* marks a required field

Part I: Identification

Full Name *

Date of Birth *

Nationality *

Marrital status *  Married Single De Facto (living together)

Country of Residence *

Email Address *

Service Required * Permanent ResidenceStudent Permit/VisaVisitors Permit/VisaWork Permit/VisaFamily Category

Part II: Qualifications

1) Do you hold a College or University Qualification? *  Yes No

Name of Qualification:

Name of College or University:

Country of College or University:

2) Do you hold a Trade Qualification? *  Yes No

Name of Qualification:

Name of Trade Institution:

Country of Institution:

Part III: Employment

3) Are you currently employed? *  Yes No

If yes – Position:

Years employed:

If not – Do you have work experience?

How many years?

Is your work experience related to your qualification? *  Yes No

If not, please specify field:

Do you have a job offer in New Zealand? *  Yes No

If yes, please name the position offered:

Part III: Additional information

4) What is your English language ability? *  First language Fluent Some English

5) Have you ever owned a business? *  Yes No

6) Do you intend to establish a business in New Zealand? *  Yes No

7) Do you have close family members in New Zealand with permanent residence or citizenship (parents, siblings or adult children only)? *  Yes No

Part IV: Comments

8) Any other relevant comments you wish to submit?

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