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Immigration Inquiry

New Zealand Pre-Assessment Questionnaire

Please complete the following questionnaire to better assist you in your pathway for successful immigration to New Zealand.

*Once completed please return this questionnaire by email. In accordance with the Immigration Advisers Authority (IAA) Code of Conduct, all information collected in this form will be held with the strictest confidentiality and will not be divulged to any other party without the written consent of the person providing this information

A. Principal Applicant Details

Contact information

Please provide details of your occupation (if applicable) along with details of your work history starting with the most current one

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Please provide details of all persons to be included in your visa application in the following order: 1) Principal Applicant; 2) Spouse/Partner; 3) Dependent Child 1; 4) Dependent Child 2; etc

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For all persons to be included in this application, aged 17 or over: Have you ever resided outside your country of citizenship for 12 months (cumulatively) or more in the last 10 years? If so, please list below.

Details of all complete qualification(s) (e.g. degree, diploma, or trade qualification) held by you and your spouse – do not include details of short courses or incomplete studies that have not led to a qualification. Please attach additional sheets if necessary.

Primary Applicant

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B. INZ Mandatory Questions

The following questions apply to all persons to be included in your visa application

Declaration

I hereby state that the information I have provided in this pre-assessment questionnaire is an accurate and true representation of my current and past situation. I also accept that the information given in this declaration will be used – in part - as the basis for a visa application and that the decision to issue such a visa or permit is the sole decision of Immigration New Zealand authorities.

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