Varma Legal, Barrister and Solicitor
Phone No. : ( +64 ) -9-627-2660
id

evaluation

Evaluation

DETAILS FOR NEW ZEALAND IMMIGRATION ASSESSMENT


Family Name :   First Name :  
Sex : Date of Birth :    
Citizenship(s) :   New Zealand contact’s name and address (if any) :

Address : E-mail :  
Phone : Fax numbers for communication :

QUALIFICATION(S) FROM 10 + 2
Name of Institute Name of the Certificate / Diploma/Degree Percentage / Division Obtained
     

WORK EXPERIENCE
Name of Employer and / or SELF EMPLOYMENT DETAILS Period of Employment / Business From / To Date, Month & Year Position Title Country in which employer and or business has its registered office Income Tax Payee

English Language Ability
Do you have IELTS certificate not more than two years old?
Band Score :
 

Details of Other Family Members
Name and Age Country of Residence

NAME OF CHILDREN (biological, adopted or step) Date of Birth

MARITAMARITAL STATUS

Name of Partner Date of Birth
   

PARTNER’S
Address : E-mail :
Phone : Fax numbers for communication :

PARTNER’S QUALIFICATION(S) FROM 10 + 2
Name of Institute Name of the Certificate/Diploma/Degree Percentage/Division Obtained
     

WORK EXPERIENCE
Name of Employer/and or self employment details Period of Employment/Business From/To Date, Month & Year Position Title Country in which employer has its registered office Income Tax Payee

English Language Ability
Do you have IELTS certificate not more than two years old?
Band score :
 

Details of Partner’s Other Family Members
Name and Age Country of Residence

NAME OF CHILDREN (biological, adopted or step) Date of Birth
 
 
 
 

ASSETS AND INVESTMENTS OWNED INDIVIDUALLY OR JOINTLY WITH PARTNER AND CHILDREN

Property / Land Registered Value

Shares / Units / Debentures etc. Market Value

Bank Accounts Funds Available

Gold / Diamond / Jewellery Registered Value

Insurance Policy(s) Surrender Value

Is anyone included in the application :
  • Convicted or under investigation of any offence committed in the last ten years.
  • Deported or excluded or removed, asked to leave, refused entry, or refused a visa/permit to any country including New Zealand.
  • Involved with terrorism or drug trade.






If Yes, to any of the above please provide details:
 
Is anyone included in the application suffering from medical condition?
If yes, describe medical condition and its prognosis in detail.