INZ1017-新西兰签证申请表

2 – Visitor Visa Application - March 2014

When filling in this form, please write clearly using CAPITAL LETTERS.

Note : Detailed information about the type of documents you should provide in support of your application is available from the Immigration New Zealand branch where your application will be processed. Go to https://www.wendangku.net/doc/398880671.html,/contactus and select the appropriate branch.

If your circumstances are not covered in the above list, refer to the Immigration New Zealand website, https://www.wendangku.net/doc/398880671.html,/visit, or the Immigration New Zealand Operational Manual,

https://www.wendangku.net/doc/398880671.html,/opsmanual, for information about the documents you must provide.

G4Is your visa application dependent on another person who is either in New Zealand or holds a visa to be in New Zealand?

No Go to Section H: Financial support while you are in New Zealand.

Yes Indicate the relationship with the other person. Note you must provide evidence of that relationship.

I am the guardian of a student visa holder.

I am the parent or grandparent of a New Zealand citizen or resident who has sponsored me.

I am the dependent child of a New Zealand citizen, resident or temporary visa holder.

Other (specify)

Please provide details of the other person:

Family/last name Given/first name(s)

Date of birth

For more information about this section and acceptable evidence of funds, see ‘Completing Section H: Financial support while you are in

New Zealand’ in the Visitor Visa Guide.

Are you using your own funds for your visit to New Zealand or are you being sponsored?

H1

Own funds – attach copies of evidence you have sufficient funds* to support yourself and evidence you either

have made onward travel arrangements out of New Zealand or have sufficient funds to leave New Zealand.

Sponsored – attach completed Sponsorship Form for Temporary Entry (INZ 1025).

*Sufficient funds for support means at least NZ$1000 per month you intend to stay in New Zealand per person included in your application, or NZ$400 if you have accommodation. Funds must be in your own name.

Visitor Visa Application - March 2014 – 11

12 – Visitor Visa Application - March 2014

When filling in this form, please write clearly using CAPITAL LETTERS.

All of the people included in this application must complete this section.I have provided true and correct answers to the questions in this form.

I will inform Immigration New Zealand of any relevant fact or change of circumstances (including a change in my

employment or partnership status) that may (i) affect the decision on my application for a visa, or (ii) affect the decision to grant entry permission based on the visa for which I am applying.

I agree to leave New Zealand before my visa expires. If I remain in New Zealand after my visa has expired, I may be deported by Immigration New Zealand.

I agree that if I am not entitled to free health care in New Zealand, I will pay for any health care or medical assistance I may require in New Zealand.

I understand that if I have received immigration advice from an immigration adviser and if that immigration adviser is not licensed under the Immigration Advisers Licensing Act 2007 when they should be, Immigration New Zealand will return my application.

I authorise Immigration New Zealand to provide information about my health and my immigration status to any health service agency. I authorise any health service agency to provide information about my health to Immigration New Zealand.

I authorise Immigration New Zealand to make any necessary enquiries about information on this form and/or

accompanying documentation. I authorise any agency whether in New Zealand or overseas, including but not limited to border or immigration agencies, education providers, financial institutions, foreign embassies, government authorities, health care providers, police or other law enforcement agencies, that holds information (including personal information) related to information on this application form and/or accompanying documentation to disclose that information to Immigration New Zealand, so that they can:? make a decision on this application

? answer enquiries about my immigration status once my application has been decided.

If I am granted a visa with the condition that I accompany a student, I agree to live with that student. I understand that both the student and I may be liable for deportation if I do not meet this condition.

If I am granted a limited visa, I agree that I will leave New Zealand on or before the expiry date of that visa . If I do not leave New Zealand, I may be immediately deported from New Zealand without the right of appeal. I have provided all the documents required by the checklist on page 2.Signature of principal applicant Date

Signature of partner

Date

Signature of accompanying dependent children over 18 years of age (if applicable)Child one

Child two

Child three

Child four

Note that a parent or guardian may sign on behalf of a child under 18 years.

This form has been approved under section 381 of the Immigration Act 2009

Visitor Visa Application - March 2014 –

13

This section must be completed by the applicant’s immigration adviser. If the applicant does not have an immigration adviser, this section does not have to be completed.

J1 If you are a licensed adviser, please provide your licence details. Licence type full provisional limited List conditions specified in the register

Licence number 20

Go to Section K: Declaration by person assisting the applicant

J2 If you are exempt from licensing, tick one box below to show why you are exempt from licensing then go to

Section K: Declaration by person assisting the applicant.

I provided immigration advice in an informal or family context only, and I did not provide the advice systematically or for a fee.

I have provided immigration advice in the course of my work (employed or volunteer) and that work exempts me from the requirement to be licensed. Indicate the reason for your exemption below. Lawyer with current New Zealand practicing certificate Community Law Centre Citizens Advice Bureau

New Zealand Member of Parliament or staff New Zealand public servant Foreign Diplomatic/Consular

See https://www.wendangku.net/doc/398880671.html,/adviserlicensing for more information about who is exempt from licensing .

This section must be completed and signed by the applicant’s immigration adviser, or by any person who has assisted the applicant by providing immigration advice, explaining, translating, or recording information on the form for the applicant. If the applicant does not have an immigration adviser, and no one helped the applicant to fill in this form, this section does not have to be completed.

If you are not exempt under the Immigration Advisers Licensing Act 2007, it is an offence for you to provide immigration advice without holding a license, and Immigration New Zealand will refuse to accept your client’s application. More information about immigration adviser licensing can be obtained from the Immigration Advisers Authority website https://www.wendangku.net/doc/398880671.html,, via email info@https://www.wendangku.net/doc/398880671.html, or by telephone on 0508 422 422.

Name and address of person assisting applicant. Same as address given at B3 as below.

Family/last name

Given/first name(s)

Company name (if applicable) and address

Telephone (daytime) Telephone (evening)

Fax

Email

I understand that after the applicant has signed this form it is an offence to change or add further information, change any documents attached to the form, or attach any further documents to the form.

I note that the maximum penalty for this offence is a fine of up to NZ$100,000 and/or a term of imprisonment of up to seven years. However, if changes are needed, the person making the changes must state on the form what information or documents have been changed and give reasons for the changes.

I certify that the applicant asked me to help them complete this form and any additional forms. I certify that the applicant agreed that the information provided was correct before signing the declaration. I have assisted the applicant as an interpreter/translator

I have assisted the applicant with recording information on the form I have assisted the applicant in another way. Specify

I have provided immigration advice (as defined in the Immigration Advisers Licensing Act 2007) and my details in Section J: Immigration adviser’s details are correct.Signature of person assisting

Date

D

M

Y

Y

M

Y

D

Y

When filling in this form, please write clearly using CAPITAL LETTERS.

14 – Visitor Visa Application - March 2014

When filling in this form, please write clearly using CAPITAL LETTERS.

16 – Visitor Visa Application - March 2014