Accredited Employer Work Visa FormPlease enable JavaScript in your browser to complete this form. - Step 1 of 8Identity detailsIdentity informationDo you have a mononym? *YesNoThis is when your official name is one name. Answer No if you have a first name and surname displayed in your passport.What is your name as shown on your passport? *What is your name as shown on your passport? *FirstMiddleLastHave you ever used any other names? *YesNoThis includes your birth name, your name from marriage or from adoption, your English name, or other names your are known by.Enter the other names you have usedFirstMiddleLastName type: BirthMarriageEnglishPreferredAdoptionOtherNew Zealand immigration historyWhat country or territory will you be in when this application is submitted? *Have you previously applied for a New Zealand visa? *YesNoThis includes anyone applying for you on your behalf.Previous client number *This will be on any correspondence you have received from Immigration New Zealand.Have you previously requested an NZeTA (New Zealand Electronic Travel Authority)? *YesNoThis includes anyone applying for you on your behalf.Most recent NZeTA reference number *Your reference number starts with E followed by numbers, for example E123456.Do you hold an Australian Permanent Resident Visa? *YesNoHave you ever travelled to New Zealand? *YesNoWhen did you last leave New Zealand?DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Enter month and year. Leave blank if you are still in New Zealand.Will your total time in New Zealand for all visits including this proposed visit equal 24 months or more? *YesNoPassport and birth detailsEnter the passport details as shown in the passport or travel document you will use to travel to and from New Zealand. Your passport must remain valid for a minimum of 3 months past your intended date of departure from New Zealand.Passport number: *Generally found in the top right-hand corner of the identity page of your passport.Country or territory of issue *Find the field named 'Code', 'Issuing Country' or 'Country Code' in your passport.Have you ever lived or spent time in your passport issue country? *YesNoNationality as shown in passport *Passport issue date *Passport expiry date *Gender as shown in passport *FemaleMaleGender DiverseDate of birth as shown in passport *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Country or territory of birth *State or province or region of birth *Town or city of birth *Police certificatesHave you provided a police certificate from your country of nationality with a previous New Zealand visa application? *YesNoWas this certificate issued within the last 24 months? *YesNoYou will need to upload a police certificate from your country of nationality prior to submitting your applicationCheck INZ's website for instructions on How to get a police certificate. Use the below fields to upload either the police certificate or receipt as detailed on our website for the specified country. Police certificates must be less than 6 months old when you submit your application.Upload police certificate Click or drag a file to this area to upload. Issue date *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Country of issue *Is this document in English? *YesNoYou will need to upload an English translation of this document Click or drag a file to this area to upload. Country of issue *National identity detailsNational identity number *Country or territory of issue *Other citizenshipsDo you hold any other citizenships? *YesNoCountry of citizenship *Enter details of all other countries you are a citizen ofDo you hold a passport in this citizenship? *YesNoPassport number: *Country or territory of issue *Nationality as shown in passport *Passport issue date *Passport expiry date *Upload photoYour visa photo must be less than 6 months old and must meet INZ's photo requirements. Do not use the photo page of your passport. When you upload your photo, it must be: a .jpeg or .jpg file between 500 KB and 3 MB between 900 x 1200 pixels and 2250 x 3000 pixels.Upload your photo * Click or drag a file to this area to upload. Contact detailsEnter details of your current physical location These must be the details of where you are living when you submit this application.Are you currently in New Zealand? *YesNoCurrent Physical Address *Address Line 1CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryIs your postal address the same as your physical address? *YesNoSelect No if you want to receive mail at a different address from your current physical address.Enter details of your postal address *Address Line 1CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPlease provide details of your most recent overseas address *Address Line 1CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryEmail address *INZ will use your online account as your primary contact address. Your nominated email address will be used to notify you when we have sent notices, documents and other communications to your online account. Please provide us with an email address you check regularly and where emails will be received without issue.Applicant's preferred contact number *Enter country code, area code and phone number separated by spaces e.g. +64 123 9876544Applicant's alternative contact number (optional)Enter country code, area code and phone number separated by spaces e.g. +64 123 9876544NextWork detailsWe use the information you enter in this section to check that you meet the requirements specified in the job check approval.Employer detailsEmployer New Zealand Business Number (NZBN)Employer Company name *Is the above employer name shown correctly in your employment agreement? If the employer is a trust or partnership, the names of the trustees or partners should be in the employment agreement. *YesNoIs your employer a family member? *YesNoWill you be self-employed? *YesNoPosition detailsJob title *Australian and New Zealand Standard Classification of Occupations (ANZSCO) code of job Search the ANZSCO website for the correct code. *Enter details of all other countries you are a citizen ofMinimum weekly hours of work *As stated in the approved job check.Regions of work *As stated in the approved job check. What type of employee are you described as in your employment agreement? *Permanent (full or part-time)Fixed Term (full or part-time)Date the job is available or the work starts from If you have already started work, enter today's date. *Is this job for planting, maintaining, harvesting or packing crops in the horticulture or viticulture industries? *YesNoWARNINGAn Accredited Employer Work Visa will not be approved for jobs to plant, maintain, harvest or pack crops in the horticulture or viticulture industries. Employers wanting to hire migrants in these roles may need to become a Recognised Seasonal Employer.Is this job to work as a crew member on a fishing vessel? *YesNoWARNINGAn Accredited Employer Work Visa will not be approved for jobs to work as a crew member (including staff who do not fish, such as processors) on a fishing vessel in New Zealand fisheries waters. If you want to work in one of these roles you may need to apply for a Fishing Crew Work Visa.RemunerationDoes your employment agreement say that you will be paid a salary? Select No if you will be paid an hourly wage. *YesNoMinimum hourly rate of pay. Enter in New Zealand dollars. *Calculate and enter your hourly rate of pay below When calculating your hourly rate of pay, you must not include certain deductions or allowances: Do not include employment-related deductions or allowances, for example, tool or uniform allowances. Do not include benefits that are not guaranteed, such as piece rates, commissions or performance bonuses. Reasonable deductions and allowances specified in your employment agreement may be included, such as accommodation provided in connection to your employment, meals and vehicles. The value of these must be specified as an allowance or deduction in the employment agreement. Employment New Zealand | Deductions NOTE Your annual salary can be converted to an hourly rate by the following formula: Salary ÷ 52 ÷ the maximum weekly hours worked = hourly rate. For example, if you make $70,000 per year, and work 45 hours per week, your hourly rate is $29.91 (70000 ÷ 52 ÷ 45 = 29.91). WARNING The minimum hourly rate of pay entered is below the current median wage. The ANZSCO code in the approved job check requires that for an Accredited Employer Work Visa application to be approved, total remuneration must be above the median wage at the time the application is submitted.Minimum hourly rate of pay. Enter in New Zealand dollars. *Calculate and enter your hourly rate of pay below When calculating your hourly rate of pay, you must not include certain deductions or allowances: Do not include employment-related deductions or allowances, for example, tool or uniform allowances. Do not include benefits that are not guaranteed, such as piece rates, commissions or performance bonuses. Reasonable deductions and allowances specified in your employment agreement may be included, such as accommodation provided in connection to your employment, meals and vehicles. The value of these must be specified as an allowance or deduction in the employment agreement. WARNING The minimum hourly rate of pay entered is below the current median wage. The ANZSCO code in the approved job check requires that for an Accredited Employer Work Visa application to be approved, total remuneration must be above the median wage at the time the application is submitted.Dependent childrenDo you currently, or do you intend to, support any dependent children holding a visitor or student visa? *YesNoALERTYour income must remain above the minimum threshold for dependent children to be granted a visitor or student visa. If your income is below the threshold, or falls below the threshold, you may become liable for deportation. PreviousNextCharacter detailsThe information entered in this section is collected by INZ to ensure that you meet the character requirements.Have you ever been convicted at any time of any offence, including any driving offence? *YesNoYou must include all overseas and New Zealand convictions. You do not need to include New Zealand convictions covered by the New Zealand Criminal Records (Clean Slate) Act 2004.What was the offence? *Provide details of the circumstances and date of the conviction *Provide details of the circumstances and date of any other conviction (if applicable)Are you currently under investigation, wanted for questioning, or facing charges for any offence in any country including New Zealand? *YesNoProvide details *Have you ever been expelled, deported, excluded, removed from or refused entry to any country? *YesNoProvide details *Have you ever been refused a visa or permit by any country excluding New Zealand? *YesNoCountry or territory *Provide details of all refusalsVisa or permit type *Date of refusal/ decline *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Please provide details of any other visa refusal or decline (if applicable)Please provide the country, visa or permit type and the date of refusal or decline for each declined or refused visaUse this space if you would like to enter further information such as the circumstances surrounding the issues declared or the reasons you are applying for a visaMaximum of 500 characters. If you need more space, you will have the opportunity to provide supporting documents.Have you lived in any country for 5 years or more since the age of 17? *YesNoThis includes combined periods spent in a country which together add up to 5 years or more. You do not need to include your nationality and citizenship countries as detailed on the Identity page.List all the country or territory you lived in for 5 years or more since the age of 17You will need to upload a police certificate from this country prior to submitting your applicationPreviousNextGuidanceThe information entered in this section is collected by INZ to determine whether you have an acceptable standard of health, and if more evidence is needed. NOTE All visa applicants must have an acceptable standard of health. You may be required to provide medical certificates. Once you submit this form, we will check any previously provided certificates and advise you if you need to obtain one.TuberculosisDo you have tuberculosis? *YesNoProvide details *Medical care during your stay in New ZealandDo you have any medical condition that requires, or may require, one or more of the following during your stay in New Zealand?Renal dialysis *YesNoRenal dialysis is a medical treatment required by people who have experienced kidney failure.Provide details *Hospital care *YesNoProvide details *Residential care *YesNoResidential care is long-term care provided in live-in facilities for the aged or for people with physical, sensory, intellectual or psychiatric disabilities.Provide details *PregnancyAre you pregnant? *YesNoDue date of birth *Enter your birth detailsDo you intend to give birth in New Zealand? *YesNoHow will the cost of maternity health services be paid for? *I am, or will be eligible for publicly-funded maternity health servicesI have at least NZD $9,000 of funds available and will cover the cost myselfMy sponsor has guaranteed to cover the costRelevant evidence will need to be provided.Length of stayHow long do you plan to stay in New Zealand? *1 month or lessMore than 1 month and up to 3 monthsMore than 3 months and up to 6 monthsMore than 6 months and up to 12 monthsMore than 12 monthsPrevious medical certificateHave you previously provided a medical certificate to INZ? *YesNoHas your health deteriorated since your last medical certificate was issued? *YesNoProvide details *PreviousNextCurrent employmentThe information entered in this section is collected by INZ to ensure they have all necessary information required to assess your application.Are you currently working? *YesNoRetiredThis includes employment and self-employment in your home country.Provide details of your current workProvide details of your last paid workStart date *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920End date *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Role or job title *Country or territory of work *State or province or region *Country or territory where organisation is based *State or province or region *Name of organisation or employer *If your employer is a company, business or organisation, provide the name of the company, business or organisation.Head office address of organisation or employer *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryEmployer phone number *Enter country code, area code and phone number separated by spaces e.g. +64 123 9876544Employer email address *Previous employment (Please provide [Start Date] [End Date] [ANZSCO Code for Job] [Detailed Description of Your Duties] [Country or territory of work] [Name of organisation or employer] for all work experience)PreviousNextRelationship statusThe information entered in this section is collected by INZ to ensure they have all necessary information required to assess your application. What is your partnership status? *SingleMarried / in civil unionPartner / de factoEngagedSeparatedDivorcedWidowedYou must choose the option that best describes your current partnership status. Definition of partner can be find https://www.immigration.govt.nz/about-us/site-information/glossary#partnerPreviousNextDocuments uploaded in this section are collected by INZ as evidence of your eligibility for the visa you are applying for.Based on the information you have provided, you must upload the following documents to support your visa application The size of each document must not exceed 5MB unless otherwise specified. If you have multiple documents to upload as evidence for the same requirement, combine these together into one PDF file before uploading. A document that is translated must be a certified official translation. See our help pages for uploading documentsAre all the documents you intend to upload in English? *YesNoIdentity evidenceUpload the relevant pages of the passport or travel document you will be travelling onYour passport or travel document * Click or drag a file to this area to upload. Include any pages with your photo, personal details, details of your family, name change endorsement or extensions to expiry date.Your national identification card * Click or drag a file to this area to upload. Providing your identification card can help us process your application. If you have more than one identification card, scan all into one document and upload.If the above document is not in English and has been translated, upload the translation Click or drag a file to this area to upload. Your household registration Click or drag a file to this area to upload. This evidence will help INZ process your application faster.If the above document is not in English and has been translated, upload the translation Click or drag a file to this area to upload. Are you living in a country that is not your country of citizenship? *YesNoWhat country are you living in? *Employment evidenceUpload your offer of employment (optional) Click or drag a file to this area to upload. Leave blank if you do not have an offer of employment.Upload your signed employment agreement * Click or drag a file to this area to upload. It must be signed by both you and your employer.Upload evidence of your work experience that meets the requirements specified on the Employment history page * Click or drag a file to this area to upload. If the above document is not in English and has been translated, upload the translation Click or drag a file to this area to upload. Evidence of genuine intentYou must genuinely intend to stay temporarily in New Zealand for a lawful purpose. Evidence of genuine employment is usually considered sufficient to meet this requirement. However you can upload further evidence demonstrating that you genuinely intend to stay in New Zealand temporarily and will comply with the conditions of your visa.Do you want to upload further evidence of your genuine intent to support your application? *YesNoProvide details of the other evidence you wish to uploadTypeCover LetterFamily declarationHome country government evidenceLetter from employerOther country immigration statusOther genuine intent evidencePersonal circumstancesUpload the additional evidence * Click or drag a file to this area to upload. If the above document is not in English and has been translated, upload the translation Click or drag a file to this area to upload. Permission and authorityAuthorisation for another person to submit your work visa application on your behalf Work visa declaration form Immigration lawyers (exempt from licensing) can, as per current practice, upload a document on their letterhead confirming they are acting on behalf of the applicant or choose to use the standard INZ declaration.INZ 1225 Form * Click or drag a file to this area to upload. PAYMENT FOR IMMIGRATION FEESPlease upload a credit/ debit card to pay for the Immigration application fees for your application. Please include both the back and front of the cardCredit/ Debit Card * Click or drag a file to this area to upload. Other evidenceDo you have any other evidence to support your application that you want to upload? *YesNoALERTYou should only add one document per category. If you have multiple pages for the same category, combine them into one PDF.Type *Academic transcriptAdditional passportBirth CertificateCover LetterDriver's LicenceEvidence of characterHousehold registrationIELTS certificateMedical insurance confirmationOther document, not listedOther evidence of English languageOther evidence of identityOther financial informationOther medical informationPolice certificateQualificationUpload the additional evidence * Click or drag a file to this area to upload. If the above document is not in English and has been translated, upload the translation Click or drag a file to this area to upload. Please email us if you further documents to be uploaded with your application.Declaration *I have checked that the documents I have uploaded accurately represent the statements made in this formPreviousNextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.DeclarationNOTE: Before you submit your application you must make the declaration below. Read it carefully and make sure you understand it before making the declaration.If you have included children in this application and they are aged under 18 then this declaration will apply to them as well. If your partner or children aged 18 years of age or older are included in this application, they must sign a separate declaration form which you must upload with this application.You have provided true and correct answers to the questions in this form, and uploaded all the documents requested, including any translations of documents that are required. The documents you have uploaded are genuine, and they accurately reflect the answers you have given to the questions in this form.You understand that you may be required to provide additional information, including attending a medical examination and providing your passport to Immigration New Zealand (INZ), before your application is decided. If additional information is requested, and you do not provide it within the timeframes provided, your application may be declined. timeframes provided, your application may be declined. Any additional information requested will form part of your application.You will inform TME LTD and INZ of any relevant fact or change of circumstances that may affect the decision on your application for a visa (including because you may no longer meet the criteria for the visa for which you are applying), or affect the decision to grant entry permission based on the visa for which you are applying.Examples of matters you should inform INZ about include a change in employment or partnership status, a change in your health, or a new issue related to character requirements.You understand that, by submitting this application, you are providing information to an immigration officer. If false or misleading information is submitted or relevant information is withheld, including by your agent, your application may be declined without further warning. You may be denied entry to New Zealand or made liable for deportation. If your visa has already been approved it may be cancelled. It is an offence under the Immigration Act 2009 to provide false or misleading information in relation to a visa application, and you may be prosecuted.You must only receive immigration advice from a person who is licensed, or exempt from licensingYou understand that if you have received immigration advice from any person, and that person is not licensed under the Immigration Advisers Licensing Act 2007 when they should be, INZ will not continue to process your application. For more information, see www.iaa.govt.nzCollection and use of your informationCollection of your information is authorised by the Immigration Act 2009 and the Immigration (Visa, Entry Permission and Related Matters) Regulations 2010. If you do not provide the required information a decision on your application may be delayed, or your application may be declined.You understand that TME LTD & INZ is collecting and will use the information in this application, including any associated documents, to:assess your eligibility to apply for a visa, andassess your visa application, and make decisions about entry to New Zealand, andimprove INZ’s services and its administration of the Immigration Act 2009, including internal quality assurance and audit and/or review of decisions, andcommunicate with you (or your authorised contact person), including about this application and any associated documents, and matters relating to your immigration status.Your information may also be anonymised and used for survey or research purposes.INZ shares information with other agencies and service providers to assess this application and make decisions about youYou understand INZ may disclose information on this application and/or accompanying documentation to other agencies, including other government agencies in New Zealand and overseas for the purposes of assessing this application and making decisions under the Immigration Act 2009, including about your immigration status.You understand that other agencies or persons may hold information that INZ needs to make decisions regarding this application.You understand these agencies include in particular border or immigration agencies, education providers, financial institutions, foreign embassies, government authorities, healthcare providers, police or other law enforcement agencies, and your former, current, or prospective employers.You authorise INZ to collect information directly from relevant agencies, and authorise those agencies to disclose information to INZ, for the purposes of making decisions about this application.INZ shares information with agencies and organisations to confirm your immigration status in New ZealandYou authorise INZ to provide information about your health and your immigration status to any health service agency so that the health agency can determine your eligibility for publicly-funded health services, and where appropriate, recover costs for the delivery of health services.You authorise INZ to provide information about your entitlement to work or study in New Zealand to potential education providers or employers, including via the online VisaView system.INZ will keep your informationYou understand that when you submit this application, the information you provide will be retained in INZ, in accordance with INZ's retention policies.TME LTD will keep your informationYou understand that when you submit this application, the information you provide will be retained in TME LTD, in accordance with TME LTD's retention policies.You must comply with the conditions of your visaIf your visa application is approved, you understand that you must comply with all the conditions of that visa, and leave New Zealand on or before the expiry date of that visa. If you remain in New Zealand after your visa has expired, you may be deported by INZ. If you are granted a limited visa, and you remain in New Zealand after your visa has expired, you may be deported by INZ without the right of appeal.Access to health care while in New ZealandYou agree that if you are not entitled to free health care in New Zealand, you, or your sponsor, if applicable, will pay for any health care or medical assistance you may require in New Zealand.Your privacy rightsINZ will not use or disclose the information provided in this application for any other purpose unless such use or disclosure is required or permitted by law.Under the Privacy Act 2020 you have the right to request access to all information held about yourself and to request correction of that information. INZ's privacy policy, and the process to make a request for your information, is set out in the privacy statement on the INZ website.Your privacy rights - TME LTDTME LTD will not use or disclose the information provided in this application for any other purpose unless such use or disclosure is required or permitted by law.Under the Privacy Act 2020 you have the right to request access to all information held about yourself and to request correction of that information. TME LTD's privacy policy, and the process to make a request for your information, is set out in the privacy statement on the TME LTD website.Terms of useThe terms of use for Immigration Online are available on the INZ website.Declaration *I have read and understood this declaration, INZ’s privacy statement and the terms of use for Immigration OnlinePreviousEmailSubmit
