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IMMIGRATION ELIGIBILITY ASSESSMENT

Please complete this form for a FREE assessment.
If all relevant information is not supplied please be aware that an assessment will be carried out on information provided.

* = Required field.

 PERMANENT RESIDENCE
 1) Family name *
 2) First names *
 3) Email address *
 4) Phone day *
 5) Phone night *
 6) Current location & physical address *
 7) Nationality *
 8) Home language *
 9) Other languages
 10) Date of birth dd/mm/yyyy *
 11) Age *
PLEASE NOTE: If your application relates to; Business/Investment, Family Sponsorship, Work Permits, Partnership, Student or Visitor Visas please skip to question 26 and provide details. For RESIDENCE under the SKILLED MIGRANT CATEGORY, please continue with question 12.
 12) Do you have close relatives (parents / siblings / adult children) who are NZ Permanent Residents OR Citizens living in NZ?* Yes No
 13) Your main occupation *
 14) How many years full time experience have you had in an occupation relevant to your qualification / main skills:
 15) Have you been offered employment in NZ ? * Yes No
    - give details please:
 16) Have you ever worked in NZ? * Yes No
    - How many Years?:
 17) Do you have a trade qualification?: * Yes No
    - What was the exact name of the Qualification?
    - date completed?
    - What is the Exact name of the Institution /     Awarding body?:
 18) Did you complete a Bachelor Degree?: * Yes No
    - Give exact name of university:
    - What was the name of the Qualification     gained?:
    - Date Bachelor Degree was completed?:
 19) Did you complete a Masters Degree?: * Yes No
    - Give exact name of university:
    - What was the name of the Qualification     gained?:
    - Date Masters Degree was completed?:
 20) Did you complete a National Certificate or a     Diploma?: * Yes No
    - Give exact name of institution:
    - What was the name of the Qualification     gained?:
    - Date Qualification was completed? :
 21) Do you have a Partner/Spouse: * Yes No
    - Partners main occupation (Please be specific):
    - How many years full time experience has your     partner had in an occupation related to their     qualification / main skills:
    - Has your partner been offered employment in NZ or     worked in NZ?: Yes No
    - If partner has worked in NZ, how many years?:
    - Does your partner/Spouse have close relatives     (parents/siblings/adult children) who are NZ Permanent     Residents OR Citizens living in NZ?: Yes No
 22) Does your partner have a trade qualification?: Yes No
    - Date completed?:
    - What is the exact name of the Institution /     Awarding body?:
    - Give Exact name of qualification
 23) Did your partner complete a Bachelor Degree?: * Yes No
    - Give exact name of University:
    - What was the name of the Qualification gained?:
    - Date Bachelor Degree was completed? :
 24) Did your partner complete a National Certificate     or a Diploma?: * Yes No
    - Give exact name of institution:
    - What was the exact name of the Qualification     gained?:
    - Exact date the qualification was awarded?:
 25) How many dependent children will be included on the     application (they must be under 25, not married and     have no children themselves).: *
 26) Other types of applications OR Additional Information
Verification: Type this code into the box »



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