New 2021 Work Visa

Application Form

Personal details
Contact details
Your current residential address:
If you are currently in New Zealand, your most recent overseas address.
Do you authorise the person stated above to act on your behalf?
Do you authorise all other licensed immigration advisers or persons exempt from licensing who work for the organisation named above to act on your behalf (if applicable)?
Have you received immigration advice on this application?
Names and addresses of any friends, relatives, or contacts you have in New Zealand (if applicable).
Your Health
Do you have tuberculosis (TB)?
Do you have any medical condition that requires, or may require, one of the following during your stay in New Zealand?
Renal dialysis
Hospital care
Residential care
Residential care is defned as in-patient care for people with psychiatric, sensory or intellectual disabilities or live-in facilities for the aged.
If you have answered Yes to any of the questions above, provide details
Are you pregnant?
If you intend to give birth in New Zealand, please indicate how the cost of maternity health services will be paid for and provide the relevant evidence.
Upload Sponsorship Form for Temporary Entry (INZ 1025) (if applicable)
Your character
All applicants must complete this section. If your application is declined for character reasons, Immigration New Zealand may place a notation in your passport indicating that you applied for a visa for New Zealand.
Have you been convicted at any time of any offence, including any driving offence? Please note that this includes any conviction(s) outside of New Zealand subsequently cleared or wiped by ‘clean slate’ legislation
Are you currently under investigation for any offence in any country?
Are you currently wanted for questioning for any offence in any country?
Are you currently facing charges for any offence in any country?
Have you ever been excluded from any country, excluding New Zealand?
Have you ever been refused entry from any country, excluding New Zealand?
Have you ever been removed or deported from any country, excluding New Zealand?
Have you ever been refused a visa/permit to visit, work, study or reside in any country?
Have you ever been a member of, or adhered to, any terrorist organisation?
Have you had (or currently have) an association with, membership of, or involvement with, any government, regime, group or agency that has advocated or committed war crimes, crimes against humanity and/or other gross human rights abuses?
If you have answered yes to any of the questions above give full details. This includes full details of any charges, convictions and the sentence or penalty imposed.
Employment and Qualification
List all periods of previous employment, including self-employment and employment outside New Zealand.
Give details of all qualifcations you hold. If you have no qualifcations, write ‘No qualifcations’.
Declaration by applicant
I have provided true and correct answers to the questions in this form.
I understand that if false or misleading information is submitted, my application may be declined without further warning.
I agree to tell Immigration New Zealand about any changes to my circumstances (including a change in my employment or partnership status) that occur after making this application.
I agree to leave New Zealand before my visa expires. If I remain in New Zealand after my visa has expired, I may be deported by Immigration New Zealand.
I agree that if I am not entitled to free health care in New Zealand, I will pay for any health care or medical assistance I may require in New Zealand.
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 including via the online VisaView system. If I undertake a course of study while in New Zealand, I authorise Immigration New Zealand to provide information about my immigration status to my education provider, including via VisaView.
I authorise Immigration New Zealand to provide Information about my health and my immigration status to any health service agency. I authorise any health service agency to provide information about my health to Immigration New Zealand.
I authorise Immigration New Zealand to make any necessary enquiries about information on this form and/or accompanying documentation. I authorise any agency whether in New Zealand or overseas, including but not limited to border or immigration agencies, education providers, fnancial institutions, foreign embassies, government authorities, healthcare providers, police or other law enforcement agencies, that holds information (including personal information) related to information on this application form and/or accompanying documentation to disclose that information to Immigration New Zealand so that they can:
• make a decision on this application
• answer enquiries about my immigration status once my application has been decided.
By selecting yes to this declaration you agree to the above items contained within this form.
By selecting yes and clicking Send you agree that this constituents a digital signature

New 2021 Work Visa

Application Form

Personal details
Contact details
Your current residential address:
If you are currently in New Zealand, your most recent overseas address.
Do you authorise the person stated above to act on your behalf?
Do you authorise all other licensed immigration advisers or persons exempt from licensing who work for the organisation named above to act on your behalf (if applicable)?
Have you received immigration advice on this application?
Names and addresses of any friends, relatives, or contacts you have in New Zealand (if applicable).
Your Health
Do you have tuberculosis (TB)?
Do you have any medical condition that requires, or may require, one of the following during your stay in New Zealand?
Renal dialysis
Hospital care
Residential care
Residential care is defned as in-patient care for people with psychiatric, sensory or intellectual disabilities or live-in facilities for the aged.
If you have answered Yes to any of the questions above, provide details
Are you pregnant?
If you intend to give birth in New Zealand, please indicate how the cost of maternity health services will be paid for and provide the relevant evidence.
Upload Sponsorship Form for Temporary Entry (INZ 1025) (if applicable)
Your character
All applicants must complete this section. If your application is declined for character reasons, Immigration New Zealand may place a notation in your passport indicating that you applied for a visa for New Zealand.
Have you been convicted at any time of any offence, including any driving offence? Please note that this includes any conviction(s) outside of New Zealand subsequently cleared or wiped by ‘clean slate’ legislation
Are you currently under investigation for any offence in any country?
Are you currently wanted for questioning for any offence in any country?
Are you currently facing charges for any offence in any country?
Have you ever been excluded from any country, excluding New Zealand?
Have you ever been refused entry from any country, excluding New Zealand?
Have you ever been removed or deported from any country, excluding New Zealand?
Have you ever been refused a visa/permit to visit, work, study or reside in any country?
Have you ever been a member of, or adhered to, any terrorist organisation?
Have you had (or currently have) an association with, membership of, or involvement with, any government, regime, group or agency that has advocated or committed war crimes, crimes against humanity and/or other gross human rights abuses?
If you have answered yes to any of the questions above give full details. This includes full details of any charges, convictions and the sentence or penalty imposed.
Employment and Qualification
List all periods of previous employment, including self-employment and employment outside New Zealand.
Give details of all qualifcations you hold. If you have no qualifcations, write ‘No qualifcations’.
Declaration by applicant
I have provided true and correct answers to the questions in this form.
I understand that if false or misleading information is submitted, my application may be declined without further warning.
I agree to tell Immigration New Zealand about any changes to my circumstances (including a change in my employment or partnership status) that occur after making this application.
I agree to leave New Zealand before my visa expires. If I remain in New Zealand after my visa has expired, I may be deported by Immigration New Zealand.
I agree that if I am not entitled to free health care in New Zealand, I will pay for any health care or medical assistance I may require in New Zealand.
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 including via the online VisaView system. If I undertake a course of study while in New Zealand, I authorise Immigration New Zealand to provide information about my immigration status to my education provider, including via VisaView.
I authorise Immigration New Zealand to provide Information about my health and my immigration status to any health service agency. I authorise any health service agency to provide information about my health to Immigration New Zealand.
I authorise Immigration New Zealand to make any necessary enquiries about information on this form and/or accompanying documentation. I authorise any agency whether in New Zealand or overseas, including but not limited to border or immigration agencies, education providers, fnancial institutions, foreign embassies, government authorities, healthcare providers, police or other law enforcement agencies, that holds information (including personal information) related to information on this application form and/or accompanying documentation to disclose that information to Immigration New Zealand so that they can:

• make a decision on this application
• answer enquiries about my immigration status once my application has been decided.
By selecting yes to this declaration you agree to the above items contained within this form.
By selecting yes and clicking Send you agree that this constituents a digital signature

New 2021 Work Visa

Application Form

Personal details
Contact details
Your current residential address:
If you are currently in New Zealand, your most recent overseas address.
Do you authorise the person stated above to act on your behalf?
Do you authorise all other licensed immigration advisers or persons exempt from licensing who work for the organisation named above to act on your behalf (if applicable)?
Have you received immigration advice on this application?
Names and addresses of any friends, relatives, or contacts you have in New Zealand (if applicable).
Your Health
Do you have tuberculosis (TB)?
Do you have any medical condition that requires, or may require, one of the following during your stay in New Zealand?
Renal dialysis
Hospital care
Residential care
Residential care is defned as in-patient care for people with psychiatric, sensory or intellectual disabilities or live-in facilities for the aged.
If you have answered Yes to any of the questions above, provide details
Are you pregnant?
If you intend to give birth in New Zealand, please indicate how the cost of maternity health services will be paid for and provide the relevant evidence.
Upload Sponsorship Form for Temporary Entry (INZ 1025) (if applicable)
Your character
All applicants must complete this section. If your application is declined for character reasons, Immigration New Zealand may place a notation in your passport indicating that you applied for a visa for New Zealand.
Have you been convicted at any time of any offence, including any driving offence? Please note that this includes any conviction(s) outside of New Zealand subsequently cleared or wiped by ‘clean slate’ legislation
Are you currently under investigation for any offence in any country?
Are you currently wanted for questioning for any offence in any country?
Are you currently facing charges for any offence in any country?
Have you ever been excluded from any country, excluding New Zealand?
Have you ever been refused entry from any country, excluding New Zealand?
Have you ever been removed or deported from any country, excluding New Zealand?
Have you ever been refused a visa/permit to visit, work, study or reside in any country?
Have you ever been a member of, or adhered to, any terrorist organisation?
Have you had (or currently have) an association with, membership of, or involvement with, any government, regime, group or agency that has advocated or committed war crimes, crimes against humanity and/or other gross human rights abuses?
If you have answered yes to any of the questions above give full details. This includes full details of any charges, convictions and the sentence or penalty imposed.
Employment and Qualification
List all periods of previous employment, including self-employment and employment outside New Zealand.
Give details of all qualifcations you hold. If you have no qualifcations, write ‘No qualifcations’.
Declaration by applicant
I have provided true and correct answers to the questions in this form.
I understand that if false or misleading information is submitted, my application may be declined without further warning.
I agree to tell Immigration New Zealand about any changes to my circumstances (including a change in my employment or partnership status) that occur after making this application.
I agree to leave New Zealand before my visa expires. If I remain in New Zealand after my visa has expired, I may be deported by Immigration New Zealand.
I agree that if I am not entitled to free health care in New Zealand, I will pay for any health care or medical assistance I may require in New Zealand.
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 including via the online VisaView system. If I undertake a course of study while in New Zealand, I authorise Immigration New Zealand to provide information about my immigration status to my education provider, including via VisaView.
I authorise Immigration New Zealand to provide Information about my health and my immigration status to any health service agency. I authorise any health service agency to provide information about my health to Immigration New Zealand.
I authorise Immigration New Zealand to make any necessary enquiries about information on this form and/or accompanying documentation. I authorise any agency whether in New Zealand or overseas, including but not limited to border or immigration agencies, education providers, fnancial institutions, foreign embassies, government authorities, healthcare providers, police or other law enforcement agencies, that holds information (including personal information) related to information on this application form and/or accompanying documentation to disclose that information to Immigration New Zealand so that they can:
• make a decision on this application
• answer enquiries about my immigration status once my application has been decided.
By selecting yes to this declaration you agree to the above items contained within this form.
By selecting yes and clicking Send you agree that this constituents a digital signature