New Zealand Student Visa Form – Fill Out and Use This PDF

Apply for your visa online – it’s faster & easier

The fastest and easiest way to apply for a student visa is online. Once you have your documents prepared, it should take less than 15 minutes to complete the online application form.

Explore your options and apply online at www.immigration.govt.nz/study.

Refer to the Student Visa Guide

The Student Visa Guide (INZ 1013) contains important information about the requirements for a student visa and how to complete the form. It can be downloaded from www.immigration.govt.nz/forms.

Documents required

Use the checklist on page 2 of this form to find out which documents you must provide. If you have not provided the correct documents, we will return your application.

Immigration Advisers Licensing Act 2007

Under the Immigration Advisers Licensing Act 2007 it is an offence to provide immigration advice without being licensed or exempt. If your immigration adviser is not licensed when they should be, Immigration New Zealand will return your application.

For more information and to view the register of licensed advisers, go to the Immigration Advisers Authority website www.iaa.govt.nz or email info@iaa.govt.nz.

Lawyers provide immigration advice and are exempt from licensing under the Immigration Advisers Licensing Act. For more information and to view the register of immigration lawyers, go to the New Zealand Law Society website www.lawsociety.org.nz.

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

immigration.govt.nz

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

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Full-time vacation work rights

If you are entitled to work full-time during vacation periods scheduled by your education provider, you must provide evidence of these vacation periods along with the credit value of your programme of study with your application. (To confirm entitlement, see ‘Can you work while holding a student visa?’ section in the Student Visa Guide (INZ 1013)).

If your circumstances are not covered in the above list, refer to the INZ website, www.immigration.govt.nz, or Operational Manual, www.immigration.govt.nz/opsmanual, for information about the documents you must provide.

A2 Preferred title Mr Mrs Ms Miss Dr other (specify)

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

A6 Town/cityofbirth

Country of birth

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Section B Contact details

Note: We prefer to contact you using email. Please provide your email address if you have one.

B1 Your current residential address.

Address

B6 Have you received immigration advice on this application?

You can find a definition of immigration advice atwww.immigration.govt.nz/advice.

Yes Make sure that your immigration adviser completes Section I: Immigration adviser’s details.

No

B7 Names and addresses of any friends, relatives, or contacts you have in New Zealand (if applicable)

Name

Address

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B8 List all periods of employment, including self-employment

The New Zealand Business Number (NZBN) is for New Zealand businesses only. For help search: www.nzbn.govt.nz.

Section C Your health

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

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

C3 Have you been identified as a person who requires special education services? (Refer to ‘Completing Section C: Your health’ in the Student Visa Guide (INZ 1013) for further information).

C6 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$9000 of funds available.

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

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Medical certificates and insurance requirements

old when you submit them to Immigration New Zealand. This section also includes a declaration regarding insurance requirements for foreign fee-paying students.

Dependent children of an Essential Skills visa holder should answer questions C7 to C8 , and may be required to answer questions C9 to C14 . Other domestic, exchange, PhD and MFAT funded NZ scholarship students should answer questions C9 to C14 . Foreign fee-paying students must go to C15 . All applicants required to provide a medical or X-ray certificate must answer question C21 .

C9 Will you be in New Zealand for less than six months?

Yes You do not need to provide a medical certificate or chest X-ray certificate. Go to Section D: Your character.

No Go to C10

*Refer to ‘Completing Section C: Health’ in the Student Visa Guide (INZ 1013) for the ‘List of Countries, areas and territories with a low incidence of tuberculosis’.

**Refer to ‘Completing Section C: Your health’ in the Student Visa Guide (INZ 1013) for information about the two types of medical certificates which may be provided:

–the General Medical Certificate (INZ 1007), which should be used by most students, and

–the Limited Medical Certificate (INZ 1201), which should be used by students who are the dependent child of a New Zealand citizen or resident, and meet the requirements to be granted residence under the Dependent Child Category, except where limitations apply.

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C14 Have you spent six consecutive months since your previous visa application in a place that is outside the list of ‘Countries, areas, and territories with a low incidence of tuberculosis’*?

Yes You must provide a new Chest X-ray Certificate (INZ 1096)unless you are (select an option if applicable):

pregnant, or

under 11 years of age. Go to Section D: Your character.

No You do not need to provide a new chest X-ray certificate. Go to Section D: Your character.

Only foreign fee-paying students (excluding PhD, exchange and MFAT funded NZ scholarship students) should answer the questions C15 to C22 .

C15 Will you be in New Zealand for less than six months?

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

If you answered Yes to any of the questions in C16 you must provide a completed General Medical

Certificate (INZ 1007)regardless of any other advice below. Go to C17

C17 Are you from, or have you visited for more than three months, a place that is outside the list of ‘Countries, areas, and territories with a low incidence of tuberculosis’*?

Yes Go to C19

No You must provide a Chest X-ray Certificate (INZ 1096)unless you are (select an option if applicable):

pregnant, or

under 11 years of age. Go to C20

*Refer to ‘Completing Section C: Your health’ in the Student Visa Guide (INZ 1013) for the ‘List of Countries, areas and territories with a low incidence of tuberculosis’.

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C21 Tick the option that applies to you:

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

Yes

Go to C22

For more information about insurance requirements, refer to ‘Completing Section C: Your health’ in the Student Visa Guide.

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, from 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 with the declaration.

Section D Your character

All applicants must complete this section.

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.

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If you have answered yes to any of the questions above give full details. This includes full details of any charges, convictions and the sentence or penalty imposed. Continue on a separate piece of paper if necessary.

Police certificates you must provide

Select the appropriate option to indicate whether you are required to provide a police certificate with this application. Police certificates must be less than six months old when you submit them to Immigration New Zealand.

less than 36 months ago, if you are a full-fee-paying or PhD student,or

less than 24 months ago if you are not a full-fee-paying or PhD student, or

you are younger than 20, and

held a student visa on your 17th birthday, and

have held student visas (or interim visas with study conditions) continuously since turning 17.

you have not previously provided police certificates to Immigration New Zealand, or

you have previously provided a police certificate to Immigration New Zealand, but that certificate was dated:

more than 36 months ago, if you are a full-fee-paying or PhD student, or

more than 24 months ago if you are not a full-fee-paying or PhD student.

Section E Your visa

E1 Tick one of the boxes below to show the type of visa you are applying for and provide the date of your arrival in New Zealand if applicable.

Applying for a student visa while outside New Zealand. Date you will enter New Zealand (if applicable)

D D M M Y Y Y Y

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Section F Fee-paying, PhD, pathway and scholarship students

If you are a dependent child with domestic status, go to Section G: Your parent or legal guardian.

Your programme(s) of study

F1 Are you applying for a pathway student visa? Yes No

F2 Details of your programme(s) of study

F4 Tick one or more of the following boxes below (as applicable).

(if you have been nominated for the border exception for priority returning students) – I have attached copies (not originals) of evidence that I have sufficient funds equivalent to NZ$20,000 for a full year of study or NZ$1,667 per month that I will be in New Zealand

(if you have been nominated for the border exception for priority returning students) – I have attached copies

I have attached copies (not originals) of evidence that I have sufficient funds equivalent to NZ$15,000 for a full year of study, or NZ$1250 per month that I will be in New Zealand.

I have attached copies (not originals) of evidence that my living costs are already paid.

I have attached evidence (copies only) that I have access to sufficient funds to support myself throughout the intended length of my pathway student visa.

I have attached a letter from my home country government that states that I am fully funded for my study and the duration of my stay in New Zealand.

I have attached a Sponsorship Form for Temporary Entry (INZ 1025) completed by an acceptable sponsor.

I have attached a completed Financial Undertaking for a Student (INZ 1014).

Note: If you are in New Zealand, a financial undertaking can only be provided if your original student visa application made outside New Zealand included a financial undertaking. The financial undertaking supplied with this application must be completed by the same person who completed the original undertaking.

I have attached a written guarantee of maintenance from a relative in New Zealand who is either a New Zealand citizen or residence class visa holder.

Section G Your parent or legal guardian

Complete this section if you will be living with your parent or guardian for the duration of your visa. G1

My parent or legal guardian is applying for a guardian visitor visa to accompany me.

My parent or legal guardian is a New Zealand citizen, resident or the holder of a temporary visa that entitles me to domestic student status.

Other – please explain:

Section H Declaration by applicant

I have provided true and correct answers to the questions in this form. I understand that if false or misleading information is submitted, my application may be declined without further warning.

I understand that if this application is found to contain false or misleading information after the grant of my visa, sufficient reason may exist for me to be made liable for deportation under section 157 of the Immigration Act 2009.

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 liable for deportation.

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 including via the online VisaView system.

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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 and/or accompanying documentation.

I authorise any agency whether in New Zealand or overseas, including but not limited to border or immigration agencies, education providers, financial institutions, foreign embassies, government authorities, health care providers, insurance providers, police or other law enforcement agencies, that holds information (including personal information) related to information on this application form and/or accompanying documentation to disclose that information to Immigration New Zealand.

I authorise Immigration New Zealand to provide information about my immigration status to my past, present or future education provider, including via VisaView. I authorise Immigration New Zealand to provide information about the status and outcome of my student visa application to the education provider named in this application.

If I am granted a student visa with the condition that I am accompanied by a legal guardian, I agree to live with my legal guardian. I understand that both I and my legal guardian could be made liable for deportation if this condition is not met.

If I am granted a limited visa, I agree that I will leave New Zealand on or before the expiry date of that visa. If I do not leave New Zealand, I may be immediately deported from New Zealand without the right of appeal.

If I am granted a student visa with the condition that I hold acceptable insurance, I understand the requirements regarding insurance that I have agreed to at C20 .

Section I Immigration adviser’s (licensed and exempt) details

This section must be completed by the applicant’s immigration adviser. If the applicant has authorised all advisers within an organisation to act on their behalf at B5 , only the person named at B3 must complete this section. If the applicant does not have an immigration adviser or offshore education agent, this section does not have to be completed.

I1 If you are a licensed adviser, please provide your licence details.

I2 If you are exempt from licensing, tick one box below to show why you are exempt from licensing then go to Section J: Declaration by person assisting the applicant.

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

I provided immigration advice offshore in relation to applications or potential applications for student visas only e.g. offshore education agents.

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.

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Section J Declaration by person assisting the applicant

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

If you are not exempt under the Immigration Advisers Licensing Act 2007, it is an offence for you to provide immigration advice without holding a license, and Immigration New Zealand will refuse to accept your client’s application. More information about immigration adviser licensing can be obtained from the Immigration Advisers Authority website www.iaa.govt.nz, via email info@iaa.govt.nz or by telephone on 0508 422 422.

Organisation 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 fine 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 defined in the Immigration Advisers Licensing Act 2007) and my details in Section I: Immigration adviser’s (licensed or exempt) details are correct.

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