Principal Applicant
(Please use 9point type)
Family Name: / First Name:
Date of Birth: / Place of Birth: / Citizenship:
Male/ Female: / Marital Status:
Postal Address:
City: / Country: / Country code:
Phone: / Fax: / E-mail:
List the countries you have lived in for one year or more over the last 10 years
Qualification 1:
Name of Institution: / Full name of qualification:
Start date: (day/month/year) / Finish date: (day/month/year)
Full time/Part time: / Grade/Pass Mark: / Years:
Qualification 2:
Name of Institution: / Full name of qualification:
Start date: (day/month/year) / Finish date: (day/month/year)
Full time/Part time: / Grade/Pass Mark: / Years:
Qualification 3:
Name of Institution: / Full name of qualification:
Start date: (day/month/year) / Finish date: (day/month/year)
Full time/Part time: / Grade/ Pass Mark: / Years:
To cover at least 10 years:
Work Experience 1:
Positions Held: / Name of Employer:
Full/Part Time: / From: (day/month/year) / To: (day/month/year)
Work Experience 2:
Positions Held: / Name of Employer:
Full/Part Time: / From: (day/month/year) / To: (day/month/year)
Work Experience 3:
Positions Held: / Name of Employer:
Full/Part Time: / From: (day/month/year) / To: (day/month/year)

Add more slots if required

English Ability: (X) / Fluent / Very Good / Conversational / Limited / None

Yes/ No

Was the medium of instruction of School/ University English?
Do you have close parents or siblings who have been NZ Residents for more than 3 years?
Do you have a NZ job offer?
If yes in what role?
Have you ever worked in NZ?
If so doing what?
For how long?
Have you studied in NZ.
If so what, where and at what level?
Do you wish to set up business in NZ?
How many years of business experience?
Are you interested in a visa to investigate setting up a business in NZ?
Indicate the approximate amount of funds available to set up a NZ business (in $US) or invest in NZ
* If you require extra space for your qualifications and experience, please attach below.
Spouse (Applicant)
(Please use 9 point type)
Family Name: / First Name:
Date of Birth: / Place of Birth: / Citizenship:
Male/ Female: / Marital Status:
Postal Address:
City: / Country: / Country code:
Phone: / Fax: / E-mail:
List the countries you have lived in for one year or more over the last 10 years
Qualification 1:
Name of Institution: / Full name of qualification:
Start date: (day/month/year) / Finish date: (day/month/year)
Full time/Part time: / Grade/Pass mark: / Years:
Qualification 2:
Name of Institution: / Full name of qualification:
Start date: (day/month/year) / Finish date: (day/month/year)
Full time/Part time: / Grade/Pass mark: / Years:
Qualification 3:
Name of Institution: / Full name of qualification:
Start date: (day/month/year) / Finish date: (day/month/year)
Full time/Part time: / Grade/ Pass mark: / Years:
Work Experience 1:
Positions Held: / Name of Employer:
Full/Part Time: / From: (day/month/year) / To: (day/month/year)
Work Experience 2:
Positions Held: / Name of Employer:
Full/Part Time: / From: (day/month/year) / To: (day/month/year)
Work Experience 3:
Positions Held: / Name of Employer:
Full/Part Time: / From: (day/month/year) / To: (day/month/year)
English Ability: (X) / Fluent / Very Good / Conversational / Limited / None

Children

Names

/

Age

Would either yourself or your partner like to come to NZ as International Students as a pathway to migration to Residence?

If so what areas of study are you interested in?