0508 MIGRATE, The Immigration Division of Becker & Co 百可律师事务所通达移民公司


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In New Zealand Immigration Toll free hot Line ：0508 644 728 (Overseas please call +64 508 644 728)

Apply Student Visa / Permit In New Zealand

By completing the following Evaluation form, Becker & Co are able to determine whether you are able to get a Student Work Visa or Permit in New Zealand. To continue please fill out as much as possilbe or contact us for further assistance.

1. Basic information

Name:
Sex:
Date of Birth:
Citizenship:
Relationship:
Address:
Email address so we are able to contact you:
Telephone number:

2. Qualifications

Do you have any qualifications?
Main Qualification
What is your main qualification?
Name of qualification:
Which institute or university awarded the qualification?
In which city and country is the institute or university?
New Zealand Qualifications

Do you have a New Zealand qualification?
What is the qualification?
Name of qualification:
Which institute or university awarded the qualification?
Other Qualifications
Please list all other qualifications not already listed, including where these were gained.

3. Employment History

Do you have a New Zealand job or job offer?

How long have you worked in New Zealand?
In which city is your job or job offer?
What is the name or description of the job or job offer?
Previous Employment
Have you worked previously?
How long did you work in your last job?
What was the name or description of the job in which you last worked?
List all other jobs you have previously held, for how long and where.

4. English Language Skills

Do you have an English-speaking background?	Yes No
What do you think your English level would be? If advanced, skip to question 5.	Advanced Medium Low level
Have you taken a course where only English was spoken?	Yes No
If so, where and when?
How long was the course?
Have you worked in New Zealand for 12 months in a job where English was used?	Yes No
Have you ever taken an English test (IELTS)?	Yes No
When did you take the test?
What was your score?

5. Your Partner's Information

How long have you been in a relationship with your partner?
What is your partner's country(s) of citizenship?
Does your partner have a job or job offer in New Zealand?
Has your partner been working in New Zealand and if so, for how long?
What is your partner's level of English?	Advanced Medium Low level
Has your partner taken an English test(IELTS or similar)?	Yes No
If so what is the score and when was the test taken?
Does your partner have a qualification ?	Yes No
If so what is the name of the qualification(s) and where were they gained?

6. Relatives

In New Zealand
Do you have a partner, any siblings, parents, children or grandchildren living in New Zealand?	Yes No
List any of: your partner, siblings, parents, children or grandchildren in New Zealand who are permanent residents or citizens of New Zealand.
Outside New Zealand
Do you have a partner, any siblings, parents, children or grandchildren living outside New Zealand?	Yes No
List any of: your partner, siblings, parents, children or grandchildren who are living outside of New Zealand and note the country in which they are permanent residents or citizens.

7. Funds avaliable for study

Do you have funds available to invest in New Zealand?	Yes No
If so, what is the value of your available investment funds?

8. Health

Do you have any health issues which require ongoing treatment or care?	Yes No
Specify:
Have you suffered any serious illness requiring hospitalization for more than one month?	Yes No
Specify:

9. Character

Have you been convicted, charged or investigated in respect of a criminal offence?	Yes No
Specify:
Have you been deported, excluded or removed from any country?	Yes No
Specify:

10. Study

Do you have an offer of a place from a New Zealand education provider?	Yes No
If yes, name of the education provider and proposed course of study:
If no, do you want us to assist you to find a place with a New Zealand education provider?	Yes No
Describe any other requirements you want us to assist you with to enable you to study in New Zealand.

11. General

Please add any additional comments or information you think may assist us to assess your application.

Please note all information is treated as confidential.

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