Immigration Assessment Form

Please fill in the following form to allow us to provide an assessment on your immigration needs

All fileds marked with a * are required to be filled in.

Full Name *
Email Address *
Postal Address *

Phone Number *
Nationality *
Marital Status *	Single DeFacto Married
Age *
Occupation
Outline your Work Experience, include number of years

Do you have:
College or University Qualifications	Yes No
Trade Qualifications	Yes No

If yes, what qualification
Field of Study
Are you registered with a professional or Trade body	Yes No
If Yes which Body?

Do you intend to have your own business in NZ	Yes No
English Languge ability	1st Language Fluent Some None

Any Family living in NZ?	Yes No
Partners Name (if applicable)
Highest qualification
Other Comments

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