Application to Transit through New Zealand New Zealand Immigration Service Te Ratonga Manene New Zealand the right choice
PLEASE READ The Transit Visitor s Guide To make an application for a Transit Visa you will need to supply: a completed, signed application form your passport a recent passport size photograph travel tickets or evidence of onward travel arrangements relevant to the journey or journeys to which the application relates a confirmed travel itinerary including relevant arrival and departure times a statement of the purpose of the journey to the country of destination. In addition you may be asked to supply: any other documents or information. Matters required by Privacy Act The information about you on this form is collected to determine your eligibility for a Transit Visa. The main recipient of the information is the New Zealand Immigration Service of the Department of Labour but it may also be shared with other Government agencies which are entitled to this information under applicable legislation, or with other agencies in accordance with an authority in the form. The address of the New Zealand Immigration Service is PO Box 3705, Wellington, New Zealand. This is not where your application should be sent. The collection of the information is authorised by the Immigration Act 1987 and the Immigration Regulations made under that Act. The supply of the information is voluntary, but if you do not supply it then your application is likely to be declined. You will, if you come to New Zealand, have a right to access the information about you held by the New Zealand Immigration Service and to ask for any of it to be corrected if you think that is necessary. Your application should be sent to your nearest New Zealand Immigration Service Branch or New Zealand Embassy or High Commission. 2
Application No. For NZIS Use Only Application to Transit through New Zealand This form may be used by a single applicant or a family which includes a principal applicant, partner, and dependent children under 20, and may be used to transit through New Zealand. Number of persons included on this form Section A Principal Applicant and Family Details A 1 Principal Applicant: Personal Details A 2 A 3 A 4 My name in my ethnic script is: A 5 My sex is: Male Female A 6 My date of birth is: A 7 My place of birth was: A 8 My country of birth was: A 9 My citizenship is: A 10 A 11 My partnership status is: Married Never Married Divorced Please tick box. De Facto Engaged Widowed Separated A 12 My occupation is: 13
A 13 My employer s name and address is: A 14 My residential address in my home country is: A 15 My postal address and contact telephone number for this application are: Telephone Additional Information Principal applicant; please complete for yourself and on behalf of any accompanying family members. A 16 Name and addresses of any friend or contacts I have in New Zealand are: Name Relationship Address Name Relationship Address Name Relationship Address A 17 I am booked to transit New Zealand on flight (confirmation of travel and/or tickets attached): Date & time Date and time Flight No Airline of arrival of departure Destination of flight A 18 My full travel itinerary, including departure and arrival times for each country I am travelling to is: A 19 The purpose of my journey to the country of destination is: Please find attatched documentation demonstrating my reasons for travel. A 20 I have previously visited or resided in New Zealand: Yes No Dates from: from: to: to: 24
Partner: Personal Details A 21 A 22 A 23 A 24 My name in my own ethnic script is: A 25 My sex is: Male Female A 26 My date of birth is: A 27 My country of birth was: A 28 My citizenship is: A 29 Dependent Child 1: Personal Details A 30 A 31 A 32 A 33 My name in my own ethnic script is: A 34 My sex is: Male Female A 35 My date of birth is: A 36 My country of birth was: A 37 My citizenship is: A 38 35
Dependent Child 2: Personal Details A 39 A 40 A 41 A 42 My name in my own ethnic script is: A 43 My sex is: Male Female A 44 My date of birth is: A 45 My country of birth was: A 46 My citizenship is: A 47 Dependent Child 3: Personal Details A 48 A 49 A 50 A 51 My name in my own ethnic script is: A 52 My sex is: Male Female A 53 My date of birth is: A 54 My country of birth was: A 55 My citizenship is: A 56 46
Section B Character and Declaration Details B 1 I, or one of my family included in the application: have been; or have not been: convicted charged under investigation for any offence(s) against the law in any country; or deported excluded (refused entry) or removed from any country. I, or my family have marked the above statement I have been. The reason is: B 2 I understand the questions and contents of this form, and the information given is true and correct. Signature of principal applicant Signature of partner Signature of dependent child Signature of dependent child Signature of dependent child Note: a parent or guardian may sign on behalf of any children aged under 17 years. B 3 Another person has either completed this form for me, or has helped me to complete it. Their details are: Full name of interpreter, agent or authorised representative Address of interpreter, agent or authorised representative Signature of interpreter, agent or authorised representative I, the above signed, certify I have completed this form, or helped the applicant to complete it, at the request of the applicant. The applicant understood the questions on the form, and the answers that have been written down. The applicant approved the answers before signing the form. 57
8September 2003 This form has been approved under s132(1) Immigration Act 1987 NZIS 1019