Nz Expression Interest Form PDF Details

Delving into the journey of making New Zealand your home, the Expression of Interest (EOI) form, under the Skilled Migrant Category, serves as the starting gate. July 2021 witnessed the release of the INZ 1100 form, marking a pivotal step for skilled individuals aiming to navigate the immigration pathway. This form encapsulates a methodical approach, urging applicants to assess their eligibility through a points-based system that emphasizes employability and capacity-building factors, with a minimum threshold of 100 points. As prospective applicants venture into this process, they engage with either the ease of an online submission via Immigration New Zealand’s Online Services or the traditional paper-based application, both routes demanding meticulous attention to detail and adherence to the submission guidelines, including the provision of accurate personal and professional information without attaching supporting documentation initially. Intricacies include the mandated prerequisites of character, health, and English language proficiency, underpinned by legal compliance with the Immigration Advisers Licensing Act 2007. Furthermore, the individual’s identity, residential details, partnership status, previous EOI submissions, and character form the nucleus of the application, each facet meticulously designed to filter and identify those who not only dream of New Zealand as a residence but are also deemed to significantly contribute to its skilled labor force.

QuestionAnswer
Form NameNz Expression Interest Form
Form Length32 pages
Fillable?No
Fillable fields0
Avg. time to fill out8 min
Other namesexpression of interest template nz, immigration expression interest, new zealand expression interest, nz 1100

Form Preview Example

age
the minimum threshold of 100 points for employability and capacity building factors.

OFFICE USE ONLY CLIENT NO.:

DATE RECEIVED:

/

/

EOI NO.:

July 2021

INZ 1100

 

Expression of Interest

 

Form

 

Skilled Migrant Category

Making an Expression of Interest (EOI)

The easiest way to create an EOI for residence under the Skilled Migrant Category is to submit one electronically by logging into Immigration New Zealand’s Online Services (www.immigration.govt.nz). However, if you wish to make a paper EOI instead, you need to complete this form and submit it along with the correct fee payment.

See www.immigration.govt.nz/fees for fee and location details.

Before you begin

Familiarise yourself with the Skilled Migrant Category process and criteria:

Go to our website (www.immigration.govt.nz) and view details of the Skilled Migrant Category Resident Visa,

Complete our online points indicator, and

Download a copy of the Skilled Migrant Category Expression of Interest Guide (INZ 1101) (‘the guide’) to refer to while completing your EOI.

Throughout this form, you will see references to terms that are explained in more detail on the website or in the ‘SMC terms’ section of the guide—look for See the guide for term(s): followed by the applicable term(s).

Completing this form

You must complete all the questions in the form, unless the form specifically directs you straight to another question or section further on. If a question does not apply to you, mark it ‘N/A’ or ‘not applicable’.

Fill in the

 

boxes as you complete the form. Refer to the points schedule in the guide to see how many points

 

you can claim. If you leave questions that qualify for the award of points blank, this will be interpreted as a ’no‘ answer. If you fail to answer any questions or to mark them clearly as ‘N/A’ or ‘not applicable’, we may send the incomplete form back to you and it will not be submitted into the EOI Pool until all the necessary information is provided.

Do not send supporting documentation with your EOI form. Include only any additional sheets required to complete questions in the form.

If you are found to have provided false information or to have omitted any relevant information in your EOI, any subsequent application may be declined and you will not have the right to appeal against any decision to decline your application.

After you submit your EOI

After you submit your EOI, we will check that you are eligible to be entered into the EOI Pool. You must meet the following prerequisites:

character health English language

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 2007. For more information and to view the register of immigration lawyers, go to the New Zealand Law Society website www.lawsociety.org.nz.

immigration.govt.nz

Section A Identity

In this section we need to confirm that you are who you say you are.

Name(s) as shown in passport

A1 Family/last name

A2 Given/first name(s)

A3 Provide all other names you are known by or have ever been known by

A4 Preferred title Mr

A5 Gender Male

A6 Date of birth

Mrs

Female

Ms

Miss

Dr

Other (specify)

You are eligible for points for your age up to the age of 56. If you are aged 56 and over your EOI will not be accepted into the Pool and you should not complete any further questions.

A7 Town/city of birth

Country of birth

A8 Birth certificate number

Name of the issuing authority

A9 Main country of citizenship

A10 Details of all passports held.

Passport 1

Number

Expiry date D D M M Y Y Y Y Issue date Family/last name as shown in passport

Country

D D M M Y Y Y Y Place of issue

Given/first name(s) as shown in passport

Passport 2

Number

Expiry date D D M M Y Y Y Y Issue date Family/last name as shown in passport

Country

D D M M Y Y Y Y Place of issue

Given/first name(s) as shown in passport

Passport 3

Number

Country

Expiry date D D M M Y Y Y Y Issue date

Family/last name as shown in passport

D D M M Y Y Y Y Place of issue

Given/first name(s) as shown in passport

2 – Expression of Interest Form – July 2021

A11

A12

A13

List other citizenships you hold

Provide a national ID number, or other unique identifier issued to you by any government.

National ID number

Country

List all countries, including all countries of citizenship, you have lived in for a total of 12 months or more in the last 10 years. Include all countries where your stay has been broken by any departures. Start with the country that you live in now.

From

From

From

From

From

From

From

From

From

From

M M Y Y

M M Y Y

M M Y Y

M M Y Y

M M Y Y

M M Y Y

M M Y Y

M M Y Y

M M Y Y

M M Y Y

To

To

To

To

To

To

To

To

To

To

M M Y Y

M M Y Y

M M Y Y

M M Y Y

M M Y Y

M M Y Y

M M Y Y

M M Y Y

M M Y Y

Country

Country

Country

Country

Country

Country

Country

Country

Country

Country

Please note: It is mandatory requirement for applicants for a residence class visa aged 17 and over to obtain a police or similar certificate from:

A14 Provide your residential address and contact details (do not use your adviser’s address). This will be considered your permanent place of residence for tax purposes.

Address

Telephone (daytime)

Fax

Telephone (evening)

Email

If different from your residential address, provide YOUR mailing address (do not use your adviser’s address).

If you are in New Zealand and list a New Zealand address, this will be your New Zealand address for the purpose of the New Zealand Immigration Act.

Number and street name/PO Box

Suburb

City, PIN/ZIP code

Country

If your residential address is in New Zealand, also provide your last residential address in your main country of citizenship.

Expression of Interest Form – July 2021 – 3

Number and street name/PO Box

Suburb

City, PIN/ZIP code

Country

A15 What is your current partnership status? (Select one only)

Married/in civil union Engaged

Single

Widowed

Partnership/De facto Divorced

Separated

Note: If you have a partner it is important to declare at

A17

whether they are to be included in this EOI or not.

A16 If you have selected Married/in civil union, Partnership or Engaged, do you meet the minimum requirements

for recognition of partnerships, as defined in the

guide? (Please ensure you have read and understood these

instructions before selecting yes.)

Yes

No

See the guide for term(s): Partner , Partnership

A17 Will your partner be included in your residence application?

Yes

No

If no, please explain why your partner is not being included in your residence application?

A18 Have you received immigration advice on this EOI?

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

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

A19 Indicate who you would prefer INZ to communicate directly with. (Select one only)

You

The person listed in Section R: Declaration by person assisting the applicant.

A20 What is your preferred means of communication in relation to this EOI?

Email

Letter

A21

Have you previously submitted an EOI?

Yes

No

 

 

 

 

If you have previously submitted an EOI, please provide the EOI number here, if known.

4 – Expression of Interest Form – July 2021

Section B Character

In this section we need to confirm that you are of good character which is a prerequisite of the Skilled Migrant Category. Provide the following details about your character.

Questions B1 to B6 relate to sections 15 and 16 of the Immigration Act. People described in sections 15 and 16 of the Immigration Act cannot ordinarily be granted residence in New Zealand.

Questions B7 to B15 relate to other character requirements. People described in questions B10 to B15 may require a character waiver to be granted residence.

B1

B2

Have you ever been sentenced to imprisonment for a term of five years or

more (including any suspended

sentences or any expunged criminal records)?

Yes

No

 

 

Have you been sentenced to imprisonment for a term of 12 months or more within the last 10 years

(including any suspended sentences or any expunged criminal records)?

Yes

No

B3

B4

Are you subject to a period of prohibition under the Immigration Act 2009?

Have you ever been:

 

 

excluded

Yes

No

removed or deported

Yes

No

from any country, excluding New Zealand?

Yes

No

B5

Have you been involved in any terrorist activities or supported similar violent activities?

Yes

 

 

 

 

B6

Have you ever been a member of, or adhered to, any terrorist organisation?

Yes

No

 

 

 

 

No

B7 Have you been involved in any drug trading or trafficking?

Yes

No

B8 Have you been a member of, or belonged to, any group with criminal objectives?

Yes

No

B9 Have you been a member of, or belonged to, any group that has engaged in or supported criminal activities?

Yes No

If you answered Yes to any of questions B1 to B9 , you must provide a full explanation about the surrounding circumstances. If, having considered your explanation, INZ assesses that you are a person to whom sections 15 and 16 of the Immigration Act applies, your EOI cannot be accepted into the Pool.

B10

Are you currently:

 

 

under investigation

Yes

 

wanted for questioning

Yes

 

facing charges

Yes

 

for any offence in any country?

 

No

No

No

B11 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

B12 Have you ever been refused entry to any country, excluding New Zealand?

Yes

No

Expression of Interest Form – July 2021 – 5

B13 Have you been (or are you currently) a member of an organisation or group which had/has objectives or principles based on hostility against people or groups on the basis of colour, race or ethnic/national origins; or an assumption that persons of a particular race or colour are inherently inferior or superior to other races or colours? Yes No

B14

Have you at any time in a public speech or public comments, or public broadcast, or in publicly distributing or

 

publishing a document, argued that one race or colour is inherently inferior or superior to another race or colour;

 

or used language intended to encourage hostility or ill will against any person or group of persons on the basis of

 

colour, race, or ethnic or national origins of that person or group?

Yes

No

 

 

B15

Have you had (or do you currently have) an association with, membership of, or involvement with, any

 

government, regime, group or agency that has advocated or committed war crimes, crimes against humanity

 

and/or other gross human rights abuses?

Yes

No

 

 

If you answered ‘yes’ to any of the questions B10 to B15 , you must provide a full explanation about the surrounding circumstances. This includes full details of any charges, convictions and the sentence or penalty imposed. If your EOI is selected from the Pool, you may be asked to provide a police certificate or other relevant information to enable INZ to fully consider those circumstances.

Attach additional sheets if necessary.

Section C Health

In this section we need to confirm that you meet a minimum standard of health, which is a prerequisite of the Skilled Migrant Category. Providing accurate information about your health status is very important.

Questions C1 to C4 list medical conditions for which a medical waiver cannot be granted. People with these conditions cannot ordinarily be granted residence in New Zealand.

Read the leaflet Health Requirements (INZ 1121) for more information.

C1 Do you require or are you likely to require dialysis treatment in the immediate future?

C2

Do you have tuberculosis (TB)?

Yes

No

 

 

 

 

 

 

 

 

C3

Do you have severe haemophilia?

Yes

No

 

 

 

 

 

 

C4

Do you have a physical incapacity that requires full-time care?

Yes

No

 

 

 

 

 

 

Yes

No

If you answered Yes to any of questions C1 to C4 , you must provide an explanation of your medical condition. If, having considered your explanation, we assess that your medical condition is one for which a medical waiver cannot be granted, your EOI cannot be accepted into the Pool.

C5 Have you been exposed to, or diagnosed with, any infectious or communicable diseases?

Yes

No

C6 Are you receiving, or have received, any treatment for any psychiatric condition or developmental disorder?

Yes No

6 – Expression of Interest Form – July 2021

C7 Do you have any condition that is likely to require ongoing treatment or medication?

Yes

No

If you answered Yes to any of questions C5 to C7 , you must provide an explanation of your medical condition. If your EOI is selected from the Pool, you may be asked to provide a medical certificate to confirm this information to enable INZ to fully consider those circumstances.

Section D English language ability

In this section we ask you to confirm that you

meet the minimum standard of English language, which is a

prerequisite of the Skilled Migrant Category. If you do not meet the minimum standard of English, your EOI

cannot be accepted into the Pool.

 

 

 

 

 

 

 

 

 

 

 

See the guide for term(s):

Minimum standard of English

,

Recognised qualification

,

New Zealand qualification

 

D1 Indicate how you meet the minimum standard of English. (Select one only)

An English language test with the required score (IELTS overall band score of 6.5 or more, Cambridge English B2 First (FCE) or B2 First for Schools (FCE for Schools) overall score of 176 or more, TOEFL iBT overall score of 79 or more, PTE Academic overall score of 58 or more, OET grade B or higher in all four skills (Listening, Reading, Writing and Speaking)) Go to D2

Citizenship of Canada, the United Kingdom, the Republic of Ireland or the United States of America and 5 years in work or education in one or more of those countries or Australia or New Zealand Go to E1

A recognised qualification comparable to a New Zealand level 7 bachelor’s degree and gained in Australia, Canada, New Zealand, the Republic of Ireland, the United Kingdom or the United States of America as a

result of study undertaken for at least two academic years in one or more of those countries Go to

E1

A recognised qualification comparable to a New Zealand qualification at level 8 or above and gained in Australia, Canada, New Zealand, the Republic of Ireland, the United Kingdom or the United States of America as a result of study undertaken for at least one academic year in one or more of those countries

Go to

E1

Note: Regardless of the statement you select, INZ may ask you to provide an English language test result. If you cannot demonstrate that you meet the minimum standard of English, your EOI cannot be accepted. You should not complete any further questions.

D2 If you have completed an English language test, please confirm which test you have taken, and provide the relevant test details that will allow us to verify your test results (e.g. test report form number, candidate/test taker ID, any other unique number assigned to you (e.g. secret number, registration number)).

D3 What was the date you sat your test and the score/s?

English language test score/s

D D M M Y Y Y Y

Expression of Interest Form – July 2021 – 7

Sections E and F

The following sections outline the factors which qualify for points. To submit your EOI, you must meet the minimum threshold of 100 points.

Section E Skilled employment in New Zealand

In this section you qualify for points and bonus points if you have current skilled employment in New Zealand or an offer of skilled employment in New Zealand.

E1

E2

E3

Are you claiming points for skilled employment, and declare that you meet the criteria? (Select one only)

Yes

No Go to E10

What is your main occupation in New Zealand? Provide the ANZSCO code and occupation most closely matching your employment or job offer

Indicate whether your job is skilled because it meets the requirements for skilled employment.

See the guide for term(s): Skilled employment

(Select one only)

It is an ANZSCO Skill Level 1, 2 or 3 job (and meets associated requirements)

It is not an ANZSCO Skill Level 1, 2 or 3 job (and meets requirements for jobs not at ANZSCO skill level 1, 2 or 3)

Give a detailed explanation in support of your claim that your job is skilled. You should explain what is in your job description and your occupational tasks. Also explain how you are suitably qualified in terms of the training and/or experience requirements for your occupation. State what relevant recognised qualifications, relevant work experience or occupational registration you have.

Attach additional sheets if necessary.

8 – Expression of Interest Form – July 2021

E4 Provide the following details for the skilled employment listed above.

Employer contact name (manager)

Employer’s job title/position

Business/organisationname

New Zealand Business Number For help search: www.nzbn.govt.nz Number and street name

Suburb/City

County/Province/State PIN/ZIP

Country

Telephone

(Country code/Area code/Telephone number) (eg + 12 3 456 7890)

E5

E6

E7

Email

 

Website

 

 

 

When did you start working for this employer?

Provide details of your remuneration for this job.

What is the annual salary for this job in New Zealand dollars

What is the rate of pay per hour in New Zealand dollars

If you are paid on a per activity basis, what was your total remuneration in New Zealand dollars for a previous two year period in New Zealand in this job?

How many hours are you required to work for this employer per week?

Is your skilled employment outside Auckland? See the guide for term(s): Employment outside Auckland

Yes

No

E8

Is your salary at or above the high remuneration threshold?

 

 

See the guide for term(s):

High remuneration

 

 

 

 

Yes

No

E9 Is your skilled employment in one of the areas of absolute skills shortage? If yes, provide the absolute skills shortage occupation name. Refer to the Long Term Skill Shortage List (LTSSL): http://skillshortages.immigration.govt.nz.

Yes

No Go to

F1

Absolute skills shortage occupation name

E10 To do your job in New Zealand, do you require full or provisional occupational registration? Refer term See the guide for term(s): Occupational registration

No

Yes Provide details.

New Zealand Occupational Registration Number (if applicable)

Name of the New Zealand Occupational Registration Body

Expression of Interest Form – July 2021 – 9

Section F Recognised qualification(s)

In this section you qualify for points and bonus points if you have one or more recognised qualifications.

It is recommended that you first read about which qualifications are recognised

for the award of points under

the Skilled Migrant Category in the Skilled Migrant Category Expression of Interest Guide (INZ 1101).

 

 

 

 

F1

Are you claiming points for a recognised qualification(s) and declaring that you

meet criteria?

 

 

 

 

See the guide for term(s):

Recognised qualification

 

 

Yes

No

How many qualifications are you submitting?

Answer questions F2 to F6 for each of your qualifications. You should attach additional sheets if necessary; you may wish to photocopy this section to use.

F2 Provide the details of the recognised qualification(s) for which you are claiming points. If claiming points for a postgraduate qualification, also add details of your undergraduate qualifications.

Name of qualification (please enter the name of the qualification, exactly as it appears on the certificate)

Date obtained

D

 

D

 

 

 

M

 

M

 

 

 

Y

 

Y

 

 

 

Y

 

 

 

Y

 

 

 

 

Major area of study

 

 

 

 

 

 

 

 

 

 

Date commenced studies

 

 

 

D

 

 

D

 

 

 

 

M

 

 

 

M

 

 

 

 

Y

 

Y

 

Y

 

Y

 

Date completed studies

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Institution name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D D M M Y Y Y Y

New Zealand Business Number (if applicable)

Number and street name

For help search: www.nzbn.govt.nz

Suburb

County/Province/State

Country

City

PIN/ZIP

Telephone

Student ID#

(Country code/Area code/Telephone number) (eg + 12 3 456 7890)

Attach additional sheets if necessary. You may wish to photocopy this section to use.

F3 Is this qualification on the List of Qualifications Exempt from Assessment (LQEA)? Or has an Occupational Registration Body assessed your qualification(s) as comparable to a New Zealand qualification?

 

See the guide for term(s):

Recognised qualification

,

 

Occupational registration

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes Provide the level of your qualification

 

 

 

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note: If the qualification is on the LQEA all the requirements

of the list must be met including the name of the qualification,

the awarding

 

institution and the date it was awarded.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F4

Has your qualification been assessed

by the NZQA?

 

 

See the guide for term(s):

International Qualifications

Assessment (IQA)

 

Yes Provide assessment details below

 

No Go to

 

 

 

 

 

 

 

 

 

F5

.

 

 

 

 

 

Reference number

Type Preliminary (Pre-Assessment) Level

Interim

Full

Note: If you have only obtained a Pre-Assessment Result (PAR) for your EOI and you are invited to apply for residence, the level of your qualification will have to be confirmed through a full International Qualifications Assessment by NZQA before points can be awarded.

10 – Expression of Interest Form – July 2021

F5

F6

F7

Are you claiming points for a New Zealand qualification under the 24 July 2011 transitional provisions?

See the guide for term(s): Transitional provisions

Yes Provide level of qualification

No Go to F6 .

What New Zealand qualification was your qualification assessed as being comparable with?

Do you have a bachelor degree gained in New Zealand following at least two years of full time study at a New Zealand university or other New Zealand-based tertiary training institution?

Yes No

F8 Do you have a recognised postgraduate qualification (at levels 8, 9 or 10 on the New Zealand Qualifications Framework) gained in New Zealand following at least one year full-time study at a New Zealand-based university or other New Zealand-based tertiary training institution?

Yes

No

F9 Do you have a recognised postgraduate qualification (at levels 9 or 10 on the New Zealand Qualifications Framework) gained in New Zealand following at least two years of full-time study at a New Zealand-based university or other New Zealand-based tertiary training institution?

Yes

No

If you started studying towards a New Zealand qualification or hold a New Zealand qualification at levels 4 to 8 on the New Zealand Qualifications Framework as at 24 July 2011 and you have not

claimed points under questions F7 to F9 , you must complete questions F10 and F11 .

F10 Have you studied full-time in New Zealand towards a New Zealand recognised qualification for two years or more?

Yes

No

F11 Do you have a recognised basic New Zealand qualification (at levels 4–8 on the New Zealand Qualifications Framework) awarded from a New Zealand university or tertiary training institute?

Yes

No

F12 Name of qualification (exactly as it appears on the certificate)

Date obtained

D

 

D

 

 

 

M

 

M

 

 

 

Y

 

Y

 

 

 

Y

 

 

 

Y

 

 

 

 

Major area of study

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date commenced studies

 

 

 

D

 

 

D

 

 

 

 

M

 

 

 

M

 

 

 

 

Y

 

Y

 

Y

 

Y

 

Date completed studies

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Institution name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D D M M Y Y Y Y

New Zealand Business Number (if applicable)

Number and street name

For help search: www.nzbn.govt.nz

Suburb

County/Province/State

Country

City

PIN/ZIP

Telephone

(Country code/Area code/Telephone number) (eg + 12 3 456 7890)

Student ID#

Expression of Interest Form – July 2021 – 11

Section G Skilled work experience

In this section we recognise the importance of skills and experience gained through your previous employment.

Note: If you do not have current skilled employment in New Zealand or an offer of skilled employment in New Zealand, or if your work experience is not in an area of absolute skills shortage, you can only qualify for points for your work experience if it was gained in a labour market that is comparable to New Zealand. Bonus points for skilled work experience (such as points for skilled work experience in New Zealand) can only be claimed if you are claiming points for at least 2 years of skilled work experience in total.

See the guide for term(s): Skilled work experience , Comparable labour market

G1 How many separate periods of work experience are you claiming points for?

Complete this section for each separate period of skilled work experience you are claiming points for. The periods of work your provide details for should match the total number of years of work experience claimed in G3. You should attach additional sheets if necessary; you may wish to photocopy this section to use.

Work experience

From

D D M M Y Y Y Y

To

D D M M Y Y Y Y

Occupation name Provide the ANZSCO code and occupation most closely matching the employment

Your job title/position held

Type of employment

Volunteer

Full-time employee

Self-employed

Part-time employee

Independent contractor

Full-time employment for the purposes of the Skilled Migrant Category is employment that amounts to,

on average, at least 30 hours per week. If you worked, on average, less than 30 hours per week, confirm your average hours per week

Business/organisationname

New Zealand Business Number (if applicable)

Number and street name

For help search: www.nzbn.govt.nz

Suburb

County/Province/State

Country

City

PIN/ZIP

Country employer is domiciled in

Telephone

(Country code/Area code/Telephone number) (eg + 12 3 456 7890)

Email

Contact name

Website

Explain why you consider this work experience is skilled. For each period of work experience, you should explain how the employment was consistent with the description for that occupation as set out in the ANZSCO.

You should also state what relevant recognised qualifications, relevant work experience or occupational registration you held that made you suitably qualified for the employment.

Attach additional sheets if necessary.

12 – Expression of Interest Form – July 2021

G2 Are you claiming points for at least 1 year or more of skilled work experience in New Zealand? Ensure you have

captured the details of this work experience in G1 .

Note: Bonus points for skilled work experience in New Zealand can only be claimed if you are claiming points for at least 2 years of skilled work experience in total.

Yes—1 year or more

No

G3 Indicate the total number of years of skilled work experience. Include any New Zealand work experience indicated in G2 . Ensure you have captured the details of this work experience in G1 .

See the guide for term(s): Skilled work experience in New Zealand

2 but less than 4 years

8 but less than 10 years

4 but less than 6 years

10 years or more

6 but less than 8 years

None of these

G4 Indicate the total number of years of work experience in an area of absolute skills shortage.

See the guide for term(s): Area of Absolute Skills Shortage

2 but less than 6 years

6 years and over

None of these

Absolute skills shortage occupation name

Section H Partner’s identity

In this section we need to gather and confirm your partner’s personal details. You must provide this information even if your partner is not intending to apply for residence with you.

Name as shown in passport

H1 Family/last name

H2 Given/first name(s)

H3 Provide all other names you are known by or have ever been known by

H4 Preferred title Mr

Mrs

Ms

Miss

Dr

other (specify)

H5

H6

H7

Gender

Male

 

 

 

 

 

Female

 

Date of birth

 

D

 

D

 

 

 

M

 

M

 

 

 

Y

 

Y

 

Y

 

Y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country of birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Place of birth (ie town, city, or province)

H8 Provide your partner’s birth certificate number and the name of the issuing authority. Birth certificate number

Name of the issuing authority

H9 State your partner’s main country of citizenship

Expression of Interest Form – July 2021 – 13

H10 Details of all passports held by your partner.

Passport 1

Number

Expiry date D D M M Y Y Y Y Issue date

Family/last name as shown in passport

Country

D D M M Y Y Y Y Place of issue

Given/first name(s) as shown in passport

Passport 2

Number

Expiry date D D M M Y Y Y Y Issue date

Family/last name as shown in passport

Country

D D M M Y Y Y Y Place of issue

Given/first name(s) as shown in passport

Passport 3

Number

Country

Expiry date D D M M Y Y Y Y Issue date

Family/last name as shown in passport

D D M M Y Y Y Y Place of issue

Given/first name(s) as shown in passport

H11 List any other citizenships currently held.

H12 Provide a national ID number, or other unique identifier issued to your partner by any government.

National ID number

Country

H13 List all countries, including all countries of citizenship, your partner has lived in for a total of 12 months or more in the last 10 years. Include all countries where their stay has been broken by any departures. Start with the country that you live in now.

From

From

From

From

From

From

From

From

From

From

M M Y Y

M M Y Y

M M Y Y

M M Y Y

M M Y Y

M M Y Y

M M Y Y

M M Y Y

M M Y Y

M M Y Y

To

To

To

To

To

To

To

To

To

To

M M Y Y

M M Y Y

M M Y Y

M M Y Y

M M Y Y

M M Y Y

M M Y Y

M M Y Y

M M Y Y

Country

Country

Country

Country

Country

Country

Country

Country

Country

Country

14 – Expression of Interest Form – July 2021

Please note: It is mandatory requirement for applicants for a residence class visa aged 17 and over to obtain a police or similar certificate from:

the applicant’s country (or countries) of citizenship; and

each country in which the applicant has lived for 12 months or more (whether on one visit or intermittently) in the last 10 years.

H14 Has your partner previously submitted an EOI?

Yes

No

If your partner has previously submitted an EOI, please provide the EOI number here, if known

Section I Partner’s character

In this section we need to confirm that your partner is of good character, which is a prerequisite of the Skilled Migrant Category.

Questions I1 to I6 relate to sections 15 and 16 of the Immigration Act. People described in sections 15 and 16 of the Immigration Act cannot ordinarily be granted residence in New Zealand.

Question I7 to I15 relate to other character requirements. People described in questions a character waiver to be granted residence.

I10

to

I15

may require

I1 Has your partner ever been sentenced to imprisonment for a term of five years or more (including any suspended sentences or any expunged criminal records)?

Yes

No

I2 Has your partner been sentenced to imprisonment for a term of 12 months or more within the last 10 years (including any suspended sentences or any expunged criminal records)?

Yes

No

I3 Is your partner subject to a period of prohibition under the Immigration Act 2009?

I4

Has your partner ever been:

 

 

 

excluded

Yes

No

 

removed or deported

Yes

No

Yes

No

from any country, excluding New Zealand?

I5 Has your partner ever been involved in any terrorist activities or supported similar violent activities?

Yes

No

I6

I7

I8

I9

Has your partner ever been a member of, or adhered to, any terrorist organisation?

Yes

 

No

Has your partner been involved in any drug trading or trafficking?

Yes

No

 

 

 

Has your partner been a member of, or belonged to, any group with criminal objectives?

 

Yes

No

Has your partner been a member of, or belonged to, any group that has engaged in or supported criminal activities?

Yes No

If you answered Yes to any of questions I1 to I9 , you must provide a full explanation about the surrounding circumstances. If, having considered your explanation, INZ assesses that you are a person to whom sections 15 and 16 of the Immigration Act applies, your EOI cannot be accepted into the Pool.

Expression of Interest Form – July 2021 – 15

I10 Is your partner currently:

under investigation wanted for questioning

facing charges

for any offence in any country?

Yes

Yes

Yes

No

No

No

I11 Has your partner 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

I12 Has your partner ever been refused entry to any country, excluding New Zealand?

Yes

No

I13 Has your partner been (or are they currently) a member of an organisation or group which had/has objectives or principles based on hostility against people or groups on the basis of colour, race or ethnic/national origins; or an assumption that persons of a particular race or colour are inherently inferior or superior to other races or colours? Yes No

I14 Has your partner at any time in a public speech or public comments, or public broadcast, or in publicly distributing or publishing a document, argued that one race or colour is inherently inferior or superior to another race or colour; or used language intended to encourage hostility or ill will against any person or group of persons

on the basis of colour, race, or ethnic or national origins of that person or group?

Yes

No

I15 Has your partner had (or does your partner currently have) an association with, membership of, or involvement with, any government, regime, group or agency that has advocated or committed war crimes, crimes against

humanity and/or other gross human rights abuses?

Yes

No

If you answered ‘yes’ to any of the questions I10 to I15

, you must provide a full explanation about the

surrounding circumstances. This includes full details of any charges, convictions and the sentence or penalty imposed. If your EOI is selected from the Pool, you may be asked to provide a police certificate or other relevant information to enable INZ to fully consider those circumstances.

Attach additional sheets if necessary.

Section J Partner’s health

In this section we need to confirm that your partner meets a minimum standard of health, which is a prerequisite of the Skilled Migrant Category. Providing accurate information about your partner’s health status is very important.

Questions J1 to J4 list medical conditions for which a medical waiver cannot be granted. People with these conditions cannot ordinarily be granted residence in New Zealand.

J1 Does your partner require or are they likely to require dialysis treatment in the immediate future?

J2

Does your partner have tuberculosis (TB)?

Yes

No

 

 

 

 

J3

Does your partner have severe haemophilia?

Yes

No

 

 

 

 

Yes

No

16 – Expression of Interest Form – July 2021

J4 Does your partner have a physical incapacity that requires full-time care?

Yes

No

If you answered Yes to any of questions J1 to J4 , you must provide an explanation of your partner’s medical condition. If, having considered your explanation, we assess that your partner’s medical condition is one for which a medical waiver cannot be granted, your EOI cannot be accepted into the Pool.

J5

Has your partner been exposed to, or diagnosed with, any infectious or communicable diseases?

Yes

 

 

 

J6 Is your partner receiving, or have they received, any treatment for any psychiatric condition or developmental disorder? Yes No

No

J7 Does your partner have any condition that is likely to require ongoing treatment or medication?

Yes

No

If you answered Yes to any of questions J5 to J7 , you must provide an explanation of your partner’s medical condition. If your EOI is selected from the Pool, you may be asked to provide a medical certificate to confirm this information to enable Immigration New Zealand to fully consider those circumstances.

Section K Partner’s English language ability

The information you provide in this section will give us an indication of your partner’s English language ability. Meeting the minimum standard of English language will assist your partner to settle successfully in New Zealand. Provide the following details about your partner’s English language ability.

See the guide for term(s): Minimum standard of English , Recognised qualification, New Zealand qualification

K1 Indicate how your partner meets the minimum standard of English. (Select one only)

An English language test with the required score (IELTS overall band score of 5 or more, Cambridge English B2 First (FCE) or B2 First for Schools (FCE for Schools) overall score of 154 or more, TOEFL iBT overall score of 35 or more, PTE Academic overall score of 36 or more, OET grade C or higher in all four skills (Listening, Reading,

Writing and Speaking)) Go to

K3

An English language test with the required score if claiming points for your partner’s skilled employment or offer of skilled employment or recognised qualification (IELTS overall band score of 6.5 or more, Cambridge English B2 First (FCE) or B2 First for Schools (FCE for Schools) overall score of 176 or more, TOEFL iBT overall score

of 79 or more, PTE Academic overall score of 58 or more, OET grade B or higher in all four skills (Listening,

Reading, Writing and Speaking)) Go to

K3

Citizenship of Canada, the United Kingdom, the Republic of Ireland or the United States of America and

5 years in work or education in one or more of those countries or Australia or New Zealand Go to

K2

A recognised qualification comparable to a New Zealand level 7 bachelor’s degree and gained in Australia, Canada, New Zealand, the Republic of Ireland, the United Kingdom or the United States of America as a result

of study undertaken for at least two academic years in one or more of those countries Go to

K2

A recognised qualification comparable to a New Zealand qualification at level 8 or above and gained in Australia, Canada, New Zealand, the Republic of Ireland, the United Kingdom or the United States of America

as a result of study undertaken for at least one academic year in one or more of those countries Go to

None of the above.

K2

Note: Partners must pre-purchase English for Speakers of Other Languages (ESOL) tuition if they do not meet the minimum standard of English. They will need to attend English language classes once they arrive in New Zealand. Your partner must meet the minimum standard of English for principal applicants to claim points for skilled employment or recognised qualifications.

Expression of Interest Form – July 2021 – 17

K2

K3

K4

Provide details explaining why your partner meets the minimum standard of English.

If your partner has completed an English language test, please confirm which test they have taken, and provide the relevant test details that will allow us to verify their test results (e.g. test report form number, candidate/test taker ID, any other unique number assigned to them (e.g. secret number, registration number)).

What was the date that your partner sat their test and the score/s?

English language test score/s

Section L Partner’s skilled employment

In this section you can qualify for bonus points if your partner has current ongoing skilled employment in New Zealand or an offer of ongoing skilled employment in New Zealand. You can only claim these points if your partner meets the English language requirements for principal applicants.

If your partner has an offer of employment in an occupation which requires registration, you can only claim these points if they have the required registration.

See the guide for term(s): Minimum standard of English , Occupational registration , Skilled employment

L1

L2

L3

Are you claiming points (and declaring that your partner meets the criteria) for your partner’s current skilled employment or offer of skilled employment in New Zealand? (Select one only)

Yes

No Go to M1 .

What is your partner’s main occupation in New Zealand? Provide the ANZSCO code and occupation most closely matching your partner’s employment or job offer

Indicate whether your partner’s job is skilled because it meets the requirements for skilled employment.

Select one:

It is an ANZSCO Skill Level 1, 2 or 3 job (and meets associated requirements)

It is not an ANZSCO Skill Level 1, 2 or 3 job (and meets requirements for jobs not at ANZSCO skill level 1, 2 or 3).

See the guide for term(s): Skilled employment

Give a detailed explanation in support of your claim that your partner’s job is skilled. You should explain what is in the job description and the occupational tasks. Also explain how your partner is suitably qualified in terms of the training and/or experience requirements for that occupation. State what relevant recognised qualifications, relevant work experience or occupational registration your partner has.

18 – Expression of Interest Form – July 2021

L4 Provide the following details for the skilled employment detailed above.

Employer contact name (manager)

Employer’s job title/position

Business/organisationname

New Zealand Business Number (if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For help search: www.nzbn.govt.nz

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number and street name

Suburb/City

County/Province/State PIN/ZIP

Country

 

Telephone

 

 

 

(Country code/Area code/Telephone number) (eg + 12 3 456 7890)

Email

Website

When did your partner start working for this employer?

L5 Provide details of the remuneration for your partner’s job.

What is the annual salary for this job in New Zealand dollars

What is the rate of pay per hour in New Zealand dollars

If your partner is paid on a per activity basis, what was their total remuneration in New Zealand dollars for a previous 2 year period in New Zealand in this job?

Section M Partner’s recognised qualification(s)

In this section you can provide information about whether your partner’s qualification(s) will be recognised in New Zealand.

It is recommended that you first read about which qualifications are recognised for the award of points under the Skilled Migrant Category and the partner English language requirements in the Skilled Migrant Category Expression of Interest Guide (INZ 1101).

Note: Your partner will only be able to claim points for their qualification(s) if they meet the English language requirements for principal applicants. Provide the following details about your partner’s recognised qualification(s).

M1 Are you claiming points for your partner’s recognised qualification(s) and declaring that they meet the criteria?

See the guide for term(s): Recognised qualification

Yes

No

How many qualifications are you submitting?

M2

Provide the details of the recognised qualification for

which

you are claiming points. If claiming points for your

 

partner’s postgraduate qualification, also add details

of your

partner’s undergraduate qualifications.

Name of qualification (please enter the name of the qualification, exactly as it appears on the certificate)

Date obtained

D

 

D

 

 

 

M

 

M

 

 

 

Y

 

Y

 

 

 

Y

 

 

 

Y

 

 

 

 

Major area of study

 

 

 

 

 

 

 

 

 

 

Date commenced studies

 

 

 

D

 

 

D

 

 

 

 

M

 

 

 

M

 

 

 

 

Y

 

Y

 

Y

 

Y

 

Date completed studies

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Institution name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D D M M Y Y Y Y

New Zealand Business Number (if applicable)

For help search: www.nzbn.govt.nz

Expression of Interest Form – July 2021 – 19

Number and street name

Suburb

County/Province/State

Country

City

PIN/ZIP

Telephone

Student ID#

(Country code/Area code/Telephone number) (eg + 12 3 456 7890)

M3

Is this qualification on the List of Qualifications Exempt from Assessment (LQEA)? Or has an Occupational

 

Registration Body assessed your qualification(s) as comparable to a New Zealand qualification?

 

 

 

 

 

 

 

 

 

 

 

See the guide for term(s):

Recognised qualification

,

 

Occupational registration

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes Provide the level of your partner’s qualification

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

 

 

 

 

 

 

Note: If the qualification is on the LQEA all the requirements

of the list must be met including the

name of the qualification,

the awarding

 

institution and the date it was awarded.

 

 

 

 

 

 

 

 

 

M4

Does your partner hold a report from the New Zealand Qualifications Authority

assessing the level

of their

 

qualification?

 

 

 

 

 

Yes Provide details below

No Go to

N1 .

Note: If you have answered No to questions

M3

and M4 , you cannot claim points for your partner’s qualification.

M5 What is the reference number and type assessed by the NZQA?

Reference number

Type

Level

Preliminary (Pre-Assessment)

Interim

Full

Note: if your partner has only obtained a Pre-Assessment Result (PAR) for your EOI, and you are invited to apply for residence, the level of your partner’s qualification will have to be confirmed through a full International Qualifications Assessment (IQA) by the NZQA before points can be awarded.

Section N Other family

Children

N1 How many children do you have? This includes biological, adopted and stepchildren from previous marriages/relationships.

Provide the following details for your children (including biological, adopted and stepchildren from previous marriages/relationships).

Child one

Full name

Gender

Male

Female Date of birth

D D M M Y Y Y Y

Partnership status

Married/in civil union Engaged

Single

Widowed

Partnership/De facto Divorced

Separated

Country of residence

Will this child be included in your application for residence?

Yes

No

20 – Expression of Interest Form – July 2021

Child two

Full name

Gender

Male

Female

Date of birth

D

 

D

 

 

 

M

 

M

 

 

 

Y

 

Y

 

Y

 

Y

 

 

 

 

 

 

 

 

 

 

 

Partnership status

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Married/in civil union

Single

 

 

Partnership/De facto

Engaged

 

 

Widowed

 

 

Divorced

Country of residence

Separated

Will this child be included in your application for residence?

Yes

No

Child three

Full name

Gender

Male

Female Date of birth D D M M Y Y Y Y

Partnership status

Married/in civil union Engaged

Single

Widowed

Partnership/De facto Divorced

Separated

Country of residence

Will this child be included in your application for residence?

Yes

No

Child four

Full name

Gender Male

Partnership status

Female Date of birth D D M M Y Y Y Y

Married/in civil union Engaged

Single

Widowed

Partnership/De facto Divorced

Separated

Country of residence

Will this child be included in your application for residence?

Yes

No

Child five

Full name

` Gender

Male

Female Date of birth D D M M Y Y Y Y

Partnership status

Married/in civil union Engaged

Single

Widowed

Partnership/De facto Divorced

Separated

Country of residence

Will this child be included in your application for residence?

Yes

No

Child six

Full name

Gender Male

Partnership status

Female Date of birth D D M M Y Y Y Y

Married/in civil union Engaged

Single

Widowed

Partnership/De facto Divorced

Separated

Country of residence

Will this child be included in your application for residence?

Yes

No

Expression of Interest Form – July 2021 – 21

Child seven

Full name

Gender Male

Partnership status

Female Date of birth

D D M M Y Y Y Y

Married/in civil union Engaged

Single

Widowed

Partnership/De facto Divorced

Separated

Country of residence

Will this child be included in your application for residence?

Attach additional sheets if necessary.

Yes

No

You may only include dependent children in your application. If you are separated or divorced and bringing a child under 16 years of age with you to New Zealand, we will need to see proof of their right to leave their home country and your right to remove them.

For each dependent child included in your residence application, complete an Expression of Interest Form Child Supplement (INZ 1103). Refer to the Skilled Migrant Category term ‘Dependent Children’ in the Skilled Migrant Category Expression of Interest Guide (INZ 1101).

N2 Give details of all your family members (not just those living in New Zealand), including those adopted legally or by custom. Include: parents (whether biological or adoptive), brothers and sisters (whether full, half, step and adopted), and children (whether biological, adopted, or stepchildren, including those from previous marriages/ relationships.) It is not necessary to list deceased family members or family included elsewhere in this form.

Family member one

Full name

Gender

Male

Female Date of birth

D D M M Y Y Y Y

Partnership status

Married/in civil union Engaged

Country of residence

Relationship to you

Single

Widowed

Partnership/De facto Divorced

Separated

Family member two

Full name

Gender

Male

Female Date of birth

D D M M Y Y Y Y

Partnership status

Married/in civil union Engaged

Country of residence

Relationship to you

Family member three

Single

Widowed

Partnership/De facto

Divorced

Separated

Full name

Gender

Male

Female Date of birth

Partnership status

 

 

Married/in civil union

Single

Engaged

 

 

 

Widowed

Country of residence

 

 

 

 

 

 

 

 

 

 

 

Relationship to you

 

 

 

 

 

 

 

 

D D M M Y Y Y Y

Partnership/De facto Divorced

Separated

22 – Expression of Interest Form – July 2021

Family member four

Full name

Gender

Male

Female

Date of birth

D

 

D

 

 

 

M

 

M

 

 

 

Y

 

Y

 

Y

 

Y

 

 

 

 

 

 

 

 

 

 

 

Partnership status

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Married/in civil union

Single

 

Partnership/De facto

Engaged

 

 

Widowed

 

Divorced

Country of residence

Relationship to you

Separated

Family member five

Full name

Gender Male

Partnership status

Female Date of birth D D M M Y Y Y Y

Married/in civil union Engaged

Country of residence

Relationship to you

Single

Widowed

Partnership/De facto Divorced

Separated

Family member six

Full name

Gender Male

Partnership status

Female Date of birth D D M M Y Y Y Y

Married/in civil union Engaged

Country of residence

Relationship to you

Family member seven

Single

Widowed

Partnership/De facto Divorced

Separated

Full name

Gender Male

Partnership status

Female Date of birth D D M M Y Y Y Y

Married/in civil union Engaged

Country of residence

Relationship to you

Single

Widowed

Partnership/De facto Divorced

Separated

Family member eight

Full name

Gender Male

Partnership status

Female Date of birth D D M M Y Y Y Y

Married/in civil union Engaged

Country of residence

Relationship to you

Single

Widowed

Partnership/De facto Divorced

Separated

Expression of Interest Form – July 2021 – 23

Family member nine

Full name

Gender

Male

Female Date of birth

D D M M Y Y Y Y

Partnership status

Married/in civil union Engaged

Country of residence

Relationship to you

Single

Widowed

Partnership/De facto Divorced

Separated

Family member ten

Full name

Gender

Male

Female Date of birth

D D M M Y Y

Y Y

Partnership status

Married/in civil union Engaged

Country of residence

Relationship to you

Single

Widowed

Partnership/De facto Divorced

Separated

Section O Partner’s family

Children

O1 How many children does your partner have? This includes biological, adopted and step-children from previous marriages/relationships. Do not include children already listed under N1 .

Provide the details below for each of your partner’s children (including biological, adopted and step-children from previous marriages/relationships).

None Go to O2 .

 

Child one

 

 

Full name

 

 

Gender

Male

Female Date of birth D D M M Y Y Y Y

Partnership status

Married/in civil union Engaged

Country of residence

Single

Widowed

Partnership/De facto Divorced

Separated

Will this child be included in your application for residence?

Yes

No

Child two

Full name

Gender Male

Partnership status

Female Date of birth D D M M Y Y Y Y

Married/in civil union Engaged

Country of residence

Single

Widowed

Partnership/De facto Divorced

Separated

Will this child be included in your application for residence?

Yes

No

24 – Expression of Interest Form – July 2021

Child three

Full name

Gender

Male

 

Female

Date of birth

 

D

 

 

D

 

 

 

 

 

M

 

 

 

M

 

 

 

 

 

 

 

Y

 

 

 

Y

 

 

 

Y

 

 

 

Y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Partnership status

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Married/in civil union

Single

 

 

 

 

Partnership/De facto

Separated

Engaged

 

 

 

Widowed

 

 

 

 

Divorced

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country of residence

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Will this child be included in your application for residence?

 

 

 

 

 

 

 

 

Yes

No

Child four

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gender

Male

 

Female

Date of birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D

 

 

D

 

 

 

 

 

M

 

 

 

M

 

 

 

 

 

 

 

Y

 

 

 

Y

 

 

 

Y

 

 

 

Y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Partnership status

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Married/in civil union

Single

 

 

 

 

Partnership/De facto

Separated

Engaged

 

 

 

Widowed

 

 

 

 

Divorced

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country of residence

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Will this child be included in your application for residence?

 

 

 

 

 

 

 

 

Yes

No

Child five

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gender

Male

 

Female

Date of birth

 

D

 

 

D

 

 

 

 

 

M

 

M

 

 

 

Y

 

 

 

Y

 

 

 

Y

 

Y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Partnership status

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Married/in civil union

Single

 

 

 

 

Partnership/De facto

Separated

Engaged

 

 

 

Widowed

 

 

 

 

Divorced

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country of residence

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Will this child be included in your application for residence?

 

 

 

 

 

 

 

 

Yes

No

Child six

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gender

Male

 

Female

Date of birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D

 

 

D

 

 

 

 

 

M

 

M

 

 

 

 

Y

 

 

 

Y

 

 

 

Y

 

Y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Partnership status

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Married/in civil union

Single

 

 

 

 

Partnership/De facto

Separated

Engaged

 

 

 

Widowed

 

 

 

 

Divorced

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country of residence

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Will this child be included in your application for residence?

 

 

 

 

 

 

 

 

Yes

No

Attach additional sheets if necessary.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

You may only include dependent children in your application. Refer to the requirements for ‘dependent children’ in the guide. If your partner is separated or divorced and bringing a child under 16 years of age with them to New Zealand, we will need to see proof of their right to leave their home country and your partner’s right to remove them.

Expression of Interest Form – July 2021 – 25

O2 Give details of all your partner’s family members (not just those living in New Zealand), including those adopted legally or by custom. Include: parents (whether biological or adoptive), brothers and sisters (whether full, half, step and adopted), and children (whether biological, adopted, or step children, including those from previous marriages/relationships). It is not necessary to list deceased family members or family included elsewhere in this form.

Family member one

Full name

Gender

Male

Female Date of birth

D D M M Y Y Y Y

Partnership status

Married/in civil union Engaged

Country of residence

Relationship to you

Single

Widowed

Partnership/De facto

Divorced

Separated

Family member two

Full name

Gender

Male

Female Date of birth

D D M M Y Y Y Y

Partnership status

Married/in civil union Engaged

Country of residence

Relationship to you

Single

Widowed

Partnership/De facto Divorced

Separated

Family member three

Full name

Gender

Male

Female Date of birth

D

D M M Y Y Y Y

Partnership status

Married/in civil union Engaged

Country of residence

Relationship to you

Single

Widowed

Partnership/De facto Divorced

Separated

Family member four

Full name

Gender

Male

Female Date of birth

D D M M Y Y Y Y

Partnership status

Married/in civil union Engaged

Country of residence

Relationship to you

Single

Widowed

Partnership/De facto Divorced

Separated

26 – Expression of Interest Form – July 2021

Family member five

Full name

Gender Male

Partnership status

Female Date of birth D D M M Y Y Y Y

Married/in civil union Engaged

Country of residence

Relationship to you

Single

Widowed

Partnership/De facto Divorced

Separated

Family member six

Full name

Gender Male

Partnership status

Female Date of birth D D M M Y Y Y Y

Married/in civil union Engaged

Country of residence

Relationship to you

Single

Widowed

Partnership/De facto Divorced

Separated

Family member seven

Full name

Gender

Male

Female

Date of birth

D

 

D

 

 

 

M

 

M

 

 

 

Y

 

Y

 

Y

 

Y

 

 

 

 

 

 

 

 

 

 

 

Partnership status

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Married/in civil union

Single

 

 

Partnership/De facto

Engaged

 

 

 

Widowed

 

 

Divorced

Country of residence

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Relationship to you

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Separated

Family member eight

Full name

Gender

Male

Female Date of birth

D

 

D

 

Partnership status

 

 

 

 

 

Married/in civil union

Single

Engaged

 

 

 

Widowed

Country of residence

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Relationship to you

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M M Y Y Y Y

Partnership/De facto

Divorced

Separated

Family member nine

Full name

Gender

Male

Female

Date of birth

D

 

D

 

 

 

M

 

M

 

 

 

Y

 

Y

 

Y

 

Y

 

 

 

 

 

 

 

 

 

 

 

Partnership status

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Married/in civil union

Single

 

 

Partnership/De facto

Engaged

 

 

Widowed

 

 

Divorced

Separated

Expression of Interest Form – July 2021 – 27

Country of residence

Relationship to you

Attach additional sheets if necessary.

Assessment of your residence application

In order to be granted residence under the Skilled Migrant Category, you must be awarded points for skilled employment in New Zealand, or have a Doctorate or Master’s degree awarded following at least two years of full-time study in New Zealand.

If you do not have skilled employment in New Zealand or a New Zealand Doctorate or Master’s degree, but you otherwise meet the Skilled Migrant Category requirements, you will be able to apply for a Skilled Migrant Category Job Search work visa. This visa is granted for the purpose of obtaining skilled employment in New Zealand. If the temporary work visa is granted, the decision on your residence will be deferred. If you obtain skilled employment during the deferral period your residence application may be approved. If you do not obtain skilled employment during the deferral period your residence application will be declined.

Section P Declaration of principal applicant

This section must be signed by the principal applicant on behalf of all the people included in this Expression of Interest. Make sure you understand the declarations below before you sign and agree to them.

Important

I understand that if I make any false statements, or provide any false or misleading information, or have changed or altered this form (including the Child Supplement form) in any material way, my Expression of Interest may not be accepted, any resident visa application may be declined and I may lose any right of appeal. I may become liable for deportation. I may also be committing an offence and liable to prosecution. Yes

I understand the notes and questions in this form (including the Child Supplement form), and I declare the information given about myself, my partner and any children is true and complete. Yes

I declare that I have listed all my family members, including any adopted by law or by custom and my grandparents or legal guardians (if any) if both my parents are deceased, and understand that the non-declaration of any family members may result in that family member not being recognised as part of my family in future applications. Yes

I will inform Immigration New Zealand of any relevant fact or change of circumstances that may (i) affect the decision on my application for a visa, or (ii) affect the decision to grant entry permission based on the visa for which I am applying. Yes

I declare that there are no matters or warrants outstanding, or investigations of any kind, which could have any current or future effect on the assessment of my good character, or the good character of any other persons included

in this Expression of Interest.

Yes

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, INZ will return my application.

Yes

I authorise INZ to make any enquiries it deems necessary regarding the information provided on this form (including the Child Supplement form), and to share this information with other Government agencies (including overseas agencies) to the extent necessary to make decisions about my immigration status. I also consent to any organisation

providing relevant information to INZ about me.

Yes

I authorise INZ to provide information about my state of health and my immigration status to any health service

agency. I authorise any health service agency to provide information about my state of health to INZ.

Yes

I accept that any advice given to me by INZ before expressing interest and submitting this form (including the Child Supplement form) was intended to assist me, and acting on that does not mean that any later application for

residence will be granted.

Yes

I understand that in order to work in certain occupations in New Zealand, registration is required by law. I accept that

the grant of residence does not guarantee that registration will be granted.

Yes.

I have not included any documents with this Expression of Interest.

Signature of principal applicant

Yes.

Date

D D M M Y Y Y Y

28 – Expression of Interest Form – July 2021

Section Q Immigration adviser’s details

This section must be completed by your immigration adviser. If you do not have an immigration adviser, this section does not have to be completed.

Q1

Q2

Tick the one option that applies to you.

I am a licensed immigration adviser under the New Zealand Immigration Advisers Licensing Act 2007. Go to Q2 .

I am exempt from licensing under the New Zealand Immigration Advisers Licensing Act 2007. Go to Q3 .

If you are unlicensed when you should be licensed under the Immigration Advisers Licensing Act 2007, INZ will return your client’s application. It is an offence to provide immigration advice without holding a licence, unless you are exempt.

Licensed advisers. Provide your licence details.

Licence type:

full

provisional

limited. List conditions specified in the register.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Licence number

Go to Section R: Declaration by person assisting the applicant.

Q3 Exempt from licensing. Tick the boxes 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 am a New Zealand member of Parliament or member of their staff and I provided immigration advice as part of my employment agreement.

I am a foreign diplomat or consular staff.

I am an employee of the New Zealand public service and I provided immigration advice within the scope of my employment agreement.

I am a lawyer and I hold a current practising certificate as a barrister or as a barrister and solicitor of the High Court of New Zealand.

I am employed by, or I am working as a volunteer for, a New Zealand community law centre where at least one lawyer is on the employing body of the community law centre or is employed by or working as a volunteer for the community law centre in a supervisory capacity.

I am employed by, or I am working as a volunteer for, a New Zealand citizens advice bureau.

Go to Section R: Declaration by person assisting the applicant.

Section R Declaration by person assisting the applicant

This section must be completed and signed by your immigration adviser, or by any person who has assisted you by providing immigration advice, explaining, translating, or filling in the form. If you do not have an immigration adviser, and no one helped you to fill in this form, this section does not need to be completed.

If you are unlicensed when you should be licensed under the Immigration Advisers Licensing Act 2007, INZ 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.

Name and address of person assisting applicant.

Family/last name

Given/first name(s)

Expression of Interest Form – July 2021 – 29

Company name (if applicable) and address

New Zealand Business Number (if applicable)

Telephone (day)

For help search: www.nzbn.govt.nz

Telephone (night)

Fax

Email

I understand that after the applicant has signed this form it is an offence for me to change or add further information, change any documents attached to the form, or attach any further documents to the form. However, if changes are needed, the person making the changes must state on the form what information or documents have been changed and give reasons for the changes.

I note 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 Q: Immigration adviser’s details are correct.

Signature of person assisting principal applicant

Date

D D M M Y Y Y Y

Section S Submitting your Expression of Interest

If you are not completing an EOI online, send this completed EOI form to:

By post:

By courier:

Immigration New Zealand

Immigration New Zealand

PO Box 76895

DX Box: EP71514

Manukau City

Penrose

Auckland 2241

Auckland 1061

New Zealand

New Zealand

30 – Expression of Interest Form – July 2021

About the information you provide

The information about you and your family in this form is being collected to determine whether we will invite you to apply for residence in New Zealand and may also be used to contact you for research or marketing purposes or to advise you on immigration matters. This information may also be used to determine your entitlement to board a flight to come to or return to New Zealand. Your personal information will not be shared with airline check in agents, however a boarding message will be returned to the airline check in agent based on information you have supplied on this form.

The main recipient of the information is Immigration New Zealand (INZ), a service of the Ministry of Business, Innovation and Employment, but it may also be shared with other Government agencies that are entitled to this information under applicable legislation. In particular, the Ministry of Social Development (Work and Income) may be given information about your personal resources.

The collection of the information is authorised by the Immigration Act 2009 and the Immigration Regulations made under that Act. The supply of the information is voluntary, but if you do not supply the mandatory information required by the Expression of Interest form, then your Expression of Interest cannot be accepted.

You will, if you are in New Zealand, have the right to see the information about you held by INZ, and to ask for any of it to be corrected if you think that is necessary. INZ addresses can be found on our website at www.immigration.govt.nz.

For more information

If you have questions about completing the form:

see our website www.immigration.govt.nz/ contactus

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

Section T Paying your EOI fee

To find out how much to pay, payment methods, where to send your EOI, and how long a decision may take, see www.immigration.govt.nz/fees.

Your EOI fee

Amount you are paying:

Amount

Currency

(e.g. NZD, USD, RMB)

Application number

(office use only)

Credit/debit card details

Mastercard

Visa

Name of cardholder

Card number

CVC/CVV number

Note: Your CVC/CVV number is the three-digit number found on the signature strip on the back of your credit/debit card.

Expiry date D D M M Y Y Y Y

Signature of cardholder

Date D D M M Y Y Y Y

Expression of Interest Form – July 2021 – 31

32 – Expression of Interest Form – July 2021