Inz 1187 Form – Fill Out and Use This PDF

July 2015	INZ 1187

Performing Artists, Entertainers

and Entertainment Industry

Personnel Work Visa Application

immigration.govt.nz

2 – Performing Artists, Entertainers and Entertainment Industry Personnel – Work Visa Application - July 2015

November 2014	INZ 1187

Performing Artists, Entertainers

and Entertainment Industry

Personnel Work Visa Application

A2 Preferred title Mr Mrs Ms Miss Dr

Other (specify)

A3 Other names you are known by or have ever been known by

A4	Gender	Male	Female	A5	Date of birth

A6 Town/city of birth

Country of birth

A7 Passport details

Number

Country

Expiry date

A8

Other citizenships you hold

A9

Partnership status

Single

Separated

Partner

Divorced

Married/in civil union

Engaged

Widowed

immigration.govt.nz

When filling in this form, please write clearly using CAPITAL LETTERS.

Section B Contact details

B1 Your current residential address and telephone number in your home country. Address

B2 If you are currently in New Zealand, your most recent overseas address. Address

B3 Name and address for communication about this application.

Same as address at B1 , or Same as address at B2 , or As below Name

Company name (if applicable) and address

You can ind a deinition of immigration advice at www.immigration.govt.nz/advice.

Yes Make sure that your immigration adviser completes Section G: Immigration adviser’s details. No

B6 Names and addresses of any friends, relatives, or contacts you have in New Zealand (if applicable).

Name

Address

Relationship

Name

Address

Relationship

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Section C Your health

For more information about the questions in this section, see ‘Completing Section C: Your health’ in the attached guide.

C2 Do you have any medical condition that requires, or may require, one of the following during your stay in New Zealand?

Residential care is deined as in-patient care for people with psychiatric, sensory or intellectual disabilities or live-in facilities for the aged.

C5 If you intend to give birth in New Zealand, please indicate how the cost of maternity health services will be paid for and provide the relevant evidence.

Not applicable as I do not intend to give birth in New Zealand.

I am, or will be eligible for publicly funded maternity health services and have provided evidence of my eligibility.

I will cover the cost myself and have attached copies (not originals) that I have at least NZ$9,000 of funds available.

My sponsor has guaranteed to cover the cost and I have attached a completed Sponsorship Form for Temporary Entry (INZ 1025).

Medical certificates you must provide

Select the appropriate option to indicate whether you are required to provide medical certificates.

Performing Artists, Entertainers and Entertainment Industry Personnel – Work Visa Application - July 2015 – 5

When filling in this form, please write clearly using CAPITAL LETTERS.

C8 You must provide a Chest X-ray Certiicate (INZ 1096) if you plan to be in New Zealand for between six and 12 months, and you are from, or have visited for more than three months, a place that is outside the list of ‘Countries, areas and territories with a low incidence of tuberculosis (TB)’, and:

you have never previously provided a chest X-ray certiicate to Immigration New Zealand; or

you have previously provided a chest X-ray certiicate but it was dated by your medical examiner more than 36 months ago; or

you have spent six consecutive months in a place that is not listed as a low incidence TB country since any previous application you have made to Immigration New Zealand.

Notes:

•Pregnant women are not required to have an X-ray, unless a special report is required.

•The list of ‘Countries, areas and territories with a low incidence of tuberculosis’ can be found in the attached guide under ‘Completing Section C – Your health’.

C9 Tick the option that applies to you:

Is a physician submitting your medical and/or chest X-ray certiicates to Immigration New Zealand on your behalf?

Yes

Yes Enter your eMedical Reference Code here:

No

No If the physician has returned the medical and/or chest X-ray certiicates to you, then you will need to submit these with your visa application.

Section D Your character

All applicants must complete this section. If your application is declined for character reasons, Immigration New Zealand may place a notation in your passport indicating that you applied for a visa for New Zealand.

D1 Have you been convicted at any time of any offence, including any driving offence? Please note that this includes any

conviction(s) outside of New Zealand subsequently cleared or wiped by ‘clean slate’ legislation.

Yes

No

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Police certificates you must provide

Select the appropriate option to indicate whether you are required to provide a police certificate with this application.

Section E Offered role or position

E1 What role or position have you been offered?

E2 Name and address of the promotor/producer/production company who has offered you the role/position. Name

Company name (if applicable) and address

The promoter/producer/production company must complete the attached Performing Artists, Entertainers and Entertainment Industry Personnel - Work Visa Application Supplementary Form.

E3 Write your ANZSCO occupation code (eg 321212 Diesel Motor Mechanic) if known.

ANZSCO is the Australian and New Zealand Standard Classiication of Occupations. You can search the ANZSCO by going to www.immigration.govt.nz/anzsco.

Performing Artists, Entertainers and Entertainment Industry Personnel – Work Visa Application - July 2015 – 7

When filling in this form, please write clearly using CAPITAL LETTERS.

Section F Declaration by applicant

The principal applicant must complete this section.

I have provided true and correct answers to the questions in this form.

I understand that if I make any false statement, or provide any false or misleading information, or have changed or altered this form in any way, may application may be declined, or I may become liable for deportation.

I agree to tell Immigration New Zealand about any changes to my circumstances that occur after making this application.

I agree to leave New Zealand before my visa expires. If I remain in New Zealand after my visa has expired, I may be deported by Immigration New Zealand.

I agree that if I am not entitled to free health care in New Zealand, I will pay for any health care or medical assistance

I may require in New Zealand.

I understand that if I have received immigration advice from an immigration adviser and if that immigration adviser is not licensed under the Immigration Advisers Licensing Act 2007 when they should be, Immigration New Zealand will return my application.

I understand that Immigration New Zealand may provide information about my entitlement to work to potential employers via the online VisaView system. If I undertake a course of study while in New Zealand, I authorise Immigration New Zealand to provide information about my immigration status to my education provider, including via VisaView.

I authorise Immigration New Zealand to provide information about my health and my immigration status to any health service agency. I authorise any health service agency to provide information about my health to Immigration New Zealand.

I authorise Immigration New Zealand to make any necessary enquiries about information on this form so that they can:

•make a decision on this application

•answer enquiries about my immigration status once my application has been decided.

I authorise any agency that holds information (including personal information) related to those matters to disclose that information to Immigration New Zealand.

Date

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Section G Immigration adviser’s details

This section must be completed by the applicant’s immigration adviser. If the applicant does not have an immigration adviser, this section does not have to be completed.

G1 If you are a licensed adviser, please provide your licence details.

Licence type

full

provisional

limited List conditions speciied in the register.

G2 If you are exempt from licensing, tick one box below to show why you are exempt from licensing.

I provided immigration advice in an informal or family context only, and I did not provide the advice systematically or for a fee.

I have provided immigration advice in the course my work (employed or volunteer) and that work exempts me from the requirement to be licensed. Indicate the reason for your exemption below.

See www.immigration.govt.nz/adviserlicensing for more information about who is exempt from licensing.

Section H Declaration by person assisting the applicant

This section must be completed and signed by the applicant’s immigration adviser, or by any person who has assisted the applicant by providing immigration advice, explaining, translating, or recording information on the form for the applicant. If the applicant does not have an immigration adviser, and no one helped the applicant to ill in this form, this section does not have to be completed.

If you are unlicensed when you should be licensed under the Immigration Advisers Licensing Act 2007, Immigration New Zealand will return your client’s application. It is an offence to provide immigration advice without holding a licence. For more information, go to the Immigration Advisers Authority website www.iaa.govt.nz, or email info@iaa.govt.nz or write to them at PO Box 6222, Wellesley Street, Auckland 1141, New Zealand.

Company name (if applicable) and address

I understand that after the applicant has signed this form it is an offence for me to change or add further information, or change or add any documents attached to the form, without making a statement identifying what information or material has been changed, added or attached and by whom. If I make these changes or additions, I must state on the form what they were, who made them and the reason they were made.

I understand that the maximum penalty for this offence is a ine of up to NZ$100,000 and/or a term of imprisonment of up to seven years.

I certify that the applicant asked me to help them complete this form and any additional forms. I certify that the applicant agreed that the information provided was correct before signing the declaration.

I have assisted the applicant as an interpreter/translator

I have assisted the applicant with recording information on the form

I have assisted the applicant in another way. Specify

I have provided immigration advice (as deined in the Immigration Advisers Licensing Act 2007) and my details in Section G: Immigration adviser’s details are correct.

Performing Artists, Entertainers and Entertainment Industry Personnel – Work Visa Application - July 2015 – 9

When filling in this form, please write clearly using CAPITAL LETTERS.

Applicants applying under Specific Purpose or Event Instructions

I have provided a completed Performing Artists, Entertainers and Entertainment Industry Personnel – Work Visa Application (INZ 1187) Supplementary Form.

Health

I have provided evidence about my health.

I do not have to provide this evidence.

Character

I have provided evidence about my character.

I do not have to provide this evidence.

Immigration adviser’s details

I have received immigration advice on this application.

I have not received immigration advice on this application.

Returning your documents

Tick one of the following options

I wish to collect my documents when ready.

(This option is not available to applicants in the Auckland region.)

Return all documents to me by secure post at the address given at B3 .

10 – Performing Artists, Entertainers and Entertainment Industry Personnel – Work Visa Application - July 2015

Performing Artists, Entertainers and Entertainment Industry Personnel – Work Visa Application - July 2015 – 11

GUIDE TO COMPLETING THE APPLICATION FORM

To apply for a work visa, you must complete and sign the form Performing Artists, Entertainers and Entertainment Industry Personnel - Work Visa Application (INZ 1187). If you are under 18 years of age, your parent or legal guardian must sign the form for you. Send it to us with the application fee, and all the documents we need to assess your application.

If you do not include everything we need, we will not process your application and will return it to you.

Translations of documents

If you provide a translation, it must:

•be in English; and

•be accompanied by copies of the original documents; and

•not be made by you, any of your family members or an immigration adviser assisting with your application; and

•be certiied as a correct translation made by a person familiar with both languages and competent in translation work; and

•be on the oficial letterhead of the translation business (if applicable); and

•have the stamp or signature of the translator or translation business; and

•be paid for by you.

Translations may be prepared by:

•the Translation Service of the New Zealand Department of Internal Affairs; or

•reputable people within the community who are known to translate documents accurately; or

•embassies or high commissions (if the translation is endorsed with the appropriate embassy or high commission seal); or

•any other private or oficial translation business.

Completing Section A Personal details

Passport photographs

You must attach two passport-size photographs to the form at the section indicated. The photographs must be original, and taken within the last six months. The size of the photographs should be about 45 mm by 35 mm. The photographs should be in good quality colour (not black and white).

A3 Other names you are known by or have ever been known by

This includes your birth name, your name from marriage or from adoption, and/or your English name.

A8 Passport details

The passport details must be those of the passport or travel document you will use to travel to and from New Zealand.

You must send your passport or travel document with your application. It must be valid to at least three months past the date you plan to leave New Zealand.

Performing Artists, Entertainers and Entertainment Industry Personnel – Work Visa Application - July 2015 – 13

A9 Partnership status

You have the following options for your partnership status:

•married/in civil union (a civil union is a legally recognised union of a couple of the same or opposite sex, with rights similar to those of marriage)

•single

•partner (this includes being in a de facto partnership)

•separated (this includes being separated from a civil union)

•engaged

•widowed

•divorced (this includes having a dissolved civil union).

You must choose the option that describes your current, or most recent, partnership status.

Completing Section B Contact details

B5 An adviser can be any person who assists you with your application. It could be a lawyer, immigration adviser, translator, friend or family member.

Completing Section C Your health

You may need to provide us with a General Medical Certiicate and Chest X-ray Certiicate to show that you meet our acceptable standard of health. What you must provide depends on:

•whether you have recently provided a General Medical Certiicate and Chest X-ray Certiicate with another application

•how long you intend to stay in New Zealand

•what countries you have previously lived in or visited.

Note that children under 11 years of age and pregnant women are not required to have an X-ray, unless a special report is needed.

If you are already in New Zealand, and you are applying for a further visa, you need to include the time you have already spent in New Zealand, as well as the time you intend to stay here, to decide whether or not you need to complete a medical certiicate.

Example You have been in New Zealand on a temporary visa for eleven months, and you wish to apply for a work visa for six months. This will mean a stay in New Zealand of more than 12 months in total.

C5 If you intend to give birth in New Zealand please indicate how the cost of maternity health services will be paid for and provide the relevant evidence.

If you are pregnant and intending to give birth in New Zealand we need to be sure that you have a bona ide reason for being in New Zealand. We also need to ensure that you are either eligible for publicly funded maternity health services or able to meet the costs of maternity health services (evidence of at least NZ$9,000 is required) through personal funds or sponsorship.

To ind out if you are eligible for publicly funded maternity services, you may check your eligibility through the Ministry of Health at www.health.govt.nz which provides comprehensive information on eligibility for publicly funded health and disability services. Alternatively you may be able to establish whether you are eligible by checking our lealet Health Requirements (INZ 1121). You should attach evidence that you meet the criteria to be eligible for publicly funded maternity services if the evidence is not already available to us (for example – evidence of partnership or your partner’s eligibility for publicly funded health services).

If you are not eligible for publicly funded maternity health services you will need to provide evidence that you have suficient funds to pay for the cost of maternity health services.

14 – Performing Artists, Entertainers and Entertainment Industry Personnel – Work Visa Application - July 2015

If you will be in New Zealand for more than 12 months in total, including any time you have already spent in New Zealand, you must provide a General Medical Certiicate (INZ 1007) and a Chest X-ray Certiicate (INZ 1096). The only exception to this is if you have provided a medical certiicate and a chest X-ray certiicate with a previous visa application, and those certiicates were dated less than 36 months ago when you lodge your current visa application.

C8 You must provide a Chest X-ray Certificate only

You must provide a Chest X-ray Certiicate only if you will be in New Zealand for between six and 12 months, and you are either from, or have spent more than three months visiting, a place that is outside the list below of countries, areas and territories with a low incidence of tuberculosis (TB). The only exception to this is if you have provided a Chest X-ray Certiicate with a previous visa application, and that certiicate was dated less than 36 months ago when you lodge your current visa application. However, if you have spent six consecutive months in a country not on the list below since you provided your last Chest X-ray Certiicate, you will need to provide a new one.

COUNTRIES, AREAS, AND TERRITORIES WITH A LOW INCIDENCE OF TUBERCULOSIS (TB)

American Samoa	Finland	Netherlands
Andorra	France	New Zealand
Antigua and Barbuda	Greece	Norway
Australia	Germany	Oman
Austria	Grenada	Puerto Rico
Barbados	Iceland	Saint Kitts and Nevis
Belgium	Ireland	Saint Lucia
Bermuda	Israel (including the Occupied Palestinian	San Marino
	Territory, and including East Jerusalem)
British Virgin Islands	Italy	Slovakia
Canada	Jamaica	Slovenia
Cayman Islands	Jordan	Sweden
Chile	Libyan Arab Jamahiriya	Switzerland
Costa Rica	Liechtenstein	Trinidad and Tobago
Cuba	Luxembourg	Turks and Caicos Islands
Cyprus	Malta	United Kingdom
Czech Republic	Monaco	United States of America
Denmark	Montserrat	United States Virgin Islands
Dominica	Netherlands Antilles	Vatican City

Performing Artists, Entertainers and Entertainment Industry Personnel – Work Visa Application - July 2015 – 15

Example 1 You hold a Chinese passport and you live in China, which is not on the list above. This means that you must complete a Chest X-ray Certiicate (INZ 1096).

Example 2 You hold a French passport and you live in France, which is on the list above. You have not spent more than three months in a place that is not on the list. You do not need to provide a medical certiicate.

Example 3 You hold a British passport and you live in the United Kingdom, which is on the list above.

However, in the last ive years, you spent ive weeks in Thailand and eight weeks in Fiji. Thailand and Fiji are not on the list above, and you have spent a total of at least three months in a place which is not on the list above.

You must complete a Chest X-ray Certiicate (INZ 1096).

Completing Section D Your character

Police certificates you must provide

You may need to provide us with police certiicates to show that you are of good character and do not pose a potential security risk. At the time of lodgement your police certiicate must not be more than six months old from date of issue. Police certiicates that are older than six months from the date of issue at lodgement of any application will NOT be accepted.

D4 Police certificates you must provide

↓If you are applying for a work to residence visa under the accredited employer, long term skills

D5 shortage list or arts, sport and culture instructions, you must provide police certiicates.

If you are applying for any other type of visa and you intend to stay in New Zealand for

24 months or longer, you must provide a police certiicate from your country of citizenship and any country you have lived in for ive years or more since you turned 17. The only exception to this is if you have provided police certiicates with a previous visa application, and that certiicate was issued less than 24 months ago when you lodge your current visa application, or if you are younger than 17. If you are under 17 you do not need to provide police certiicates.

For more information

If you have questions about any of the information in this guide:

•see our website www.immigration.govt.nz

•telephone our call centre on 0508 558 855 (within New Zealand)

•contact one of Immigration New Zealand’s ofices.

Immigration New Zealand has ofices in Apia, Bangkok, Beijing, Dubai, Ho Chi Minh City, Hong Kong, Jakarta, London, Manila, Moscow, Mumbai, New Delhi, Nuku’alofa, Pretoria, Shanghai, Singapore, Suva, Sydney and Taipei.

Our New Zealand ofices are located in Auckland, Henderson, Manukau, Hamilton, Palmerston North, Wellington, Christchurch, Queenstown and Dunedin.

You can also contact your nearest New Zealand Embassy or New Zealand High Commission.

16 – Performing Artists, Entertainers and Entertainment Industry Personnel – Work Visa Application - July 2015

November 2014	INZ 1187

Performing Artists, Entertainers

and Entertainment Industry

Personnel Work Visa Application

Supplementary Form

Section J Individual information

To be completed by your employer/production company/promoter.

For more information about the questions in this section, see the attached guide.

J6 Indicate under which of the following criteria you wish to bring the applicant to New Zealand.

The applicant is of international distinction or merit, or particular ethnic signiicance, or is manifestly essential to the presentation or production; or

The applicant’s employment does not put at risk the employment of New Zealand entertainers or professionals in equivalent work unless the wider beneits to be obtained from the applicant’s employment outweigh the loss of job opportunities for New Zealanders; or

You have given appropriate consideration to employing available New Zealand entertainers or professionals.

immigration.govt.nz

When filling in this form, please write clearly using CAPITAL LETTERS.

J7 List the supporting evidence and information demonstrating how the criterion indicated has been met.

18 – Performing Artists, Entertainers and Entertainment Industry Personnel – Work Visa Application - July 2015

Section K Production information

To be completed by your employer/production company/promoter. If multiple roles and/or positions are offered for the same production or performance, this section only has to be completed once.

For more information about the questions in this section, see the attached guide.

K1 What is the name of the production or performance?

K2 Provide details of the production/performance – type, genre, distribution, market (if applicable).

K3 Provide a plot summary of the production or performance (if applicable).

K4 New Zealand production/line company/promoter name and contact details (if applicable) Production/line company/promoter name

Address

Performing Artists, Entertainers and Entertainment Industry Personnel – Work Visa Application - July 2015 – 19

When filling in this form, please write clearly using CAPITAL LETTERS.

K5 International production/line company name and contact details.

Production/line company name

Address

Contact person name
Telephone (daytime)									Telephone (evening)
Fax							Email
Website										Mobile

K6 Do you guarantee to provide accommodation and repatriation (if required) for the applicant?

K7 Have you provided a copy of this supplementary form and supporting documentation to the relevant professional association, union or guild?

Yes Date provided

Name of relevant professional association, union or guild

No Tick the appropriate box below.

The applicant’s engagement is for 14 days or less

The production is an oficial co-production

My company holds entertainment industry accreditation

Accreditation number

My company has been granted ‘approval in principle’ to recruit the workers/occupation listed in this section.

Section L Declaration by employer/production company/promoter

I understand the questions in, and contents of, this form, and the information I have provided is true and correct.

I consent to INZ seeking information concerning my compliance with New Zealand’s immigration and employment laws from any records held by the Department of Labour.

This form has been approved under section 381 of the Immigration Act 2009.

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GUIDE TO THE SUPPLEMENTARY FORM

A completed additional copy of the supplementary form and listed evidence must be provided to the relevant professional association, union or guild unless the offered contract is:

•for 14 days or less, or

•for work on an oficial co-production, or

•with a company that holds entertainment industry accreditation, or

•with a company that has been granted approval in principal to recruit the workers/occupations listed in Section K: Production information.

Production companies who are offering multiple roles and/or positions for the same production or performance must ensure that ‘Section J: Individual information’ of the supplementary form is completed for each applicant. ‘Section K: Production information’ only needs to be completed once for the same production or performance.

Completing Section J Individual information

Performing Artists, Entertainers and Entertainment Industry Personnel – Work Visa Application - July 2015 – 21

international actor is preferred. If there was no casting round then you need to explain why not.

•Directors: evidence that New Zealand directors were given an opportunity to pitch and the reason why the international director was preferred. If New Zealand directors were not given the opportunity to pitch, you need to explain why not.

•Film and television crew members: how many New Zealand technicians were considered for positions, which crew booking agents were used, which online crew databases were used and the reason why the international crew member is preferred. If there has been no consideration of New Zealand crew members then you need to explain why not.

•Musicians: were New Zealand musicians considered for participation (including as support acts)? If employing New Zealanders (including a support act) was not considered you need to explain why not.

Completing Section K Production information

If you are a New Zealand domestic company and wish to use your accreditation for a ‘single purpose vehicle’ company you have established for production purposes, you must inform your case oficer at the Business Migration Branch before the work visa application is submitted. You must also advise your case oficer at the INZ ofice this work visa application will be submitted.

For oficial co-productions you must provide a copy of the provisional approval certiicate issued by the New Zealand Film Commission.

Procedural information

If applicable, after you have provided the information to the relevant professional association, union or guild, they have three working days to object to the application. Objections should be submitted to union&guild.objection@dol.govt.nz. The three working days are calculated from the date the required evidence is provided to the relevant professional association, union or guild by the applicant’s agent or employer (as indicated on the application form).

If the issue cannot be resolved through consultation, the Minister of Immigration will make a decision.

Despite these objection provisions, if a letter of support from the relevant professional association, union or guild is submitted with the application, the application can be processed immediately.

A list of the relevant associations, unions and guilds can be found on the Immigration New Zealand (INZ) website at www.immigration.govt.nz.

If you have any questions about any of the information in this guide you can contact the INZ Operations Support Team at INZ-.OpsResidence&Work@dol.govt.nz.

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