2021 Resident Visa - Phase 2

Step 1 of 8 - Principal Applicant - Basic

12%

Step 1: Principal Applicant - Basic

Personal Details

Principal applicant is the person who meets one of the three criteria for the New 2021 Resident visa, namely, 'Settled', 'Skilled' or 'Scarce'.

Name(Required)

Given/first name(s) Middle name(s) Family/last name

As shown in passport

Title(Required)

Have you ever been known by other names?(Required)

Yes

e.g. English name, preferred name

Other name

Other given/first name(s) Other middle name(s) Other family/last name

Name type

What is your gender?(Required)

Male

Female

What is your date of birth?(Required)

DD slash MM slash YYYY

As shown in your passport

Country of birth(Required)

State/province/region of birth(Required)

Town/city of birth(Required)

Passport number(Required)

Country/territory of passport(Required)

Expiry date of passport(Required)

DD slash MM slash YYYY

You will need to ensure that there is at least 3 months left on your passport expiry date

National identity number

If applicable, provide details of your national identity number (optional)

Do you hold other citizenships?(Required)

Yes

Whether you hold citizenships other than your main citizenship

If you hold other citizenships, please provide details(Required)

Country of citizenship, passport number and passport expiry date for EACH of other citizenships held

What is your partnership status?(Required)

If you have a partner/spouse to include in this application, select 'Married/Civil Union' or 'Partner/De Facto'

Your current residential address(Required)

Street Address Address Line 2 City Post Code Country

Mobile phone(Required)

You don't need to put the country code, e.g. 021 000 0000

Email(Required)

Please ensure that the email address is correct, e.g. abc@gmail.com

Step 2: Principal Applicant - Eligibility

Basic Criteria

On 29 September 2021, you need to have been in New Zealand, AND holding an eligible visa type.

Were you in New Zealand on 29 September 2021?(Required)

Yes

If the Principal Applicant was not in New Zealand on 29 September 2021, you may not be eligible. Please contact us to clarify.

On 29 September 2021, which of the following visas did you hold?(Required)

Do you still hold the same visa?(Required)

Yes

If no, what type of a visa do you hold now?(Required)

Type of visa currently held(Required)

If your current visa is different to the one you held on 29 September 2021, please state the type of visa that you hold now

What is the visa expiry date?(Required)

DD slash MM slash YYYY

Expiry date of your current visa

'Settled' Criteria

You must have entered New Zealand on or before 29 September 2018, AND have spent at least 821 days between 29 September 2018 and 29 September 2021

Was your first entry to New Zealand on or before 29 September 2018?(Required)

Yes

i.e. what was the date you first entered New Zealand

Have you lived in New Zealand for more than 821 days between 29 September 2018 and 29 September 2021?(Required)

Yes

821 days is about 27 months. They do not have to be a consecutive period. You could have travelled in and out of New Zealand but the time spent in New Zealand between 29/09/2018 to 29/09/2021 must add up to at least 821 days.

'Skilled' or 'Scarce' Criteria

On 29 September 2021, you must have been in full time employment, and either paid $27/hour or above, or your job was in the 'Scarce List'

On 29 September 2021, were you in full-time employment?(Required)

Yes

Full time employment means working at least 30 hours per week

Employer details as at 29 September 2021

Employer company name(Required)

e.g. ABC Limited

Employer trading/business name(Required)

Business field/industry(Required)

Employer business address(Required)

Street Address Address Line 2 City

Employer contact(Required)

First Last

e.g. business owner's name

Employer phone(Required)

Employer email(Required)

Employment start date(Required)

Provide month and year only. Use the format mm/yyyy

Employment end date

Provide month and year only. Use the format mm/yyyy

Brief description of job duties(Required)

On 29 September 2021, how were you being paid at work?(Required)

Hourly rate

Annual salary

Note: this must be what you were paid on that date 29 September 2021

Your hourly rate on 29 September 2021(Required)

Enter a number (no spaces, comma, or other symbols), e.g. 27 - Note: this must be what you were paid on that date 29 September 2021

Your annual salary on 29 September 2021(Required)

Enter a number (no spaces, comma, or other symbols), e.g. 55000 - Note: this must be what you were paid on that date 29 September 2021

On 29 September 2021, were you working in a job position which is included in any of the 'Scarce Lists' below?(Required)

Yes

Please click on each of the lists below and see if your job appears on the lists:

Long Term Skill Shortage List
Health or Education Sectionr List (Requires occupational registration)
Personal Carer and other Critical Health Workers List
Specified Primary Sector List

On 29 September 2021, was your job position on the Long Term Skill Shortage List?(Required)

Yes

On 29 September 2021, was your job position on the Health or Education Sector List (Requires occupational registration)?(Required)

Yes

On 29 September 2021, was your job position on the Personal Carer and other Critical Health Workers List?(Required)

Yes

On 29 September 2021, was your job position on the Specified Primary Sector List?(Required)

Yes

On 29 September 2021, what was your job position/title?(Required)

Do you work in an occupation that requires New Zealand Registration?(Required)

Yes

'Skilled' or 'Scarce' Employment Update

As at today, is your pay rate (or salary) the same amount as what you were being paid on 29 September 2021?(Required)

Yes

i.e. has your pay rate or salary changed

If your pay rate or salary has changed, your current hourly rate or salary(Required)

Enter a number (no spaces, comma, or other symbols), e.g. 55000

As at today, are you still working full time?(Required)

Yes

Full time employment means working at least 30 hours per week

If you are working less than 30 hours per week, how many hours do you work per week on average?(Required)

Enter a number (no spaces, comma, or other symbols), e.g. 25

As at today, are you still holding the same job position/title as 29 September 2021?(Required)

Yes

If your job position/title has changed, what is your job position/title as at today?(Required)

As at today, are you working for the same employer as 29 September 2021?(Required)

Yes

i.e. has your pay rate or salary changed

Employer details as at today

Employer company name(Required)

e.g. ABC Limited

Employer trading/business name(Required)

Business field/industry(Required)

Employer business address(Required)

Street Address Address Line 2 City

Employer contact(Required)

First Last

e.g. business owner's name

Employer phone(Required)

Employer email(Required)

Employment start date(Required)

Provide month and year only. Use the format mm/yyyy

Employment end date

Provide month and year only. Use the format mm/yyyy

Brief description of job duties(Required)

Other relevant details

If there are any other circumstances we need to take into consideration about your employment situation, please let us know (optional)

Step 3: Additional Applicants

Are there any additional applicants included in this application?(Required)

Yes

For example, your partner/spouse, and/or your dependent children

How many additional applicants do you want to include in this application?(Required)

Additional Applicant 1

What is this person's relationship to the principal applicant? This person is the principal applicant's -(Required)

Name(Required)

First Middle Last

As shown in passport

Title(Required)

Has this person ever used or been known by any other names?

Yes

Other name

First Middle Last

What is this person's gender?(Required)

Male

Female

Date of birth(Required)

DD slash MM slash YYYY

As shown in passport

What is this person's partnership status?(Required)

Country/territory of birth(Required)

State/province/region of birth

Town/city of birth(Required)

Passport number(Required)

Country/territory of passport(Required)

Passport expiry date(Required)

DD slash MM slash YYYY

Is this person a citizen of any other country?(Required)

Yes

Country/territory of passport of second citizenship(Required)

If applicable, this person's national identity number

Has this person lived in any countries, other than their country of citizenship, for five years or more since the age of 17?(Required)

Yes

List the country/territory(Required)

Has this person lived in any country for 12 months or more, other than their country of citizenship, in the last 10 years since the age of 17?(Required)

Yes

List the country/territory(Required)

Has this person previously applied for a visa for New Zealand?(Required)

Yes

Additional Applicant 2

What is this person's relationship to the principal applicant? This person is the principal applicant's -(Required)

Name(Required)

First Middle Last

As shown in passport

Title(Required)

Has this person ever used or been known by any other names?

Yes

Other name

First Middle Last

What is this person's gender?(Required)

Male

Female

Date of birth(Required)

DD slash MM slash YYYY

As shown in passport

What is this person's partnership status?(Required)

Country/territory of birth(Required)

State/province/region of birth

Town/city of birth(Required)

Passport number(Required)

Country/territory of passport(Required)

Passport expiry date(Required)

DD slash MM slash YYYY

Is this person a citizen of any other country?(Required)

Yes

Country/territory of passport of second citizenship(Required)

If applicable, this person's national identity number

Has this person lived in any countries, other than their country of citizenship, for five years or more since the age of 17?(Required)

Yes

List the country/territory(Required)

Has this person lived in any country for 12 months or more, other than their country of citizenship, in the last 10 years since the age of 17?(Required)

Yes

List the country/territory(Required)

Has this person previously applied for a visa for New Zealand?(Required)

Yes

Additional Applicant 3

What is this person's relationship to the principal applicant? This person is the principal applicant's -(Required)

Name(Required)

First Middle Last

As shown in passport

Title(Required)

Has this person ever used or been known by any other names?

Yes

Other name

First Middle Last

What is this person's gender?(Required)

Male

Female

Date of birth(Required)

DD slash MM slash YYYY

As shown in passport

What is this person's partnership status?(Required)

Country/territory of birth(Required)

State/province/region of birth

Town/city of birth(Required)

Passport number(Required)

Country/territory of passport(Required)

Passport expiry date(Required)

DD slash MM slash YYYY

Is this person a citizen of any other country?(Required)

Yes

Country/territory of passport of second citizenship(Required)

If applicable, this person's national identity number

Has this person lived in any countries, other than their country of citizenship, for five years or more since the age of 17?(Required)

Yes

List the country/territory(Required)

Has this person lived in any country for 12 months or more, other than their country of citizenship, in the last 10 years since the age of 17?(Required)

Yes

List the country/territory(Required)

Has this person previously applied for a visa for New Zealand?(Required)

Yes

Additional Applicant 4

What is this person's relationship to the principal applicant? This person is the principal applicant's -(Required)

Name(Required)

First Middle Last

As shown in passport

Title(Required)

Has this person ever used or been known by any other names?

Yes

Other name

First Middle Last

What is this person's gender?(Required)

Male

Female

Date of birth(Required)

DD slash MM slash YYYY

As shown in passport

What is this person's partnership status?(Required)

Country/territory of birth(Required)

State/province/region of birth

Town/city of birth(Required)

Passport number(Required)

Country/territory of passport(Required)

Passport expiry date(Required)

DD slash MM slash YYYY

Is this person a citizen of any other country?(Required)

Yes

Country/territory of passport of second citizenship(Required)

If applicable, this person's national identity number

Has this person lived in any countries, other than their country of citizenship, for five years or more since the age of 17?(Required)

Yes

List the country/territory(Required)

Has this person lived in any country for 12 months or more, other than their country of citizenship, in the last 10 years since the age of 17?(Required)

Yes

List the country/territory(Required)

Has this person previously applied for a visa for New Zealand?(Required)

Yes

Additional Applicant 5

What is this person's relationship to the principal applicant? This person is the principal applicant's -(Required)

Name(Required)

First Middle Last

As shown in passport

Title(Required)

Has this person ever used or been known by any other names?

Yes

Other name

First Middle Last

What is this person's gender?(Required)

Male

Female

Date of birth(Required)

DD slash MM slash YYYY

As shown in passport

What is this person's partnership status?(Required)

Country/territory of birth(Required)

State/province/region of birth

Town/city of birth(Required)

Passport number(Required)

Country/territory of passport(Required)

Passport expiry date(Required)

DD slash MM slash YYYY

Is this person a citizen of any other country?(Required)

Yes

Country/territory of passport of second citizenship(Required)

If applicable, this person's national identity number

Has this person lived in any countries, other than their country of citizenship, for five years or more since the age of 17?(Required)

Yes

List the country/territory(Required)

Has this person lived in any country for 12 months or more, other than their country of citizenship, in the last 10 years since the age of 17?(Required)

Yes

List the country/territory(Required)

Has this person previously applied for a visa for New Zealand?(Required)

Yes

Step 4: Principal Applicant - Health

The questions on this page relate to the Principal Applicant

Do you have tuberculosis?(Required)

Yes

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

Renal dialysis(Required)

Yes

Residential care(Required)

Yes

Hospital care(Required)

Yes

Please provide details if you have checked 'Yes' to the above questions(Required)

Are you pregnant?(Required)

Yes

Not applicable

Date you are due to give birth(Required)

DD slash MM slash YYYY

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(Required)

I am, or will be eligible for publicly-funded maternity health services

I have at least NZ$9,000 of funds available and will cover the costs myself

My sponsor has guaranteed to cover the cost

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

Which countries have you visited or lived for more than 3 months within the last 5 years?(Required)

Please list the countries

Have you previously provided a chest X-ray certificate?(Required)

Yes

Was your chest X-ray certificate issued in the last 36 months?(Required)

Yes

Have you visited or lived in any countries for more than 6 consecutive months since the certificate was issued?(Required)

Yes

Which countries have you visited or lived in for more than 6 consecutive months since that certificate was issued?(Required)

List the countries

Have you previously provided a General Medical Certificate (INZ 1007) or Limited Medical Certificate (INZ 1201)?(Required)

Yes

Was your medical certificate issued in the last 36 months?(Required)

Yes

Has your health deteriorated since your medical certificate was issued?(Required)

Yes

Please provide details if your health deteriorated since your medical certificate was issued(Required)

Step 5: Principal Applicant - Character

The questions on this page relate to the Principal Applicant

Have you ever been convicted at any time of any offence, including any driving offence?(Required)

Yes

Have you ever been removed from, deported from, expelled from, excluded from or refused entry to, any country, excluding New Zealand?(Required)

Yes

In any country, including New Zealand, are you currently under investigation, wanted for questioning, or facing charges for any offence?(Required)

Yes

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

Yes

Have you at any time in a public speech or public comments, or a 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?(Required)

Yes

Have you been (or currently are) a member of an organisation or group which had objectives or principals 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?(Required)

Yes

Have you had (or 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?(Required)

Yes

Do you have an outstanding arrest warrant in any country, including New Zealand?(Required)

Yes

Have you ever been refused a visa by any country, excluding New Zealand?(Required)

Yes

Please provide details if you have checked 'Yes' to the above questions(Required)

Step 6: Additional Applicants - Health & Character

Health

Do any of the additional people included in this application have tuberculosis?(Required)

Yes

Do any of the additional people included in this application have any medical condition that requires, or may require, one of the following during their stay in New Zealand?

Renal dialysis(Required)

Yes

Hospital care(Required)

Yes

Residential care(Required)

Yes

Have any of the additional applicants been identified as requiring special education services?(Required)

Yes

Please provide details if you have checked 'Yes' to the above questions(Required)

Are any of the additional people included in this application pregnant?(Required)

Yes

Not applicable

Date they are due to give birth(Required)

DD slash MM slash YYYY

If they intend to give birth in New Zealand, indicate how the cost of maternity health services will be paid for and provide the relevant evidence(Required)

They will be eligible for publicly-funded maternity health services

They have at least NZ $9,000 of funds available and will cover the costs themselves

Their sponsor has guaranteed to cover the cost

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

Select the option that applies to the additional people included in this application(Required)

No additional people included in this application need to provide any medical or X-ray certificates

Medical certificates will be provided

X-ray certificates will be provided

Medical and X-ray certificates will be provided

Please list the eMedical reference numbers

Please list the applicant name and the corresponding eMedical reference number

Character

Have any of the additional people included in this application ever been convicted for any offence(s) against the law in any country, including any driving offence(s)?(Required)

Yes

For any country, including New Zealand, are any of the additional people included in this application currently:

Under investigation(Required)

Yes

Wanted for questioning(Required)

Yes

Facing charges(Required)

Yes

Have any of the additional people included in this application ever been removed from, deported from, expelled from, excluded from, or refused entry to any country excluding New Zealand?(Required)

Yes

Have any of the additional people included in this application ever been refused a visa by any country, excluding New Zealand?(Required)

Yes

Have any of the additional applicants ever been a member of, or adhered to, any terrorist organisation?(Required)

Yes

Have any of the additional applicants at any time in a public speech or public comments, or a public broadcast, or in publicly distributing or publishing a document, argues that one race or colour is inherently inferior or superior to another race or colour; or used language intended to encourage hospitality 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?(Required)

Yes

Have any of the additional applicants been (or currently are) a member of an organisation or group which had objectives or principals based on hostility against people or groups on the basis of colour, of a particular race or colour are inherently inferior or superior to other races or colours?(Required)

Yes

Have any of the additional applicants had (or 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?(Required)

Yes

Do any of the additional applicants have an outstanding arrest warrant in any country, including New Zealand?(Required)

Yes

Please provide details if you have checked 'Yes' to the above questions(Required)

Step 7: Partner

Do you currently have a partner/spouse?(Required)

Yes

Has your current partner been previously granted a relationship-based visa on the basis of your relationship?(Required)

Yes

Are you including your partner/spouse in this application?(Required)

Yes

Are you and your partner currently living together in the same house in a genuine and stable relationship?(Required)

Yes

Please provide a brief explanation as to why you are not living together(Required)

Have you lived together with your partner/spouse in the same house for more than 12 months as a genuine/stable couple?(Required)

Yes

Whether in New Zealand, or in other countries

Do you have relevant evidence/proof that will show that you have lived together for at least 12 months?(Required)

Yes

Are you close relatives?(Required)

Yes

Partner Details

Your partner's name(Required)

First Middle Last

As shown in passport

Your partner's title(Required)

Has your partner ever been known by other names?(Required)

Yes

e.g. English name, preferred name

Your partner's other name(Required)

Other given/first name(s) Other middle name(s) Other family/last name

Name type of your partner's other name(Required)

Your partner's gender(Required)

Male

Female

Your partner's date of birth(Required)

DD slash MM slash YYYY

As shown in passport

Relationship to you(Required)

Your partner's current address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your partner's country of birth(Required)

Your partner's state/province/region of birth(Required)

Your partner's town/city of birth(Required)

Your partner's passport number(Required)

Your partner's country/territory of passport(Required)

Your partner's expiry date of passport(Required)

DD slash MM slash YYYY

Does your partner hold other citizenships?(Required)

Yes

Your partner's country/territory of second citizenship(Required)

Step 8: Confirmation

Confirmation(Required)

I confirm that the information provided in this form is true and correct to the best of my knowledge

Name(Required)

Signature(Required)

2021 Resident Visa - Phase 2

Step 1: Principal Applicant - Basic

Personal Details

Step 2: Principal Applicant - Eligibility

Basic Criteria

'Settled' Criteria

'Skilled' or 'Scarce' Criteria

Employer details as at 29 September 2021

'Skilled' or 'Scarce' Employment Update

Employer details as at today

Step 3: Additional Applicants

Additional Applicant 1

Additional Applicant 2

Additional Applicant 3

Additional Applicant 4

Additional Applicant 5

Step 4: Principal Applicant - Health

Step 5: Principal Applicant - Character

Step 6: Additional Applicants - Health & Character

Health

Character

Step 7: Partner

Partner Details

Step 8: Confirmation

Follow us on

Menu