First Name *

Last Name *

Email *

Address *

Date of birth *

Which country/countries are you a citizen of? *

How long are you planning to go to New Zealand for? *

Which of the following apply? *

I have a job offer to work in New Zealand

I work in a Green List role (but don't yet have a job offer)

None of the above (but want to work in New Zealand)

Do you have any ongoing health conditions? *

Yes

No

Please provide details of your health conditions *

Have you ever been convicted of a criminal offence? *

Yes

No

Please add details of any criminal offence *

What is your main occupation? *

How many years have you spent in this occupation *

What is the highest qualification you have achieved? *

Upload your CV if available

Do you have a partner? *

Yes

No

Is your partner a New Zealand citizen or resident? *

Yes

No

Is your partner going to New Zealand with you? *

Yes

No

What country/countries is your partner a citizen of? *

What is your partner's date of birth? *

Does your partner have any ongoing health conditions? *

Yes

No

Please provide details of your partner's ongoing health conditions *

Has your partner ever been convicted of a criminal offence? *

Yes

No

Please provide details of your partner's criminal offence *

What is your partner's main occupation? *

How many years has your partner spent in that occupation? *

What is the highest qualification your partner has achieved? *

Upload your partner's CV if available

Are you planning on bringing your children with you to New Zealand? *

Yes

No

N/A

What are the ages of your children? *

Do your children have any ongoing health conditions? *

Yes

No

Please provide details of your children's ongoing health conditions *

Is there any other information you would like to tell us about your plans to emigrate to New Zealand? e.g. plans to study, plans to invest in a business, current New Zealand job offers, problems getting a visa previously

Please confirm: *

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