Immigration Enquiry Form

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First Name:

Surname:

Residential Address:

Postal Address (if different):

Gender:

Pronouns:

Home Phone Number:

Work Phone Number:

Mobile Phone Number:

WhatsApp:

Email:

Citizenship:

Date of Birth:

Children (how many):

Are You in NZ or Outside NZ:

If outside NZ, where are you:

Do you have a valid visa/permit to be in NZ?:

If Yes, what type of visa/permit do you have:

Expiry date of visa/permit:

What is your enquiry? Please let us know what visa/permit you wish to apply for?

Please leave this field empty.

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