VISITOR VISA
For a temporary stay in New Zealand
Email address *
First Name *
Your answer
Last Name *
Your answer
Contact Phone Number *
Your answer
Town / City of birth *
Your answer
Your current residential address in New Zealand *
Your answer
Country of citizenship, and any other citizenships held *
Your answer
Your address in your home country
Your answer
Briefly describe what your purpose of travel to New Zealand is for:
Your answer
Have you previously applied for a visa for New Zealand
Dates of previous travel to and from New Zealand
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Estimated date of arrival to New Zealand
MM
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/
YYYY
Estimated date of departure from New Zealand:
MM
/
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YYYY
Have you spent more than 9 months in New Zealand in the past 18 month period? *
How will you be financially supporting your stay in New Zealand *
Required
Please provide the name, telephone number and residential address of your sponsor (if you are being sponsored)
Your answer
Current partnership status *
Yes
No
Single
Married
Partner/De facto
Do you have a partner/spouse or dependents who will be included in your application:
Have you, or your partner, ever been convicted at any time of any offence including any driving offence? *
Have you, or your partner, ever been removed from, deported from, expelled from, excluded from or refused entry to, any country, including New Zealand?
In any country, including New Zealand, are you, or your partner, currently under investigation, wanted for questioning, or facing charges for any offence?
Have you, or your partner, ever been refused a visa by any country, including New Zealand?
Have you, or your partner, provided a police certificate from your country of citizenship with a previous application?
Do you have tuberculosis?
Do any of the additional people included in this application have tuberculosis?
Do you have any medical condition that requires, or may require, one of the following during your stay in New Zealand? *
Are you pregnant
Where have you, and your partner, visited or lived for more than 3 months within the past 5 years?
Your answer
Have you or your partner lived in any countries, other than your country of citizenship, for five years or more since the age of 17?
If so, please name the country(s)
Your answer
Have you or your partner provided a chest X-ray certificate?
If so was your Chest X-ray issued in the last 36 months?
Have you or your partner previously provided a General Medical Certificate or Limited Medical Certificate
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?
Are you currently working, if so, please provide details of your current work. If you are retired, provide details or your last paid work including name of employer, employers address and the type of work, occupation, job title
Your answer
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