Student Visa Form | Total Migration & Enterprises Ltd

What is your name as shown on your passport? *

First

Middle

Last

Title *

Other names you are known by or have ever been known by (if applicable)

First

Middle

Last

Name type:

What is your gender? *

Female
Male

What is your date of birth? (dd/mm/yyyy) *

Where were you born? Country/territory: *

State/province/region: *

Town/city: *

Passport number: *

Country/territory of passport: *

Expiry date: *

If applicable, provide details of your national identity number.

If applicable, provide details of other citizenships you hold

What is your partnership status? *

Have you previously applied for a visa for New Zealand? *

If yes, what is your client number.

Provide your current residential address: Country/territory: *

Address *

State/province/region: *

ZIP/post code: *

Telephone (landline):

Mobile number: *

Email *

Is your postal address the same as your current residential address? *

If not, please provide your postal address (with post code)

Provide your most recent overseas address, Country/territory *

Oversea Address *

Town City

State/province/region

ZIP/post code

Will you be in the same country as your residential address when you submit this application? *

If not, which country would you will in?

Declaration: Total Migration & Enterprises Limited (TME) will use the information you have provided on this page to check if you may apply for a visa online or by paper. By selecting 'I agree', you give permission for the information you have provided to be used for this purpose. If you do not agree, you may delete this information by clicking 'Cancel'. Note that if you do not delete this information it will be retained in your online account until deleted according to our retention policy. (7 years after case finished) *

I agree

Do you currently hold a student visa? *

Are you applying to study the same programme of study or qualification with the same provider *

Are you applying for a Pathway Student Visa? *

Do you have a scholarship to study in New Zealand? *

How long do you plan to stay in New Zealand in total (including the time you have already spent in New Zealand)? *

Are you exempt from programme fees? *

Provide details about your programme of study, Start date *

End date *

Type of study *

Name of the education provider where you will be studying *

Qualification/programme you will be studying? *

Is your programme of study 120 credits or more in total? *

How will you be financially supported? *

What arrangements have you made for outward travel from New Zealand? *

Do you have tuberculosis? *

Do you have any medical condition that requires, or may require, one of the following during your stay in New Zealand? Renal dialysis: *

Hospital care: *

Residential care: *

Are you pregnant? *

Have you been identified as a person who requires special education services? *

Where have you visited or lived for more than 3 months within the last 5 years? *

Have you previously provided a chest X-ray certificate? *

Have you ever had a blood or blood product transfusion?

Have you ever used intravenous drugs?

Have you ever participated in, or been exposed to, any activity whichmay have exposed you to a serious infectious disease (such as HIV, or hepatitis B or C)?

Have you previously provided a General Medical Certificate (INZ 1007) *

Have you previously provided a Limited Medical Certificate (INZ 1201)? *

If yes, Was your medical certificate issued in the last 36 months?

If yes, Has your health deteriorated since your medical certificate was issued?

When you applied for your last visa, did Immigration New Zealand ask you to provide any of the following medical information with this visa application? *

Declaration: regarding insurance requirements. I agree to arrange and hold insurance which my education provider considers acceptable, from the period of my enrolment until the expiry of my student visa, unless I depart New Zealand earlier. I understand that holding insurance will be a condition of my visa and that I may become liable for deportation if I do not hold insurance, for the period of my enrolment until my visa expires, unless I depart New Zealand earlier. I understand that if I apply for a further visa, I may be required to provide evidence that I held acceptable insurance while in New Zealand, holding the visa that I am currently applying for *

I agree

Have you ever been convicted at any time of any offence, including any driving offence? *

Have you ever been under investigation in any country, including New Zealand *

Have you ever been charged for any offence(s) against the law in any country, including New Zealand? *

Have you ever been excluded from, or refused entry to, any country, including New Zealand? *

Have you ever been refused a visa by any country, not including New Zealand? *

Have you ever been removed, deported, or expelled from any country, including New Zealand? *

Are you currently wanted for questioning for any offence(s) against the law in any country, including New Zealand? *

Are you currently facing charges for any offence(s) against the law in No any country, including New Zealand? *

Have you lived in any country for more than 5 years since the age of 17 (not including your country of citizenship)? *

Have you provided a police certificate with a previous application? *

Provide details of your employment history; include your current employment and periods of self-employment. New Zealand Business Number:

Name of company/organisation

Type of work/occupation/job title:

Current employer?

Employer's Address:

Employer's Telephone (landline):

Employer's Mobile number:

Email:

Employment Start date:

Employment End date:

Provide details of all periods of previous work. Include periods of self-employment and employment outside New Zealand, and periods where you undertook household/domestic duties, voluntary or unpaid work. For any period where you were not working, please provide the dates and explain how you supported yourself. If you do not provide the full and complete continuous history your application will be delayed while we seek clarification from you. (Please include start and end date, employer company name, employer's address, job title)

Have you ever spent time when you were not in paid employment or No education, including time spent unemployed, doing voluntary work or undertaking domestic duties? *

If yes, please provide Please include start and end date, name of employer, employer's address, field industry, job title, name of direct supervisor, detailed account of duties

Do you have any contacts in New Zealand? *

If yes Names of any friends, relatives, or contacts you have in New Zealand

First

Middle

Last

Relationship to you

Date of birth

Enter their address

Telephone (Landline, Mobile)

Did you attend secondary school (high school) or undertake any education after primary school? *

If yes, please complete the following, Start date:

End date

Name of institution

Country/territory

State/province/region

Town/city

Qualification/programme of study

Qualification awarded?

If you have more qualification, please state it below with all the information as the above layout

Has military service ever been compulsory in your home country? *

Have you ever undertaken military service in any country? *

Declaration: But ticking I agree and clicking the Submit button, you have declare that all information provided are true, correct and up to date. you agree to tell Total Migration & Enterprises & LTD (TME) about any changes to you circumstances that occur after submitting this form that may affect the decision on you application for a visa or aftect the decision to grant entry permission based on the visa for which you are applying; to leave New Zealand before your visa expire. You understand that: If you remain in New Zealand after your visa has expired, you may be liable for deportation. You authorise: TME to use these information to apply for your application, communicate with related parties for additional information,(i.e., contact employer for employment details, contact partner for partnership evidence.); act on behalf regarding your immigration matter for this application. *

I agree

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