INZ 1202 Parent Category EOI OCT22 v2
INZ 1202 Parent Category EOI OCT22 v2
INZ 1202 Parent Category EOI OCT22 v2
Parent Category
Expression of Interest Form
Ballot Pool
You are submitting an Expression of Interest (EOI) into the Parent Category Ballot Pool (Pool).
EOIs are selected randomly from this Pool.
EOIs that have not been selected from the Pool will expire two years after they are submitted.
More information about EOI expiry and selection dates can be found at www.immigration.govt.nz.
immigration.govt.nz
When filling in this form, please write clearly using CAPITAL LETTERS.
Section A Identity
In this section we need to confirm that you are who you say you are.
For more information, see ‘Your identity and personal details’ in the Parent Category Guide.
A2 Provide all other names you are known by or have ever been known by
A5 Date of birth
A6 Town/city of birth
Country of birth
A10 Details of all passports held.
Passport 1
Number Country
Passport 2
Number Country
Taxation number
Taxation number
Country
Country
National ID number or other unique identifier that was issued to you by any government.
National ID number
Country
A12 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 To Country
From To Country
From To Country
From To Country
From To Country
From To Country
From To Country
From To Country
From To Country
From To Country
A13 Provide your residential address and contact details (do not use your adviser’s address). This is considered your
permanent place of residence for tax purposes.
Address
Telephone (daytime) Telephone (evening)
Fax Email
A14 Provide your mailing address if this is different to your residential 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.
Suburb
Country
A15 If your residential address is in New Zealand, also provide your last residential address in your main country
of citizenship.
Number and street name/PO Box
Suburb
Country
A16 Name and address for communication about this Expression of Interest (EOI).
New Zealand Business Number (if applicable) For help search: www.nzbn.govt.nz
Fax Email
A17 Do you authorise the person stated at A16 to act on your behalf? Yes No
A18 What is your preferred means of communication in relation to this EOI? Email Letter
If you prefer to be contacted by email, what email address do you want communications sent to?
Email address given at A13 or Email address given at A16 or Email address given below.
A19 Do you authorise all other licensed immigration advisers or persons exempt from licensing who work for the
organisation named at A16 to act on your behalf (if applicable)?
Yes Note: the person identified at A16 will receive all communication from Immigration New Zealand.
Yes Make sure that your immigration adviser completes Section J: Immigration adviser’s details.
No
A21 If you have previously submitted an EOI provide the EOI number here
A23 Do you meet the minimum requirements for recognition of partnerships? Yes No
Refer to the Parent Category Guide (INZ 1207) under Partner in the section ‘Summary of Terms’.
Please note that if you have a partner who is eligible to be included in your Expression of Interest, but you do
not include them, they will not be eligible for residence based on your partnership later on, even if you become
a New Zealand resident.
Partners are considered eligible for inclusion in an EOI even if it appears that your sponsor (or sponsors) may not meet
the income requirement to sponsor multiple Parent category applicants.
For more information, see ‘Partner’s identity and personal details’ in the Parent Category Guide.
B3 Partner’s preferred title Mr Mrs Ms Miss Dr other (specify)
B7 Provide your partner’s birth certificate number and the name of the issuing authority.
Passport 2
Number Country
Expiry date Issue date Place of issue
Family/last name as shown in passport Given/first name(s) as shown in passport
Passport 3
Number Country
Expiry date Issue date Place of issue
Family/last name as shown in passport Given/first name(s) as shown in passport
National ID number or other unique identifier that was issued to you by any government.
National ID number Country
B12 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 your partner lives in now.
From To Country
From To Country
From To Country
From To Country
From To Country
From To Country
From To Country
From To Country
From To Country
From To Country
B13 If your partner has previously submitted an EOI provide the EOI number here
If you do not have a partner who you are including in this Expression of Interest, answer each question for
yourself only.
For more information, see ‘Character requirements’ in the Parent Category Guide.
C1 Have you or 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
C2 Have you or 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
C3 Are you or your partner subject to a period of prohibition under the Immigration Act 2009? Yes No
C4 Have you or your partner ever been deported from any country, excluding New Zealand? Yes No
C5 Have you or your partner been involved in any terrorist activities or supported similar violent activities?
Yes No
C6 Have you or your partner been a member of, or belonged to, any terrorist group? Yes No
C7 Have you or your partner been involved in any drug trading or trafficking? Yes No
C8 Have you or your partner been a member of, or belonged to, any group with criminal objectives? Yes No
C9 Have you or 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 C1 to C9 , 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, you will not be invited to apply for residence.
C10 Are you or your partner currently under investigation, or wanted, by any law enforcement agency in any country?
Yes No
C11 Have you or your partner ever been convicted or found guilty of any offence(s) against the law in any country
(including convictions that resulted in a suspended sentence or any expunged criminal records)?
Yes No
C12 Have you or your partner been convicted of an offence (including a traffic offence), committed within the last
five years, involving dangerous driving, driving having consumed excessive alcohol (including drunk driving and
driving with a blood or breath alcohol content in excess of a specified limit) or driving having consumed drugs
(including convictions that resulted in a suspended sentence or any expunged criminal records)?
Yes No
C13 Have you or your partner ever been charged with any offence against the law in any country? Yes No
C14 Have you or your partner ever been refused entry to any country, excluding New Zealand? Yes No
C15 Have you or your partner ever been refused a visa/permit for any country, excluding New Zealand?
Yes No
C16 Have you or your partner been involved in any people trafficking? Yes No
C17 Have you or your partner been a member of, or belonged to, any group of people that had/has objectives
or principles based on hostility against people or groups of people on the basis of colour, race, ethnic or
national origins?
Yes No
C18 Have you or your partner been a member of, or belonged to, any group of people that had/has objectives or
principles based on an assumption that persons of a particular race or colour are inherently inferior or superior
to other races or colours?
Yes No
C19 Have you or your partner, in the course of applying for a New Zealand visa, made any statement or provided any
information, evidence, or submission that was false, misleading or forged, or withheld material information?
Yes No
C20 Have you or your partner, in supporting any application by another person for a New Zealand visa, made any
statement or provided any information, evidence, or submission that was false, misleading, or forged?
Yes No
If you answered Yes to any of questions C10 to C20 , you must provide a full explanation about the
surrounding circumstances. If your Expression of Interest is selected from the Pool you, or your partner,
may be asked to provide a police certificate or other relevant information to enable INZ to fully consider
those circumstances.
If you do not have a partner who you are including in this Expression of Interest, answer each question for
yourself only.
Read the leaflet Health Requirements (INZ 1121) for more information.
D1 Do you or your partner require, or are either of you likely to require, dialysis treatment in the immediate future?
Yes No
D5 Have you or your partner been exposed to, or diagnosed with, any infectious or communicable diseases?
Yes No
D6 Are you or your partner receiving, or have either of you received, any treatment for any psychiatric condition or
developmental disorder?
Yes No
D7 Do you or your partner have any condition that is likely to require ongoing treatment or medication?
Yes No
If you answered Yes to any of questions D5 to D7 , you must provide an explanation of your or your partner’s
medical condition. If your Expression of Interest 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.
For more information, see ‘English language ability’ in the Parent Category Guide.
E1 How do you meet the requirement for a minimum standard of English? (Select only one.)
Acceptable English Language test results. See the table on the next page. Go to E3
Completed a qualification, that was conducted entirely in English, to the minimum standard as defined in the
guide. Go to E4
Completed qualifications that meet the minimum standard, as defined in the guide. Go to E4
International English Language Testing System 4.0 or more in at least two of the four skills (Listening, Reading, Writing and Speaking)
(IELTS) – General or Academic Module Or
An overall score of 5.0 or more
Test of English as a Foreign Language Internet- At least two of the following skill scores:
based Test (TOEFL iBT) Listening: 2 or more
Reading: 2 or more
Writing: 11 or more
Speaking: 11 or more
Or
An overall score of 35 or more
Pearson Test of English Academic (PTE 29 or more in at least two of the four skills (Listening, Reading, Writing and Speaking)
Academic) Or
An overall score of 36 or more
Cambridge English B2 First (FCE) 142 or more in at least two of the four skills (Listening, Reading, Writing and Speaking)
or Or
B2 First for Schools (FCE for Schools) An overall score of 154 or more
Occupational English Test (OET) Grade D or higher in at least two of the four skills (Listening, Reading, Writing and Speaking)
Or
Grade C or higher in all four skills (Listening, Reading, Writing and Speaking)
E2 Provide details explaining why you meet the minimum standard, as defined in the Guide.
E3 If you have an acceptable English language test result, provide details below:
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)).
Listening score
Reading score
Writing score
Speaking score
E5 Provide details explaining why your partner meets the minimum standard, as defined in the Guide.
E6 If your partner has an acceptable English language test result, provide details below:
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)).
Listening score
Reading score
Writing score
Speaking score
For more information, see ‘Family details’ in the Parent Category Guide.
F1 Do you or your partner (if any) have any dependent children? Yes No
F2 Please give your parents’ details. Include both biological and adoptive parents, if applicable. If your parents are
deceased, give details of legal guardians (if any), and/or grandparents.
F3 Please give the details of your brothers and sisters. Include half-, step-, and adopted brothers and sisters.
F4 Please give details of any children you have. Include any biological, adopted, and step-children from previous or
current marriages/relationships.
In the following questions, please give details of ALL your partner’s family. It is not necessary to list deceased
family members.
F5 Please give your partner’s parents’ details. Include both biological and adoptive parents, if applicable. If both
parents are deceased, give details of legal guardians (if any), and/or grandparents.
F6 Please give the details of your partner’s brothers and sisters. Include half-, step-, and adopted brothers and sisters.
Full name Gender Date of birth Partnership status Country of Does the person
(M/F) (DD/MM/YYYY) (eg single, married, residence intend to migrate
partner etc) with you? (Y/N)
/ /
/ /
/ /
/ /
/ /
/ /
/ /
Joint income of two sponsors (adult child and second sponsor). Please answer G2 – G37
G6 Country of birth
Address
Telephone (daytime) Telephone (evening)
Fax Email
Sponsor eligibility
If your expression of interest is selected before your sponsor is eligible, you may not be invited to apply
for residence.
For more information on sponsor eligibility, see ‘Requirements to gain residence’ in the Parent Category Guide.
G10 Is your sponsor a New Zealand residence class visa holder or a New Zealand citizen?
Yes If applicable, what date were they first granted residence in New Zealand?
No
Sponsors must be a New Zealand citizen or the holder of a current residence class visa and have been a New Zealand citizen and/or the holder
of a New Zealand residence class visa for the past three years.
G11 If your sponsor holds a residence class visa, is it subject to conditions under Section 49 of the Immigration Act?
Yes No Not applicable
G12 If your sponsor holds a New Zealand residence class visa, is your sponsor liable for deportation?
Yes No Not applicable
G13 Is this sponsor currently sponsoring another person under the Parent Category?
Yes No
Provide the names of the person/s currently being sponsored.
G14 Is New Zealand your sponsor’s primary place of established residence? Yes No
G15 Has your sponsor previously breached any sponsorship obligations or do they have any outstanding debts as a
result of another sponsorship arrangement?
Yes No
G16 Has your sponsor entered insolvency procedures or been adjudicated bankrupt? Yes No
G17 Is your sponsor serving a custodial sentence or are they awaiting sentencing after being convicted of a crime
which carries a custodial sentence?
Yes No
G18 Has your sponsor ever been convicted of an offence under Immigration law? Yes No
G19 Is your sponsor sponsoring you for the purpose of receiving a financial reward or fee? Yes No
Second sponsor
Your second sponsor will need to agree to act as a sponsor and undertake sponsorship obligations.
G22 Other names they are known by or have ever been known by
If your expression of interest is selected before your second sponsor is eligible, you may not be invited to apply.
G28 Is your second sponsor a New Zealand residence class visa holder or a New Zealand citizen?
Yes If applicable, what date were they first granted residence in New Zealand?
No
Sponsors must be a New Zealand citizen or the holder of a current residence class visa and have been a New Zealand citizen and/or the holder
of a New Zealand residence class visa for the past three years.
G29 If your second sponsor holds a residence class visa, is it subject to conditions under Section 49 of the
Immigration Act?
Yes No Not applicable
G30 If your second sponsor holds a New Zealand residence class visa, are they liable for deportation?
Yes No Not applicable
G31 Is this sponsor currently sponsoring another person under the Parent Category?
Yes No
Provide the names of the person/s currently being sponsored.
G32 Is New Zealand this sponsor’s primary place of established residence? Yes No
G33 Has this sponsor previously breached any sponsorship obligations or do they have any outstanding debts as a
result of another sponsorship arrangement?
Yes No
G34 Has this sponsor entered insolvency procedures or been adjudicated bankrupt? Yes No
G35 Is this sponsor serving a custodial sentence or are they awaiting sentencing after being convicted of a crime
which carries a custodial sentence?
Yes No
G36 Has this sponsor ever been convicted of an offence under Immigration law? Yes No
G37 Is this sponsor sponsoring you for the purpose of receiving a financial reward or fee? Yes No
If you are invited to apply (ITA), your sponsor and your second sponsor (if applicable) will need to meet the minimum
income requirement for any two 12-month periods out of the past three years before your ITA date. For the current
income thresholds please visit our website at www.immigration.govt.nz.
The minimum income requirement must be met by taxable income that is recorded on your sponsor’s (or sponsors’)
Inland Revenue tax statements (Summary of Income). For self-employed sponsors, the taxable income recorded on
their Inland Revenue Final Tax Summary for the most recent financial year may be used.
H1 Do you understand that your sponsor/s will need to meet the minimum income requirement for any two
12-month periods out of the past three years before your ITA date?
Yes No
H2 Do you understand that evidence to support the income of your sponsor/s must be their Inland Revenue tax
statements?
Yes No
For more information on the declarations sections, see ‘Declarations’ in the Parent Category Guide.
Important
I understand that if I make any false statements, or provide any false or misleading information, or have changed
or altered this 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.
I understand the notes and questions in this form and I declare the information given about myself, my partner and
any children is true and complete.
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, my
application being declined, or that I will become liable for deportation.
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 I intend to apply for.
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.
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 Expression
of Interest.
I authorise INZ to make any enquiries it deems necessary regarding the information provided on this 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.
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.
I accept that any advice given to me by INZ before expressing interest and submitting this form was intended to assist
me, and acting on that does not mean that any later application for residence will be granted.
I am a licensed immigration adviser under the New Zealand Immigration Advisers Licensing Act 2007. Go to L2 .
I am exempt from licensing under the New Zealand Immigration Advisers Licensing Act 2007. Go to L3 .
If you are unlicensed when you should be licensed under the Immigration Advisers Licensing Act 2007,
INZ will return your client’s expression of interest. It is an offence to provide immigration advice without
holding a licence, unless you are exempt.
J3 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 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 K: Declaration by person assisting.
Family/last name
Given/first name(s)
New Zealand Business Number (if applicable) For help search: www.nzbn.govt.nz
Fax Email
I understand that after the submitter 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 submitter 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 submitter as an interpreter/translator.
I have provided immigration advice (as defined in the Immigration Advisers Licensing Act 2007) and my details
in Section J: Immigration adviser’s details are correct.
Date
website at www.immigration.govt.nz.
Signature of cardholder
For more information
If you have questions about completing the form:
• see our website
www.immigration.govt.nz/contactus Date D D M M Y Y Y Y