First Name
*
Last Name
*
Email
*
Address
*
Which country/countries are you a citizen of?
*
How long are you planning to go to New Zealand for?
*
Select length of time
Long term/Permanently
A few years
Less than 12 months
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How long have you been in a relationship with a New Zealand citizen/resident?
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How long have you been living with your New Zealand citizen/resident partner?
*
Less than 12 months
More than 12 months but less than 5 years
5 years +
Are you planning on bringing your children with you to New Zealand?
*
Yes
No
N/A
What are the ages of your children?
*
Is there any other information you would like to tell us about your plans to emigrate to New Zealand? e.g. any health or character concerns, problems getting a visa previously etc.
Please confirm:
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