Explore Immigration Free Visa Assessment

Name *

First

Last

Email *

Phone *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

What is your date of birth? *

Which of the following best describes you?

Which Visa would you like to apply for?

Please select your level of English? *

Are you currently in New Zealand? *

Yes
No

Where were you born? *

State/Province/Region of birth?

What Passport do you currently hold?

What is your country of residence?

From which country will you be applying from?

Have you previously been in New Zealand on a visa? *

Yes
No

What is your marital status? *

Do you have any medical concerns that may affect their visa application? *

If you are inquiring on behalf of your partner or family, please include there details in response to this question.

Does the applicant/s have a criminal record in any country? *

If you are inquiring on behalf of your partner or family, please include there details in response to this question.

What is your highest qualification? *

In what country did you complete your qualification?

What is the name of your qualification?

When did you start your qualification?

When did you finish your qualification?

Is your qualification closely related to your occupation? *

Yes
No

What is your skilled occupation? *

Have you worked in New Zealand in your nominated occupation or closely related field?

Are you employed or do you have a job offer in New Zealand?

If Yes, please state the employers name, Job title, How many hours a week you work and what is your estimated yearly salary?

Do you have a Partner or Spouse who will be migrating with you?

Do you have children who will be migrating with you?

Does any of your children or partner have any Health or Criminal history?

Please provide any other information that you feel might be relevant to your assessment

Tell us, how did you hear about Explore Immigration?

When are you likely to start the application process?

What would you like us to send you after your assessment? *

By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your questionnaire was received. E-Signature (please type your name) *

To submit, please complete this simple security check *

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