukau, Hamilton, Palmerston North, Wellington, Christchurch, Queenstown and Dunedin. You can also contact your nearest New Zealand Embassy or NewZealand High Commission.

Immigration Form

Încărcat de

Informații document

Descriere originală:

Titlu original

Drepturi de autor

Formate disponibile

Partajați acest document

Partajați sau inserați document

Opțiuni de partajare

Vi se pare util acest document?

Este necorespunzător acest conținut?

Drepturi de autor:

Formate disponibile

Immigration Form

Încărcat de

Drepturi de autor:

Formate disponibile

OFFICE USE ONLY Client no.

Use the guide to help you complete the application form

About this guide

Who is this guide for?

OFFICE USE ONLY Client no.:

Use the guide to help you complete the application form

a guide to completing the Residence Application (INZ 1000)

Who is this guide for?

OFFICE USE ONLY Client no.:

Use the guide to help you complete the application form

Immigration Advisers Licensing Act 2007

Residence policy you are applying under

Immigration Advisers Licensing Act 2007

For further information on immigration visit www.immigration.govt.nz

For further information on immigration visit www.immigration.govt.nz

Residence category/instructions you are applying under

Immigration Advisers Licensing Act 2007

For further information on immigration visit www.immigration.govt.nz

For further information on immigration visit www.immigration.govt.nz

Residence category/instructions you are applying under

For further information on immigration visit www.immigration.govt.nz

Principal applicants personal details

A1 Name as shown in passport Family/last name

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

Family/last name as shown in passport

Family/last name as shown in passport

Family/last name as shown in passport

All principal applicants must complete this section.

Telephone (daytime) Fax B4 Do you authorise the person stated at

Telephone (evening) Email to act on your behalf? Yes No

B5 Have you received immigration advice on this application?

Principal applicants family details

Partners personal details

D2 Partners preferred title Mr Mrs Ms Miss Dr Other (specify)

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

Family/last name as shown in passport

Family/last name as shown in passport

Family/last name as shown in passport

Partners family details

Dependent child one

Childs date of birth

F8 Does this child have children of his/her own?

Dependent child two

F10 Childs gender

F11 Childs date of birth

F16 Does this child have children of his/her own?

Dependent child three

F18 Childs gender

F19 Childs date of birth

F22 Other citizenships child holds

F24 Does this child have children of his/her own?

Dependent child four

F26 Childs gender

F27 Childs date of birth

F32 Does this child have children of his/her own?

Dependent child five

F34 Childs gender

F35 Childs date of birth

F40 Does this child have children of his/her own?

Dependent child six

F42 Childs gender