Residence Visa/Permit Application

Transcription

1 OFFICE USE ONLY Client no.: received: Application no.: For further information on immigration visit INZ 1000 Residence Visa/Permit Application under Family Category, Residence from Work Category, and special policies Use the guide to help you complete the application form For help completing this form, please refer to the Residence Visa/Permit Guide (INZ 1002). Immigration Advisers Licensing Act 2007 Under the Immigration Advisers Licensing Act 2007, anyone giving immigration advice will have to be licensed (unless they are exempt). From 4 May 2009, all immigration advisers working in New Zealand must be licensed. From 4 May 2010, all immigration advisers, whether working onshore or offshore, must be licensed. It is an offence to provide immigration advice without holding a licence from these dates. If your immigration adviser is not licensed when they should be, Immigration New Zealand will return your application. For more information and to view the Register of licensed advisers, go to the Immigration Advisers Authority website info@iaa.govt.nz, or write to them at PO Box 6222, Wellesley Street, Auckland 1141, New Zealand. Residence policy you are applying under Which residence policy/category are you applying under? Family Category Pacific Access Category Refugee Family Support Category Residence from Work Samoan Quota Scheme Other (please specify) If you are applying under Partnership or Dependent Child policies in the Family Category, answer the following question. Is your partner or sponsor an expatriate New Zealander? Ye s 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 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. September 2009 vember 2009 OFFICE USE ONLY Client no.: received: Application no.: INZ 1000 Residence Visa/Permit Application under Family Category, Residence from Work Category, and special policies About this guide This guide is intended to help you complete your Residence Visa/Permit Application (INZ 1000) correctly. It explains the evidence you must provide when applying for residence. You should read this guide along with the S e l f- Assessment Guide for Residence in New Zealand (INZ 1003), which sets out the policy requirements for people applying for residence in New Zealand. 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 permit, you need to make sure your permit 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 INZ 1002 INZ 1002 Residence Visa/Permit Guide a guide to completing the Residence Visa/Permit Application (INZ 1000) Who is this guide for? For use by applicants applying for residence under the: Residence From Work Category Family Category Refugee Family Support Category Pacific Access Category 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 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 Policy, 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 Guide to Applying for Residence in New Zealand Under the Entrepreneur or Employee of a Relocating Business Categories (NZIS 1057). 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: New Zealand diplomatic and consular offices Any of our INZ branch offices overseas. We have overseas 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, Palmerston rth, Wellington, Christchurch and Dunedin. All INZ forms, leaflets and fee information can be downloaded from our website Use the guide to help you complete the application form For help completing this form, please refer to the Residence Visa/Permit Guide (INZ 1002). Immigration Advisers Licensing Act 2007 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 or info@iaa.govt.nz. For further information on immigration visit When filling in this form, please print clearly in English using CAPITAL LETTERS. Residence policy you are applying under Which residence policy/category are you applying under? Family Category Pacific Access Category Refugee Family Support Category Residence from Work Samoan Quota Scheme Other (please specify) If you are applying under Partnership or Dependent Child policies in the Family Category, answer the following question. Is your partner or sponsor an expatriate New Zealander? For the purposes of prioritising such applications, an expatriate New Zealander is either: a New Zealand citizen, or the holder of an indefinite returning resident s visa, and has been absent from New Zealand for at least two years prior to the date of this application (apart from short visits). In the case of a partnership application the New Zealand sponsor must have been living together with the principal applicant for 12 months or more in a partnership that is genuine and stable. For further information on immigration visit May 2010

2 When filling in this form, please print clearly using CAPITAL LETTERS. Section A Principal applicant s personal details All principal applicants must complete this section. Attach two passport-size photographs of yourself here. The photographs must be less than six months old. Write your full name on the back of the photographs. For more information about the questions in this section, see Completing Section A: Principal applicant s personal details in the Residence Visa/ Permit Guide. A1 Name as shown in passport Family/last name Given/first name(s) A2 Preferred title Mr Mrs Ms Miss Dr Other (please specify) A3 Other names you are known by or have ever been known by A4 Your name in ethnic script A5 Gender Male Female A6 of birth A7 Town/city of birth Country of birth A8 A9 Other citizenships you hold Partnership status Married Never married Partner Separated Widowed Divorced For definition of partner, see Completing Section D: Partner s personal details in the Residence Visa/Permit Guide. A10 A11 What is your main occupation? Details of all passports held Passport 1 Number Country Expiry date Issue date Place of issue Family/last name as shown in passport Given/first name(s) as shown in passport 2 Residence Visa/Permit Application

3 Passport 2 Number Country Expiry date Issue date Place of issue Family/last name as shown in passport Given/first name(s) as shown in passport Passport 3 Number Country Expiry date Issue date Place of issue Family/last name as shown in passport Given/first name(s) as shown in passport Section B Contact details All principal applicants must complete this section. For more information on the questions in this section see Completing Section B: Contact details in the Residence Visa/Permit Guide. B1 Your residential address and telephone number in your home country Address Telephone (daytime) Telephone (evening) Fax B2 Your New Zealand residential address and telephone number (if you are already in New Zealand) Address Telephone (daytime) Telephone (evening) Fax B3 Name and address for communication about this application Same as address at B1, or Same as address at B2, or Other Family/last name Given/first name(s) Company name (if applicable) and address Telephone (daytime) Telephone (evening) Fax B4 Do you authorise the person stated at B3 to act on your behalf? Residence Visa/Permit Application 3

4 When filling in this form, please print clearly using CAPITAL LETTERS. B5 Have you received immigration advice on this application? You can find a definition of immigration advice at Please make sure that your immigration adviser completes Section S: Immigration adviser s details. Go to B6. Go to B7. B6 B7 Immigration adviser reference code for online enquiries (if known). This is not the adviser s licence number. Would you like us to you instructions for registering to check online how your application is progressing? Section C Principal applicant s family details C1 Give details of all your family, whether migrating with you or not, including those adopted legally or by custom. It is not necessary to list deceased family members. For definition of partner, see Completing Section D: Partner s personal details in the Residence Visa/Permit Guide. Please note: if you do not declare all your family members, your residence application could be declined. If you are granted residence and it is later found that all family members were not declared, your residence may be revoked. In addition, any family members not declared may not be eligible for residence. Parents (biological and adoptive). If both parents are deceased, give details of legal guardians (if any) and/or grandparents. Full name Gender (M/F) 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) of birth (DD/MM/YY) Partnership status Country of residence 4 Residence Visa/Permit Application

5 Children (including biological, adopted and step-children, including those from previous marriages/relationships). Full name Gender (M/F) of birth (dd/mm/yy) Partnership status Country of residence Does the person intend to migrate with you? (Y/N) Section D Partner s personal details A partner may be either legally married, or in a civil union, or in a de facto relationship (whether opposite or same sex). For more information on the questions in this section see Completing Section D: Partner s personal details in the Residence Visa/Permit Guide. Attach two passport-size photographs of your partner here. The photographs must be less than six months old. Write your partner s full name on the back of the photograph. D1 Partner s name as shown in passport Family/last name Given/first name(s) D2 Partner s preferred title Mr Mrs Ms Miss Dr Other (please specify) D3 Other names your partner is known by or has ever been known by D4 Partner s name in ethnic script D5 Partner s gender Male Female D6 of birth D7 Partner s town/city of birth Partner s country of birth Residence Visa/Permit Application 5

6 When filling in this form, please print clearly using CAPITAL LETTERS. D8 D9 Other citizenships your partner holds Details of all passports held by your partner Passport 1 Number Country Expiry date Issue date Place of issue Family/last name as shown in passport Given/first name(s) as shown in passport Passport 2 Number Country Expiry date Issue date Place of issue Family/last name as shown in passport Given/first name(s) as shown in passport Passport 3 Number Country Expiry date Issue date Place of issue Family/last name as shown in passport Given/first name(s) as shown in passport D10 Is your partner included in this application? You must provide evidence of your relationship as described in Section K of the Residence Visa/Permit Guide (INZ 1002) Section E Partner s family details E1 Give details of all your partner s family, whether migrating with you or not, including those adopted legally or by custom. It is not necessary to list deceased family members. For definition of partner, see Completing Section D: Partner s personal details in the Residence Visa/Permit Guide. Please note: if you do not declare all your partner s family members, your residence application could be declined. If you are granted residence and it is later found that all family members were not declared, your residence may be revoked. In addition, any family members not declared may not be eligible for residence. Parents (biological and adoptive). If both parents are deceased, give details of legal guardians (if any) and/or grandparents. Full name Gender (M/F) of birth (DD/MM/YY) Partnership status Country of residence 6 Residence Visa/Permit Application

7 Brothers and sisters (including half, step and adopted brothers and sisters). Full name Gender (M/F) 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) of birth (dd/mm/yy) Partnership status Country of residence Does the person intend to migrate with you? (Y/N) Residence Visa/Permit Application 7

8 When filling in this form, please print clearly using CAPITAL LETTERS. Section F Dependent children Supply the following details for each dependent child included in this application. If you have no dependent children included in this application, go to Section G Additional details. Please ensure that you complete F49 (at the end of this section). For more information on the questions in this section see Completing Section F: Dependent children in the Residence Visa/Permit Guide. Dependent child one Attach two recent passport-size photographs of the child here. The photographs must be less than six months old. Write the child s full name on the back of the photographs. F1 Child s name as shown in passport Family/last name Given/first name(s) F2 Child s gender Male Female F3 Child s date of birth F4 F5 Child s country of birth Child s passport details Number Country Expiry date F6 F7 Other citizenships child holds Partnership status (for a definition of partner, see Completing Section D: Partner s personal details in the Residence Visa/Permit Guide (INZ 1002)). Married Never married Partner Separated Widowed Divorced F8 Does this child have children of his/her own? Dependent child two Attach two recent passport-size photographs of the child here. The photographs must be less than six months old. Write the child s full name on the back of the photographs. F9 Child s name as shown in passport Family/last name Given/first name(s) F10 Child s gender Male Female F11 Child s date of birth F12 Child s country of birth 8 Residence Visa/Permit Application

9 F13 Child s passport details Number Country Expiry date F14 F15 Other citizenships child holds Partnership status. Married Never married Partner Separated Widowed Divorced F16 Does this child have children of his/her own? Dependent child three Attach two recent passport-size photographs of the child here. The photographs must be less than six months old. Write the child s full name on the back of the photographs. F17 Child s name as shown in passport Family/last name Given/first name(s) F18 Child s gender Male Female F19 Child s date of birth F20 F21 Child s country of birth Child s passport details Number Country Expiry date F22 F23 Other citizenships child holds Partnership status. Married Never married Partner Separated Widowed Divorced F24 Does this child have children of his/her own? Dependent child four Attach two recent passport-size photographs of the child here. The photographs must be less than six months old. Write the child s full name on the back of the photographs. F25 Child s name as shown in passport Family/last name Given/first name(s) F26 Child s gender Male Female F27 Child s date of birth Residence Visa/Permit Application 9

10 When filling in this form, please print clearly using CAPITAL LETTERS. F28 F29 Child s country of birth Child s passport details Number Country Expiry date F30 F31 Other citizenships child holds Partnership status. Married Never married Partner Separated Widowed Divorced F32 Does this child have children of his/her own? Dependent child five Attach two recent passport-size photographs of the child here. The photographs must be less than six months old. Write the child s full name on the back of the photographs. F33 Child s name as shown in passport Family/last name Given/first name(s) F34 Child s gender Male Female F35 Child s date of birth F36 F37 Child s country of birth Child s passport details Number Country Expiry date F38 F39 Other citizenships child holds Partnership status. Married Never married Partner Separated Widowed Divorced F40 Does this child have children of his/her own? Dependent child six Attach two recent passport-size photographs of the child here. The photographs must be less than six months old. Write the child s full name on the back of the photographs. F41 Child s name as shown in passport Family/last name Given/first name(s) 10 Residence Visa/Permit Application

11 F42 Child s gender Male Female F43 Child s date of birth F44 F45 Child s country of birth Child s passport details Number Country Expiry date F46 Other citizenships child holds F47 Partnership status (for a definition of partner, see Section C of the Residence Visa/Permit Guide (INZ 1002). Married Never married Partner Separated Widowed Divorced F48 Does this child have children of his/her own? 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? You must provide evidence. See Completing Section F: Dependent children in Residence Visa/Permit 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? Provide details Name of applicant National identity number/unique identifier G2 Have you or any other person included in this application been associated with any intelligence agency or group, or law enforcement agency? Please describe how you/they were involved. Residence Visa/Permit Application 11

12 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?. Please provide information about your/their military service including the dates of your/their military service, your/their position and rank, the unit or units that you/they served in, and your/their role within each unit. Full name from (DD/MM/YY) to (DD/MM/YY) Rank Unit name or number Role Please list any military identity numbers you/they were given. G4 Are you or any other person included in this application presently subject to military service obligations in any country? If no, and you/they are a citizen of a country in which compulsory military service exists, please give details. G5 Have you or any other person included in this application been associated with any group or organisation that has used or promoted violence to further their aims? Please describe how you/they were involved. 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? Please describe how you/they were involved. 12 Residence Visa/Permit Application

13 Section H Character requirements The following questions apply to every person included in this application 17 years of age and over. For more information about the questions in this section, see Completing Section H: Character requirements in the Residence Visa/Permit Guide. H1 List the countries you and/or your family have lived in for 12 months or more in the last 10 years, with the dates you began and ended living there. If you do not know the exact dates you began and ended living in a country, give approximate dates. Please include your home country. Name of applicant or family member Name of country of arrival of departure Name of applicant or family member Name of country of arrival of departure Name of applicant or family member Name of country of arrival of departure Name of applicant or family member Name of country of arrival of departure H2 Have you attached police certificates for each person aged 17 years and over included in your application from all countries you have lived in for 12 months or more in the last 10 years? Have you attached police certificates for each person aged 17 years and over included in your application from your country/countries of citizenship? If you have not provided all of the police certificates required, please explain why. For information on how to obtain a police certificate you can visit our website at If you do not have access to the internet you can call us on if you are in New Zealand, or (09) if you are in Auckland; or contact your nearest Immigration New Zealand branch. Residence Visa/Permit Application 13

14 When filling in this form, please print clearly using CAPITAL LETTERS. H3 Are you and/or any of your accompanying family members currently under investigation, or wanted, by any law enforcement agency in any country? 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? asked 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 on a representation that persons of a particular race or colour are inherently inferior or superior to other races or colours? 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? You must include all convictions for any offence(s), including any which are now regarded as having lapsed under any legislation. If you answered to any of the questions in H3 give full details and the name of the family member(s). Please continue on a separate sheet if necessary. 14 Residence Visa/Permit Application

15 Section I Health requirements For more information on the questions in this section see Completing Section I: Health requirements in the Residence Visa/Permit Guide, and read our Health Requirements Leaflet (INZ 1121) I1 Have you, and every required person, attached completed Medical and X-ray Certificates (INZ 1007)? 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 I have completed and signed the application form. Information and documents you must supply Check list I have provided current passport(s) or certificate(s) of identity for every person included in this application I have attached two passport-sized photographs of every person included in this application I have attached full birth certificate(s) for every person included in this application I have attached the application fee I have attached a completed Medical and X-ray Certificate (INZ 1007) (less than three months old) for every required person I have attached police certificate(s) (less than six months old) for every person included in this application. Sections J to Q set out the information and documents required for your application to be considered under the Residence from Work, Family, Refugee Family Support Category, Pacific Access Category or Samoan Quota Scheme policies. You must provide ALL the information requested for the category you are applying under as outlined in the Residence Visa/Permit Guide (INZ 1002). Failure to provide any of the documents outlined above or the information required for Sections J to Q may result in your application being returned. If you are applying under Residence from Work Category go to Section J. If you are applying under Family Category: Partnership Policy go to Section K. If you are applying under Family Category: Parent Policy go to Section L. If you are applying under Family Category: Sibling/Adult Child Policy go to Section M. If you are applying under Family Category: Dependent Child Policy go to Section N. If you are applying under Refugee Family Support Category go to Section O. If you are applying under Pacific Access Category go to Section P. If you are applying under Samoan Quota Scheme go to Section Q. Residence Visa/Permit Application 15

16 When filling in this form, please print clearly using CAPITAL LETTERS. Section J Residence from Work Category For more information about the questions in this section, see Completing Section J: Residence from Work Category in the Residence Visa/ Permit Guide. J1 Which Work to Residence option below was your work visa or permit approved for? Long Term Skill Shortage List Talent (Accredited Employer) Talent (Arts and Culture) Talent (Sports) J2 Are you currently in New Zealand? You must be in New Zealand to lodge a residence application under Work to Residence policy. J3 J4 What date was your work permit first granted? (If issued a work visa, give the date of issue of the work permit endorsed in your passport on your arrival in New Zealand.) What is the expiry date of your work permit? J5 Have you held a Talent or Long Term Skill Shortage List work visa or permit for at least 24 months? English language requirement for partner and dependants J6 Principal applicants are not required to meet English language requirements. However, English language requirements do apply to any partner and dependants aged 16 and over included in your application. If no partner or children aged 16 and over are included in your application, please write N/A for not applicable below. For more information, see our leaflet English Language Information (INZ 1060). Name of partner or dependant Meets minimum standard of English? - list evidence provided with application - intends to prepurchase ESOL tuition Long Term Skill Shortage List and Talent (Accredited Employer) applicants go to J7. Talent (Arts, Culture and Sports) applicants go to J11. To be completed by Long Term Skill Shortage List/Talent (Accredited Employer) applicants J7 Please give details of your employer(s) since your Talent or Long Term Skill Shortage List work permit was granted. Employer one From Name and address of employer To 16 Residence Visa/Permit Application

17 Type of business Position held Earnings $ Employer two From Name and address of employer To Type of business Position held Earnings $ Employer three From Name and address of employer To Type of business Position held Earnings $ Employer four From Name and address of employer To Type of business Position held Earnings $ J8 Is registration required in New Zealand to practise in the occupation you are employed in? If, do you have a current registration certificate? Residence Visa/Permit Application 17

18 When filling in this form, please print clearly using CAPITAL LETTERS. J9 Talent (Accredited Employer) applicants only. Have you been employed by an accredited employer (or another INZapproved employer) in New Zealand for at least 24 months? 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? Evidence you must provide Please attach evidence (see the Residence Visa/Permit Guide (INZ 1002)) of: employment in New Zealand since you were granted your Talent or Long Term Skill Shortage List work permit full or provisional New Zealand registration if registration is required for your occupation current ongoing employment that meets the salary requirements below. your talent work visa or permit application was lodged Minimum base salary requirement (per annum) Before 30 July 2007 NZ$45,000 On or after 30 July 2007 but before 28 July 2008 NZ$50,000 On or after 28 July 2008 NZ$55,000 Talent (Accredited Employer) applicants and Long Term Skill Shortage List applicants go to Section R: Declaration. To be completed by Talent (Arts, Culture and Sports) applicants J11 Have you attached a Talent (Arts, Culture and Sports) Sponsorship Form (NZIS 1091) sponsoring you for residence? J12 Have you or any person included in this application applied for or been granted any form of welfare assistance or benefits in New Zealand since you were granted your Talent work permit? 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, your application may be declined.) Evidence you must provide Please also attach evidence (see the Residence Visa/Permit Guide (INZ 1002)) of: active engagement in your field over a period of 24 months in New Zealand including a completed Summary of Earnings form from the IRD your continued prominence in your field how your continued presence in New Zealand will enhance New Zealand s accomplishments and participation in arts, culture or sport. Talent (Arts, Culture and Sports) applicants go to Section R: Declaration. 18 Residence Visa/Permit Application

19 Section K Family Category: Partnership Policy Partnership means either legally married, or in a civil union, or in a de facto relationship (whether opposite or same sex). For more information about the questions in this section, see Completing Section K :Family Category Partnership Policy in the Residence Visa/ Permit Guide (INZ 1002). K1 New Zealand partner s family name or surname New Zealand partner s first name or given names K2 This person is my: spouse partner K3 If married, what was the date of your marriage and in what country did this marriage take place? Country K4 If in a civil union, what was the date of your civil union? K5 If in a de facto relationship, when did your relationship begin? K6 How long have you been living together in this partnership? Years Months Are you living in a genuine and stable relationship? If you are not living together, please explain. K7 Do you meet the minimum requirements for recognition of partnerships? K8 Is your partner an eligible sponsor? K9 Is your partner a New Zealand citizen? K10 Does your partner hold a New Zealand residence permit? K11 Does your partner hold a current New Zealand returning resident s visa? K12 Does your partner hold a valid Australian passport? Evidence you must provide You must provide: details of your New Zealand partner in Sections D and E. a Sponsorship Form for Residence in New Zealand (INZ 1024) completed by your partner evidence of your relationship as described in Section C of the Guide to Applying for Residence in New Zealand (INZ 1002). Your partner (if 17 years of age or over) must provide police certificate(s) for all countries that they have lived in for 12 months or more in the seven years prior to the date the application is made. However, your partner does not need to provide a police certificate from New Zealand (INZ will obtain this on their behalf if required). The onus is on you to provide as much evidence as possible to show you and your partner are living together in a genuine and stable partnership. Family Category: Partnership Policy applicants go to Section R: Declaration. Residence Visa/Permit Application 19

20 When filling in this form, please print clearly using CAPITAL LETTERS. Section L Family Category: Parent Policy For more information about the questions in this section, see Completing Section L: Family Category Parent Policy in the Residence Visa/ Permit Guide. L1 Indicate by ticking the box next to the statement that applies to you: I have no dependent children and all my adult children are lawfully and permanently outside the country in which I am lawfully and permanently resident. I have no dependent children, and an equal or greater number of my adult children are lawfully and permanently in New Zealand than in any other single country. I have dependent children, and an equal or greater number of my adult children are lawfully and permanently in New Zealand than in any other single country, and the number of my dependent children is the same as or less than the number of my adult children lawfully and permanently in New Zealand. L2 Are you sponsored by a New Zealand resident or citizen adult child who is eligible to sponsor and has completed and signed the Sponsorship Form for Residence in New Zealand (INZ 1024)? Evidence you must provide You must submit: evidence of your relationship to each of your children, and their immigration status a completed Sponsorship Form for Residence in New Zealand (INZ 1024), and document(s) showing that your sponsor and/or their partner meets the minimum income requirement (if applicable). Family Category: Parent Policy applicants go to Section R: Declaration. Section M Family Category: Sibling/Adult Child Policy For more information about the questions in this section, see Completing Section M: Family Category: Sibling/Adult Child Policy in the Residence Visa/Permit Guide. M1 Are you sponsored by a New Zealand parent, adult brother or adult sister who is eligible to sponsor and has completed and signed the Sponsorship Form for Residence in New Zealand (INZ 1024)? M2 Do you have an offer of employment? Provide details Name and address of employer Telephone Fax Position offered Salary ($NZ) 20 Residence Visa/Permit Application

21 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) Amount $ $ $ $ $ $ $ Total: $ Evidence you must provide You must submit evidence: of your employment offer, including salary that your parents and siblings are not living in the same country as you; and your relationship to your sponsor and their completed Sponsorship Form for Residence in New Zealand (INZ 1024). Family Category: Sibling/Adult Child Policy applicants go to Section R: Declaration. Section N Family Category: Dependent Child Policy For more information about the questions in this section, see Completing Section N: Family Category: Dependent Child Policy in the Residence Visa/Permit Guide. N1 Are you aged 16 or under, single and totally or substantially reliant on an adult (whether your parent or not) for financial support, whether living with them or not? N2 Are you aged 17 to 24 years, single, with no children and totally or substantially reliant on an adult (whether your parent or not) for financial support, whether living with them or not? N3 Are you the dependent child of a person who is a citizen or permanent resident of New Zealand who is living in New Zealand? Evidence you must provide You must provide evidence of your relationship to your New Zealand resident or citizen parent(s). Family Category: Dependent Child Policy applicants go to Section R: Declaration. Residence Visa/Permit Application 21

22 When filling in this form, please print clearly using CAPITAL LETTERS. Section O Refugee Family Support Category For more information about the questions in this section, see Completing Section O: Refugee Family Support Category Policy in the Residence Visa/Permit Guide. O1 O2 O3 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? 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. te 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. Please supply the following details about your sponsor: Your sponsor s registration reference number Your sponsor s name Your sponsor s date of birth Evidence you must provide You must provide evidence of your relationship to your sponsor, and their immigration status. Refugee Family Support Category applicants go to Section R: Declaration. Section P Pacific Access Category For more information about the questions in this section, see Completing Sections P and Q: Pacific Access Category/Samoan Quota Scheme in the Residence Visa/Permit Guide. P1 Please supply your registration reference number P2 Do you have an offer of employment in New Zealand? You must submit evidence of your employment offer. Evidence you must provide You must submit evidence of your offer of employment. Pacific Access Category applicants go to Section R: Declaration. Section Q Samoan Quota Scheme For more information about the questions in this section, see Completing Sections P and Q: Pacific Access Category/Samoan Quota Scheme in the Residence Visa/Permit Guide. Q1 Please supply your registration reference number Q2 Do you have an offer of employment in New Zealand? You must submit evidence of your employment offer. Evidence you must provide You must submit evidence of your offer of employment. Samoan Quota Scheme applicants go to Section R: Declaration. 22 Residence Visa/Permit Application

23 Section R Declaration This section must be signed by the principal applicant and any partner and dependent children aged 17 years and over who are included in the application. Make sure you understand the declarations below before you sign them. For more information about the declaration, see Section Completing Section R: Declaration in the Residence Visa/Permit Guide. I understand that if I make any false statements, or provide any false or misleading information, or have changed or altered this form in any way, my application may be declined, or my residence visa or permit may later be revoked, and that I may also be committing an offence and be liable to prosecution. I understand the notes and questions in this form and I declare the information given about myself, my partner and any children is true and complete. I declare that I have listed all my family members, including any adopted by custom and my grandparents or legal guardians (if any) if both my parents are deceased, and understand that the non-declaration of any family members may result in that family member not being recognised as part of my family in future applications. I declare that I will inform Immigration New Zealand (INZ) of any relevant fact or any change of circumstances that may: (i) affect the decision on my application for a permit, or (ii) affect the decision to grant a permit in reliance on the visa for which I am applying. I am aware that convictions for certain criminal offences committed up to 10 years after first being granted a residence visa or residence permit can result in deportation from New Zealand. I declare that there are no matters or warrants outstanding, or investigations of any kind, which could have any current or future effect on the assessment of my good character or the good character of any other persons included in this application. I understand that if I have received immigration advice from an immigration adviser and if that immigration adviser is not licensed under the Immigration Advisers Licensing Act 2007 when they should be, Immigration New Zealand will return my application. I authorise INZ to make any enquiries it deems necessary in respect of the information provided on this form and to share this information with other government agencies (including overseas agencies) to the extent necessary to make decisions about my immigration status. I also consent to any organisation providing relevant information to INZ about me. I authorise INZ to provide information about my state of health and my immigration status to any health service agency. I authorise any health service agency to provide information about my state of health to INZ. I accept that any advice given to me by INZ before lodging this application was intended to assist me, and acting on that does not mean that my application for residence will be approved. I understand that in order to work in certain occupations in New Zealand, registration is required by law. I accept that the granting of residence does not guarantee that registration will be granted. I have read and understood the information provided by INZ regarding the cost of living in New Zealand, found in the booklet, New Start. New Opportunities. New Zealand, supplied with the Self-Assessment Guide for Residence in New Zealand (INZ 1003). I have sufficient personal resources to maintain myself and my dependants for at least my first 24 months as a resident in New Zealand. (This does not apply to applicants under the Refugee Family Support Category, applicants under the Family Category or whose sponsor has been recognised as a refugee, or applicants under the Partnership policy or Dependent Child policies.) The personal resources I will use are (tick at least one): my cash and assets a verified definite offer of employment in New Zealand (evidence attached) support from family members in New Zealand, verified by attaching the Sponsorship Form for Residence in New Zealand (INZ 1024), completed by a family member. I agree that information about my personal resources and the contents of this form may be provided to Work and Income (a service unit of the Ministry of Social Development) if I apply for an emergency benefit. I understand that I will need to give a copy of this declaration to Work and Income if I apply for an emergency benefit. I understand that I am not entitled to an emergency benefit, unemployment benefit on grounds of hardship or sickness benefit on grounds of hardship from Work and Income for the first 24 months of my residence in New Zealand unless I can show that I am in hardship. I also understand that if I apply for an emergency benefit, unemployment benefit on grounds of hardship or sickness benefit on grounds of hardship that I will need to show that I cannot support myself and my dependants before any application for emergency benefit, unemployment benefit on grounds of hardship or Residence Visa/Permit Application 23

24 When filling in this form, please print clearly using CAPITAL LETTERS. sickness benefit on ground of hardship is considered. I understand that my application for an emergency benefit, unemployment benefit on grounds of hardship or sickness benefit on grounds of hardship may be declined if I have deprived myself of income or property, by gift or any other method. If my application is approved under the Family Parent Policy, Family Sibling or Adult Child Policy, or Talent (Arts, Culture and Sports) Policy, I agree that the Ministry of Social Development may provide INZ with: any information concerning welfare assistance that I (or any other person included in my application for residence) have applied for, or have been granted, during the 24 months in which my residence in New Zealand is sponsored; and any information that I provide to the Ministry of Social Development about my sponsor. Signature of principal applicant Signature of partner Signature of parent or guardian if principal applicant is under 17 years of age Signature of accompanying dependent child 1 over 17 years of age (if applicable) Signature of accompanying dependent child 2 over 17 years of age (if applicable) Signature of accompanying dependent child 3 over 17 years of age (if applicable) Signature of accompanying dependent child 4 over 17 years of age (if applicable) Signature of accompanying dependent child 5 over 17 years of age (if applicable) Signature of accompanying dependent child 6 over 17 years of age (if applicable) Signature of accompanying dependent child 7 over 17 years of age (if applicable) Signature of accompanying dependent child 8 over 17 years of age (if applicable) Signature of accompanying dependent child 9 over 17 years of age (if applicable) Signature of accompanying dependent child 10 over 17 years of age (if applicable) Signature of accompanying dependent child 11 over 17 years of age (if applicable) Signature of accompanying dependent child 12 over 17 years of age (if applicable) 24 Residence Visa/Permit Application

25 Section S Immigration adviser s details This section must be completed by the applicant s immigration adviser. If the applicant does not have an immigration adviser, this section does not have to be completed. S1 Tick the one option that applies to you. I am a licensed immigration adviser under the New Zealand Immigration Advisers Licensing Act Go to S2 I am exempt from licensing under the New Zealand Immigration Advisers Licensing Act Go to S3 If you are unlicensed when you should be licensed under the Immigration Advisers Licensing Act 2007, Immigration New Zealand will return your client s application. It is an offence to provide immigration advice without holding a licence, unless you are exempt. S2 Licensed advisers. Please provide your licence details. Licence type full provisional limited. List conditions specified in the register. Licence number 2 0 Go to Section T: Declaration by person assisting the applicant. S3 Exempt from licensing. Tick one box below to show why you are exempt from licensing. I provided immigration advice in an informal or family context only, and I did not provide the advice systematically or for a fee. I am a New Zealand member of Parliament or member of their staff and I provided immigration advice as part of my employment agreement. I am a foreign diplomat or consular staff. I am an employee of the New Zealand public service and I provided immigration advice within the scope of my employment agreement. I am a lawyer and I hold a current practising certificate as a barrister or as a barrister and solicitor of the High Court of New Zealand. I am employed by, or I am working as a volunteer for, a New Zealand community law centre where at least one lawyer is on the employing body of the community law centre or is employed by or working as a volunteer for the community law centre in a supervisory capacity. I am employed by, or I am working as a volunteer for, a New Zealand citizens advice bureau. Go to Section T: Declaration by person assisting the applicant. Residence Visa/Permit Application 25

26 When filling in this form, please print clearly using CAPITAL LETTERS. Section T Declaration by person assisting the applicant This section must be completed and signed by the applicant s immigration adviser, or by any person who has assisted the applicant by providing immigration advice, explaining, translating, or filling in the form for the applicant. If the applicant does not have an immigration adviser, and no one helped the applicant to fill in this form, this section does not have to be completed. If you are unlicensed when you should be licensed under the Immigration Advisers Licensing Act 2007, Immigration New Zealand will return your client s application. It is an offence to provide immigration advice without holding a licence. For more information, go to the Immigration Advisers Authority website or info@iaa.govt.nz or write to them at PO Box 6222, Wellesley Street, Auckland 1141, New Zealand. Name and address of person assisting applicant Same as address given at B3, or as below. Family/last name Given/first name(s) Company name (if applicable) and address Telephone (daytime) Telephone (evening) Fax I understand that after the applicant has signed this form it is an offence for me to change or add further information, change any documents attached to the form, or attach any further documents to the form. However, if changes are needed, the person making the changes must state on the form what information or documents have been changed and give reasons for the changes. I note that the maximum penalty for this offence is a fine of up to NZ$100,000 and/or a term of imprisonment of up to seven years. I certify that the applicant asked me to help them complete this form and any additional forms. I certify that the applicant agreed that the information provided was correct before signing the declaration. I have assisted the applicant as an interpreter/translator I have assisted the applicant with recording information on the form I have assisted the applicant in another way. Please specify I have provided immigration advice (as defined in the Immigration Advisers Licensing Act 2007) and my details in Section S: Immigration adviser s details, are correct. Signature of person assisting D D M M Y Y Y Y 26 Residence Visa/Permit Application This form has been approved under section 132(1) of the Immigration Act 1987