Work 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? *

Yes
No

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? *

Yes
No

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? *

Yes
No

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

What type of work visa are you applying for? *

What position have you been offered? (If you are applying for post study work visa, just write NA) *

Provide the ANZSCO occupation number that best matches your position: (Leave it blank if you don't know)

Company name: *

New Zealand business number:

Employment Contact person: *

Provide the employer's address. This must be a New Zealand address: *

Employer's Telephone (landline):

Employer's Mobile number:

Employer's Email:

Employer accreditation number: (If apply)

How much will you be paid? (Please state pre hour/ per week/ per year) *

How many hours would you will working a week? (As stated in employment contract) *

Hourly rate: *

Do you have a job offer that requires New Zealand Registration?

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

Do you have tuberculosis? *

Yes
No

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

Yes
No

Hospital care: *

Yes
No

Residential care: *

Yes
No

Are you pregnant? *

Yes
No

Is a physician submitting your health information on your behalf? *

Yes
No

Did your physician supply you an eMedical Reference Code? *

Yes
No

Enter your eMedical Reference Code here: *

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? *

Yes
No

Was your chest X-ray certificate issued in the last 36 months? *

Yes
No

Have you visited or lived in any countries for more than 6 consecutive months since the certificate was issued? *

Yes
No

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

Yes
No

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

Yes
No

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

Yes
No

Has your health deteriorated since your medical certificate was issued? *

Yes
No

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? *

Yes
No

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

Yes
No

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

Yes
No

In any country, including New Zealand, are you currently under investigation, wanted for questioning, or facing charges for any offence? *

Yes
No

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

Yes
No

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

Yes
No

Please provide details *

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

Yes
No

If yes, Was the police certificate issued in the last 24 months? *

Yes
No

Are you currently working? *

Yes
No

Company name *

Employer's Address: *

Employer's Telephone (landline):

Employer's Mobile number: *

Email: *

Type of work/occupation/job title: *

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? *

Yes
No

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 *

Did you complete any tertiary education? *

Yes
No

If yes, please complete the following, Start date: *

End date *

Name of institution *

Country/territory

State/province/region

Town/city *

Qualification/programme of study *

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

Do you have any contacts in New Zealand? *

Yes
No

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) *

Email

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

Yes
No

Have you ever undertaken military service in any country? *

Yes
No

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