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Visa Assessment Form

In order that we may assess your chances of successfully lodging an application for migration to New Zealand, would you please complete the following form.

Please ensure that the information which you send to us is accurate as possible.

Based on the information you provide us, we will forward to you our recommendations for migration.

Confidentiality:
The information you provide in this form will be treated in the strictest confidence and used only in accordance with your instructions and will not be disclosed to a third party.

 
Personal particulars
* required fields
*Surname:
*First Name:
*Home Address:
State:
Postcode:
*Country
Home Telephone: + ()
Fax No.: + ()
Mobile No.:
*Email Address:
Gender:
Date of Birth:
Place of Birth:
Town/City
State
Country
Citizenship:
Other Citizenships:
Marital Status:
 
1. How would you rate your English ability? (1=V Good & 5=V Bad)
 
Writing Skill
Speaking Skill
Reading Skill
Listening Skill
 
2. Please specify your occupation:
 
 
3. Do you have an offer of skilled employment in New Zealand?
 
4. Work Experience
 
Present Employment
Joined in
Left in
  Month Year
Employer
City/Country
Title
Duties
 
Previous Employment No.1
Joined in
Left in
  Month Year
Employer
City/Country
Title
Duties
 
Previous Employment No.2
Joined in
Left in
  Month Year
Employer
City/Country
Title
Duties
 
5. Education Qualifications
 
Have you successfully completed any study in New Zealand?  
Duration of studies:  years    months
Highest Level achieved:
Date of Completion:  
 
Please list all your qualifications:
 
Educational Diploma/Degree No.1
Started in:
Ended in:
  Month Year
Institution:
City, Country:
Field of Study:
Certificate:
 
Educational Diploma/Degree No.2
Started in:
Ended in:
  Month Year
Institution:
City, Country:
Field of Study:
Certificate:
 
Educational Diploma/Degree No.3
Started in:
Ended in:
  Month Year
Institution:
City, Country:
Field of Study:
Certificate:
 
6. Do you have a close relative in New Zealand who would be willing to sponsor you?
 
 
7. Your Partner's Particulars
 
Surname:
First Name:
Home Address:
State:
Postcode:
Country
Home Telephone: + ()
Fax No.: + ()
Mobile No.:
Email Address:
Gender:
Date of Birth:
Place of Birth:
Town/City
State
Country
Citizenship:
Other Citizenships:
Marital Status:
 
8. Your Partner's English ability? (1=V Good & 5=V Bad)
 
Writing Skill
Speaking Skill
Reading Skill
Listening Skill
 
9. Your Partner's Work Experience
 
Partner's Present Employment
Joined in
Left in
  Month Year
Employer
City/Country
Title
Duties
 
Partner's Previous Employment No.1
Joined in
Left in
  Month Year
Employer
City/Country
Title
Duties
 
Partner's Previous Employment No.2
Joined in
Left in
  Month Year
Employer
City/Country
Title
Duties
 
10. Partner's Education Qualifications
 
Have you successfully completed any study in New Zealand?  
Duration of studies:  years    months
Highest Level achieved:
Date of Completion:  
 
Please list all your qualifications:
 
Partner's Educational Diploma/Degree No.1
Started in:
Ended in:
  Month Year
Institution:
City, Country:
Field of Study:
Certificate:
 
Partner's Educational Diploma/Degree No.2
Started in:
Ended in:
  Month Year
Institution:
City, Country:
Field of Study:
Certificate:
 
Partner's Educational Diploma/Degree No.3
Started in:
Ended in:
  Month Year
Institution:
City, Country:
Field of Study:
Certificate:
 
11. Does your Partner have an offer of skilled employment in New Zealand?
 
 
12. Does your Partner have a close relative in New Zealand who would be willing to sponsor you?