Parent Category Expression of Interest Form (INZ 1202)

OFFICE USE ONLY Client no.: Date received: / / Application no.:
provide all the documents we ask you to, otherwise
we may not be able to accept your application. Please
do not submit documents with your Expression of
Interest form. If you are applying for residence while
you are in New Zealand, you need to make sure your
visa is valid at the time you apply for residence.
Parent Category
This booklet is only a guide to help you understand the
terms used in the Parent Category application process.
The authoritative detail of the Parent Category is
contained in the Immigration New Zealand Operational
Manual in the Residence Family chapter. You can read
this online at www.immigration.govt.nz/opsmanual.
For further information on immigration
visit www.immigration.govt.nz
July 2012
INZ 1207
Parent Category
Guide
A guide for applying for residence in New Zealand
Overview of the Parent Category
Purpose of this guide
Who is this guide for?
This guide gives information on how to
understand the terms and
This guide is for people who want to submit Expressions
fill out a residence Parent
of Interest and apply for New Zealand residence under the
Category Expression of
Parent Category. If you want to apply for residence under any
Interest Form (INZ 1202) and other residence category, see our Self-Assessment Guide
a Parent Category Residence for Residence in New Zealand (INZ 1003) or other residence
Application (INZ 1206). You
guides. You may pick up a copy of these documents from any
should read this guide before branch of Immigration New Zealand (INZ) or print copies from
you complete the application our website www.immigration.govt.nz/forms.
form. The guide gives you
information about:
Submitting an Expression of Interest
• how to make an Expression Before you make an application under the Parent Category, you
of Interest and an
must first submit an Expression of Interest. Your Expression
application under the
of Interest will be placed in an Expression of Interest Pool.
Parent Category, and
Once it is selected, we will check whether you are eligible to
• what evidence you need to apply for residence. If you are, we will send you an invitation to
provide with your residence apply and you may make a residence application.
application.
The prerequisites
Please take time to read
this guide carefully and refer To be considered under this category, you must:
to it when completing both • be of good health and character
your Expression of Interest
• have no dependent children
form and your residence
application.
• have a reasonable standard of English
When making an application,
please make sure you answer
all the relevant questions and
*
OFFICE USE ONLY Client no.: Date received: / / Application no.:
INZ 1000
Residence
Application
under Family Category, Residence from Work Category, and special instructions
INZ 1002
Use the guide to help you complete the application form
INZ 1002
Residence
Guide
a guide to completing the Residence Application (INZ 1000)
For help completing this form, please refer to the Residence Guide (INZ 1002).
Who is this guide for?
About this guide
For use by applicants applying for residence class visa under the:
This guide is intended to help you complete
• Residence From Work Category
your Residence Application (INZ 1000)
correctly. It explains the
• Family categories
OFFICE USE ONLY Client no.: Date received: / / Application no.:
INZ 1000 evidence you must provide • Pacific Access Category
Residence when applying for residence. • Samoan Quota Scheme, or
Application
under Family Category, Residence from Work Category, and special instructions
Immigration Advisers Licensing Act 2007
You should read this
• Special Residence categories.
Use the guide to help you complete the application form
For help completing this form, please refer to the Residence Guide (INZ 1002).
Immigration Advisers Licensing Act 2007
Under the Immigration Advisers Licensing Act 2007 it is an offence to provide immigration guide along with the Self- If you want to submit an Expression of Interest under the
advice without being licensed or exempt. If your immigration adviser is not licensed when they
should be, Immigration New Zealand will return your application.
For more information and to view the register of licensed advisers, go to the Immigration
Advisers Authority website www.iaa.govt.nz or email info@iaa.govt.nz. Assessment Guide for
Skilled Migrant Category, you can either complete and submit
Residence category/instructions you are applying under
Residence in New Zealand an Expression of Interest form online at www.immigration.
Which residence category are you applying under?
Family Pacific Access Category Refugee Family Support Category
Residence from Work Samoan Quota Scheme Other (Specify)
If you are applying under the Family: Partnership Category or the Family: Dependent Child Category, answer the following question. (INZ 1003), which sets
govt.nz or you can fill in a paper form (available from an
Is your partner or parent an expatriate New Zealander? Yes No
For the purposes of prioritising such applications, an expatriate New Zealander is either:
• a New Zealand citizen, or
• the holder of a residence class visa,
out the instructions
Immigration New Zealand (INZ) office or our website).
and has been absent from New Zealand for at least two years prior to the date of this application (apart from short visits).
In the case of a partnership application the New Zealand partner must have been living together with the principal applicant
for 12 months or more in a partnership that is genuine and stable.
requirements for people
If you want to apply for residence under the Migrant Investment
applying for residence in
Instructions, see our Investor Plus (Investor 1 Category) Guide
New Zealand.
(INZ 1162), or Investor (Investor 2 Category) Guide (INZ 1164). Under the Immigration Advisers Licensing Act 2007 it is an offence to provide immigration
For further information on immigration
April 2011
visit www.immigration.govt.nz
Please take time to read this If you want to apply for residence under the Entrepreneur
guide carefully, and refer to it or Employee of a Relocating Business categories, see our
when completing your application form.
Entrepreneur/ERB Guide (INZ 1057).
Numbered boxes like this B9 refer to questions in the
advice without being licensed or exempt. If your immigration adviser is not licensed when they
application form. Please make sure you answer all the Migrant levy
relevant questions and provide all the documents we
ask you to, otherwise we may not be able to accept If your application for residence is successful then you may
your application. If you are applying for residence while need to pay a migrant levy before your residence is granted.
you are in New Zealand on a visitor, work or student You can find details of which categories of applicants are should be, Immigration New Zealand will return your application.
visa, you need to make sure your visa is valid when you required to pay the migrant levy and the amount you will need
apply for residence.
to pay in our Fees Guide (INZ 1028).
Help us to decide your application quickly by:
More information
• reading this guide carefully, and
• providing all the required documents with your
You can get more information and advice from:
application form.
• Any of our INZ branch offices overseas. We have overseas
For more information and application forms visit our
offices in Apia, Bangkok, Beijing, Ho Chi Minh City, Hong Kong, For more information and to view the register of licensed advisers, go to the Immigration
website at www.immigration.govt.nz.
Jakarta, London, Moscow, Mumbai, New Delhi, Nuku’alofa,
Pretoria, Shanghai, Singapore, Suva, Sydney and Taipei.
• Any of our INZ offices in New Zealand, which are located in
Auckland, Henderson, Manukau, Hamilton, Palmerston North,
Wellington, Queenstown, Christchurch and Dunedin Advisers Authority website www.iaa.govt.nz or email info@iaa.govt.nz.
• Your nearest New Zealand Embassy or High Commission.
All INZ forms, leaflets and fee information can be downloaded
from our website www.immigration.govt.nz.
Lawyers provide immigration advice and are exempt from licensing under the Immigration
For further information on immigration
November 2011
visit www.immigration.govt.nz
Advisers Licensing Act. For more information and to view the register of immigration lawyers,
go to the New Zealand Law Society website www.lawsociety.org.nz.
When filling in this form, please print clearly in English using CAPITAL LETTERS.
Residence category/instructions you are applying under
Which residence category are you applying under?
Family Pacific Access Category Refugee Family Support Category
Residence from Work Samoan Quota Scheme Other (Specify)
If you are applying under the Family: Partnership Category or the Family: Dependent Child Category, answer the following question.
Is your partner or parent an expatriate New Zealander? Yes No
For the purposes of prioritising such applications, an expatriate New Zealander is either:
• a New Zealand citizen, or
• the holder of a residence class visa,
and has been absent from New Zealand for at least two years prior to the date of this application (apart from short visits).
In the case of a partnership application the New Zealand partner must have been living together with the principal applicant
for 12 months or more in a partnership that is genuine and stable.
For further information on immigration
March 2012
visit www.immigration.govt.nz
OFFICE USE ONLY Client no.: Date received: / / Application no.:
INZ 1000
Residence
Application
under Family Category, Residence from Work Category, and special instructions
INZ 1002
Use the guide to help you complete the application form
INZ 1002
Residence
Guide
a guide to completing the Residence Application (INZ 1000)
For help completing this form, please refer to the Residence Guide (INZ 1002).
Who is this guide for?
About this guide
For use by applicants applying for residence class visa under the:
This guide is intended to help you complete
• Residence From Work Category
your Residence Application (INZ 1000)
correctly. It explains the
• Family categories
OFFICE USE ONLY Client no.: Date received: / / Application no.:
INZ 1000 evidence you must provide • Pacific Access Category
Residence when applying for residence. • Samoan Quota Scheme, or
Application
under Family Category, Residence from Work Category, and special instructions
Immigration Advisers Licensing Act 2007
You should read this
• Special Residence categories.
Use the guide to help you complete the application form
For help completing this form, please refer to the Residence Guide (INZ 1002).
Immigration Advisers Licensing Act 2007
Under the Immigration Advisers Licensing Act 2007 it is an offence to provide immigration guide along with the Self- If you want to submit an Expression of Interest under the
advice without being licensed or exempt. If your immigration adviser is not licensed when they
should be, Immigration New Zealand will return your application.
For more information and to view the register of licensed advisers, go to the Immigration
Advisers Authority website www.iaa.govt.nz or email info@iaa.govt.nz. Assessment Guide for
Skilled Migrant Category, you can either complete and submit
Residence category/instructions you are applying under
Residence in New Zealand an Expression of Interest form online at www.immigration.
Which residence category are you applying under?
Family Pacific Access Category Refugee Family Support Category
Residence from Work Samoan Quota Scheme Other (Specify)
If you are applying under the Family: Partnership Category or the Family: Dependent Child Category, answer the following question. (INZ 1003), which sets
govt.nz or you can fill in a paper form (available from an
Is your partner or parent an expatriate New Zealander? Yes No
For the purposes of prioritising such applications, an expatriate New Zealander is either:
• a New Zealand citizen, or
• the holder of a residence class visa,
out the instructions
Immigration New Zealand (INZ) office or our website).
and has been absent from New Zealand for at least two years prior to the date of this application (apart from short visits).
In the case of a partnership application the New Zealand partner must have been living together with the principal applicant
for 12 months or more in a partnership that is genuine and stable.
requirements for people
If you want to apply for residence under the Migrant Investment
applying for residence in
Instructions, see our Investor Plus (Investor 1 Category) Guide
New Zealand.
(INZ 1162), or Investor (Investor 2 Category) Guide (INZ 1164). Under the Immigration Advisers Licensing Act 2007 it is an offence to provide immigration
For further information on immigration
April 2011
visit www.immigration.govt.nz
Please take time to read this If you want to apply for residence under the Entrepreneur
guide carefully, and refer to it or Employee of a Relocating Business categories, see our
when completing your application form.
Entrepreneur/ERB Guide (INZ 1057).
Numbered boxes like this B9 refer to questions in the
advice without being licensed or exempt. If your immigration adviser is not licensed when they
application form. Please make sure you answer all the Migrant levy
relevant questions and provide all the documents we
ask you to, otherwise we may not be able to accept If your application for residence is successful then you may
your application. If you are applying for residence while need to pay a migrant levy before your residence is granted.
you are in New Zealand on a visitor, work or student You can find details of which categories of applicants are should be, Immigration New Zealand will return your application.
visa, you need to make sure your visa is valid when you required to pay the migrant levy and the amount you will need
apply for residence.
to pay in our Fees Guide (INZ 1028).
Help us to decide your application quickly by:
More information
• reading this guide carefully, and
• providing all the required documents with your
You can get more information and advice from:
application form.
• Any of our INZ branch offices overseas. We have overseas
For more information and application forms visit our
offices in Apia, Bangkok, Beijing, Ho Chi Minh City, Hong Kong, For more information and to view the register of licensed advisers, go to the Immigration
website at www.immigration.govt.nz.
Jakarta, London, Moscow, Mumbai, New Delhi, Nuku’alofa,
Pretoria, Shanghai, Singapore, Suva, Sydney and Taipei.
• Any of our INZ offices in New Zealand, which are located in
Auckland, Henderson, Manukau, Hamilton, Palmerston North,
Wellington, Queenstown, Christchurch and Dunedin Advisers Authority website www.iaa.govt.nz or email info@iaa.govt.nz.
• Your nearest New Zealand Embassy or High Commission.
All INZ forms, leaflets and fee information can be downloaded
from our website www.immigration.govt.nz.
Lawyers provide immigration advice and are exempt from licensing under the Immigration
For further information on immigration
November 2011
visit www.immigration.govt.nz
Advisers Licensing Act. For more information and to view the register of immigration lawyers,
go to the New Zealand Law Society website www.lawsociety.org.nz.
When filling in this form, please print clearly in English using CAPITAL LETTERS.
Residence category/instructions you are applying under
Which residence category are you applying under?
Family Pacific Access Category Refugee Family Support Category
Residence from Work Samoan Quota Scheme Other (Specify)
If you are applying under the Family: Partnership Category or the Family: Dependent Child Category, answer the following question.
Is your partner or parent an expatriate New Zealander? Yes No
For the purposes of prioritising such applications, an expatriate New Zealander is either:
• a New Zealand citizen, or
• the holder of a residence class visa,
and has been absent from New Zealand for at least two years prior to the date of this application (apart from short visits).
In the case of a partnership application the New Zealand partner must have been living together with the principal applicant
for 12 months or more in a partnership that is genuine and stable.
• have an adult child who is a New Zealand citizen or resident
For further information on immigration
March 2012
visit www.immigration.govt.nz
and is eligible to sponsor you, and
• either meet specific financial requirements or have a
sponsor that meets income requirements.
To be considered under tier two of the Parent Category,
all your other adult children (if you have any) must live
permanently and lawfully outside the country you reside in.
The two-tiered system
The Parent Category has two tiers – you can make an
Expression of Interest and an application for residence
under either tier one or tier two. Tier one has higher financial
* Applicants (both the principal applicant and any partner) must
have an English-speaking background, have met at least two
competencies of International English Language Testing System
(IELTS) level 4, or pre-purchase a specified amount of English for
Speakers of Other Languages (ESOL) tuition.
For further information on immigration
visit www.immigration.govt.nz
INZ 1202
Parent Category
Expression of Interest Form
Use the guide to help you complete the application form
For help completing this form, refer to the Parent Category Guide (INZ 1207).
When you submit this Expression of Interest to Immigration New Zealand (INZ), we
will consider offering you an Invitation to Apply for residence in New Zealand only if
you meet the following requirements:
•character
•health
•English language
•family relationship
•financial/sponsorship.
The criteria for each of these requirements are explained in this form as per the Residence
Instructions (Parent Category).
You must complete all the questions in the form between sections A and M, and in Section R, unless the form specifically
directs you straight to another question or section. If a question does not apply to you, mark it ’N/A’ or ‘not applicable’. If
you fail to answer any questions or to mark them clearly as ‘N/A’ or ‘not applicable’, we may send the incomplete form back
to you and it will not be submitted into the Expression of Interest Pool until all necessary information is provided.
Do not complete sections O, P or Q when submitting your Expression of Interest. These sections should only be completed
when you have been invited to apply and are making an application for residence.
Expressions of Interest must be accompanied by the correct Expression of Interest fee and sent to:
Immigration New Zealand
PO Box 276118
Auckland Mail Centre
Auckland
New Zealand
Do not send supporting documentation when submitting your Expression of Interest. Only include any additional sheets
required to explain your answers to questions in the form.
Detailed explanations to assist you to fill out this form can be found in the Parent Category Guide (INZ 1207) or on our
website at www.immigration.govt.nz.
If you are found to have provided false information or to have omitted any relevant information in your Expression of Interest,
any subsequent application may be declined and you will lose the right to appeal any decision to decline your application.
Immigration Advisers Licensing Act 2007
Under the Immigration Advisers Licensing Act 2007 it is an offence to provide immigration advice without being licensed or
exempt. If your immigration adviser is not licensed when they should be, Immigration New Zealand will return your application.
For more information and to view the register of licensed advisers, go to the Immigration Advisers Authority website
www.iaa.govt.nz or email info@iaa.govt.nz.
Lawyers provide immigration advice and are exempt from licensing under the Immigration Advisers Licensing Act 2007.
For more information and to view the register of immigration lawyers, go to the New Zealand Law Society website
www.lawsociety.org.nz.
November 2012

When filling in this form, please write clearly using CAPITAL LETTERS.
Which tier of the Parent Category do you intend to apply under?
Tier one Tier two Go to A1
If you intend to apply for the Parent Category under tier one criteria, how do you intend to meet the financial
requirement for tier one?
Through your sponsor’s income (Section H: Sponsor’s income).
By having a guaranteed lifetime minimum income (Section I: Guaranteed lifetime income).
By bringing settlement funds to New Zealand (Section J: Settlement funds).
Please see the Parent Category Guide (INZ 1207) for more information on the requirements for each Parent Category tier.
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.
A1 Name as shown in passport
Family/last name Given/first name(s)
A2 Provide all other names you are known by or have ever been known by
A3 Preferred title Mr Mrs Ms Miss Dr Other (specify)
A4 Gender Male Female
A5 Date of birth
A6 Town/city of birth
Country of birth
A7 Birth certificate number
Name of the issuing authority
A8 Main country of citizenship
A9 List other citizenships you hold.
A10 Details of all passports held.
Passport 1
Number Country
Expiry date Issue date Place of issue
Family/last name as shown in passport Given/first name(s) as shown in passport
2 – Parent Category Expression of Interest Form - November 2012

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
A11 Where applicable, provide the following details.
Taxation number
Taxation number
Country
Social Security number
Social Security number
Country
National ID number or other unique identifier that was issued to you by any government.
National ID number
Country
Chinese Commercial Code
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
Parent Category Expression of Interest Form - November 2012 – 3

When filling in this form, please write clearly using CAPITAL LETTERS.
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
If different from your residential address, provide your mailing 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.
Number and street name/PO Box
Suburb
City, PIN/ZIP code
Country
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
City, PIN/ZIP code
Country
A14 Name and address for communication about this Expression of Interest (EOI).
Same as address at A13 or Other
Family/last name Given/first name(s)
Company name (if applicable) and address
Telephone (daytime) Telephone (evening)
Fax
4 – Parent Category Expression of Interest Form - November 2012
Email
A15 Do you authorise the person stated at A14 to act on your behalf? Yes No
A16 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 A14 or Email address given below.
A17 Have you received immigration advice on this EOI?
You can find a definition of immigration advice at www.immigration.govt.nz/advice.
Yes Make sure that your immigration adviser completes Section L: Immigration adviser’s details.
No
A18 If you have previously submitted an EOI provide the EOI number here.

A19 What is your current partnership status? (Select only one)
Married/in civil union Single Partner Separated Engaged Widowed Divorced
Note: If you have a partner it is important to declare at A21 whether they are to be included in this Expression of Interest or not.
A20 Do you meet the minimum requirements for recognition of partnerships? Yes No
Refer to the Partner Category Guide (INZ 1207) under Partner in the section ‘Summary of Terms’.
A21 Will your partner be included in your residence application? Yes No
Section B Partner’s identity
In this section we need to gather and confirm your partner’s personal details. You must provide this information even
if your partner is not intending to apply for residence with you.
For more information, see ‘Partner’s identity and personal details’ in the Parent Category Guide.
B1 Name as shown in passport
Family/last name Given/first name(s)
B2 Provide all other names you are known by or have ever been known by
B3 Preferred title Mr Mrs Ms Miss Dr other (specify)
B4 Gender Male Female B5 Date of birth
B6 Country of birth
Place of birth (ie town, city, or province)
B7 Provide your partner’s birth certificate number and the name of the issuing authority.
Birth certificate number
Name of the issuing authority
B8 State your partner’s main country of citizenship
B9 List any other citizenships currently held.
B10 Details of all passports held by your partner.
Passport 1
Number Country
Expiry date Issue date Place of issue
Family/last name as shown in passport Given/first name(s) as shown in passport
Parent Category Expression of Interest Form - November 2012 – 5

When filling in this form, please write clearly using CAPITAL LETTERS.
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
B11 Where applicable, provide the following details.
Taxation number
Taxation number Country
Social Security number
Social Security number Country
National ID number or other unique identifier that was issued to you by any government.
National ID number Country
Chinese Commercial Code
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 you live in now.
From To
From To
From To
From To
From To
From To
From To
From To
From To
From To
Country
Country
Country
Country
Country
Country
Country
Country
Country
Country
B13 If your partner has previously submitted an EOI provide the EOI number here
6 – Parent Category Expression of Interest Form - November 2012

Section C Character requirements
In this section we need to confirm that you and any partner are of good character. This is a prerequisite of the
Parent Category.
Questions C1 to C9 relate to sections 15 and 16 of the Immigration Act 2009 (persons prohibited from being granted
a resident visa). People described in sections 15 and 16 of the Immigration Act 2009 cannot ordinarily be granted
residence in New Zealand.
Questions C10 to C20 relate to other character requirements. People described in questions C10 to C20 require a
character waiver to be granted residence. 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, including 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
Parent Category Expression of Interest Form - November 2012 – 7

When filling in this form, please write clearly using CAPITAL LETTERS.
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 deported from any country, including New Zealand? Yes No
C15 Have you or your partner ever been refused entry to any country, including New Zealand? Yes No
C16 Have you or your partner ever been refused a visa/permit for any country, including New Zealand? Yes No
C17 Have you or your partner been involved in any people trafficking? 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 hostility against people or groups of people on the basis of colour, race, ethnic or national origins?
Yes No
C19 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
C20 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
C21 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 C21 , 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.
Attach additional sheets if necessary.
Section D Health requirements
In this section we need to confirm that you and any partner meet a minimum standard of health, which is a
prerequisite of the Parent Category. Providing accurate information about your health status is very important.
Questions D1 to D4 list medical conditions for which a medical waiver cannot be granted. People with these conditions
cannot ordinarily be granted residence in New Zealand. 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
D2 Do you or your partner have tuberculosis (TB)? Yes No
8 – Parent Category Expression of Interest Form - November 2012

D3 Do you or your partner have severe haemophilia? Yes No
D4 Do you or your partner have a physical incapacity that requires full-time care? Yes No
If you answered Yes to any of questions D1 to D4 , you must provide an explanation of your medical condition.
If, having considered your explanation, we assess that your medical condition is one for which a medical waiver
cannot be granted, you will not be invited to apply for residence.
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.
Attach additional sheets if necessary.
Section E English language ability
In this section we ask you to confirm that you meet the minimum standard of English language, which is a prerequisite
of the Parent Category. Provide the following details about your English language ability.
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.)
Refer to the ‘Completing Section E: English language ability’ in the Parent Category Guide.
An IELTS Test Report with at least two components at level 4 or above. 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
Otherwise meets the minimum standard, as defined in the guide. Go to E2
None of the above.
Note: You must pre-purchase English for Speakers of Other Languages (ESOL) tuition if you do not meet the minimum standard of English. You will
need to attend English language classes once you arrive in New Zealand.
Parent Category Expression of Interest Form - November 2012 – 9

When filling in this form, please write clearly using CAPITAL LETTERS.
E2 Provide details explaining why you meet the minimum standard, as defined in the Guide under English Language
Requirements in the section ‘Summary of Terms’.
E3 If you have an IELTS certificate, provide details below:
Test Report Form number
Listening score
Reading score
Writing score
Speaking score
10 – Parent Category Expression of Interest Form - November 2012
Date you sat your test
E4 How does your partner meet the requirement for a minimum standard of English (select only one)?
An IELTS Test Report with at least two components at level 4 or above. Go to E3
Completed a qualification, that was conducted entirely in English, to the minimum standard as defined in the guide.
Go to Section F: Family details.
Completed qualifications that meet the minimum standard, as defined in the guide. Go to Section F: Family details.
Otherwise meets the minimum standard, as defined in the guide. Go to E5
None of the above.
Note: Your partner must pre-purchase English for Speakers of Other Languages (ESOL) tuition if they do not meet the minimum standard of
English. Your partner will need to attend English language classes once you arrive in New Zealand
E5 Provide details explaining why your partner meets the minimum standard, as defined in the Guide under English
Language Requirements in the section ‘Summary of Terms’.
E6 If your partner has an IELTS certificate, provide details below:
Test Report Form number
Listening score
Reading score
Writing score
Speaking score
Date they sat their test

Section F Family details
In this section, please give details of ALL your family, whether they are migrating with you or not. It is not necessary
to list deceased family members. If you or your partner have any dependent child(ren) you will not be eligible for
residence under the Parent Category.
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.
Full name Gender
(M/F)
Date of birth
(DD/MM/YYYY)
/ /
/ /
/ /
/ /
Partnership status
(eg single, married, partner etc)
Country of residence
F3 Please give the details of your brothers and sisters. Include half-, step-, and adopted brothers and sisters.
Full name Gender
(M/F)
Date of birth
(DD/MM/YYYY)
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
Partnership status
(eg single, married, partner etc)
Country of residence
F4 Please give details of any children you have. Include any biological, adopted, and step-children from previous or
current marriages/relationships.
Full name Gender
(M/F)
Date of birth
(DD/MM/YYYY)
/ /
/ /
/ /
/ /
/ /
/ /
/ /
Partnership status
(eg single, married, partner etc)
Country of residence
Parent Category Expression of Interest Form - November 2012 – 11

When filling in this form, please write clearly using CAPITAL LETTERS.
Answer questions F5 to F7 if you are including a partner.
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.
Full name Gender
(M/F)
12 – Parent Category Expression of Interest Form - November 2012
Date of birth
(DD/MM/YYYY)
/ /
/ /
/ /
/ /
Partnership status
(eg single, married, partner etc)
Country of residence
F6 Please give the details of your partner’s brothers and sisters. Include half-, step-, and adopted brothers and sisters.
Full name Gender
(M/F)
Date of birth
(DD/MM/YYYY)
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
Partnership status
(eg single, married, partner etc)
Country of residence
F7 Do you have any children? This includes biological children, adopted children, and step-children from previous
marriages/relationships.
Yes. Provide details below.
No. Go to Section G: Sponsor details.
Full name Gender
(M/F)
Date of birth
(DD/MM/YYYY)
/ /
/ /
/ /
/ /
/ /
/ /
/ /
Partnership status
(eg single, married,
partner etc)
Country of
residence
Does the person
intend to migrate
with you? (Y/N)

Section G Sponsor details
For more information, see ‘Sponsor details’ in the Parent Category Guide.
G1 Sponsor’s name as shown in their passport
Family/last name Given/first name(s)
G2 Other names they are known by or have ever been known by
G3 Gender Male Female G4 Date of birth
G5 Country of birth
G6 Country (or countries) of citizenship
G7 Your sponsor’s current address and telephone number.
Address
Telephone (daytime) Telephone (evening)
Fax Email
Sponsor’s eligibility
G8 Is your sponsor currently in New Zealand? Yes No
G9 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
G10 If your sponsor holds a residence class visa, is it subject to conditions under Section 49 of the Immigration Act?
Yes No Not applicable
G11 If your sponsor holds a New Zealand residence class visa, is your sponsor liable for deportation?
Yes No Not applicable
G12 Is New Zealand your sponsor’s primary place of established residence? Yes No
G13 Has your sponsor previously breached any sponsorship obligations or do they have any outstanding debts as a
result of another sponsorship arrangement?
Yes No
G14 Has your sponsor entered insolvency procedures or been adjudicated bankrupt? Yes No
G15 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
G16 Has your sponsor ever been convicted of an offence under Immigration law? Yes No
Parent Category Expression of Interest Form - November 2012 – 13

When filling in this form, please write clearly using CAPITAL LETTERS.
G17 Is your sponsor sponsoring you for the purpose of receiving a financial reward or fee? Yes No
G18 Is your sponsor receiving a Government benefit from Work and Income (a service of New Zealand’s Ministry of
Social Development)?
Yes No
Note on completing sections H to J
Tier one: If you are submitting an Expression of Interest under tier one, you only need to complete one section (either
Section H, or Section I or Section J).
Tier two: If you are submitting an Expression of Interest under tier two, you must complete Section H: Sponsor’s income
only. You are not required to complete Section I or Section J.
Section H Sponsor’s income
For more information, see ‘Sponsor’s income’ in the Parent Category Guide.
The minimum income requirement must be met by personal income obtained from:
• sustained paid employment
• regular self-employment, or
• regular investment income.
For the current income figure, visit our website at www.immigration.govt.nz or contact your nearest INZ branch.
H1 What is your sponsor’s annual income? NZ$
H2 If your sponsor has a partner who will meet the minimum income requirement or contribute towards meeting it,
provide their name and date of birth below.
Partner’s name Partner’s date of birth
H3 If your sponsor has a partner who will meet the minimum income requirement or contribute towards meeting it,
what is your sponsor’s partner’s annual income?
NZ$
If your sponsor’s partner will meet the minimum income requirement or contribute towards meeting it, you will need
to provide evidence that they are in a genuine and stable partnership if you make an application for residence.
Do not provide evidence with your Expression of Interest.
Section I
Guaranteed lifetime income
For more information, see ‘Guaranteed lifetime income’ in the Parent Category Guide.
I1 Do you have a guaranteed lifetime income?
Yes No Complete either ‘Section H: Sponsor’s income’ or ‘Section J: Settlement funds’ for tier one criteria.
I2 What is the minimum income (before tax) you will earn annually? NZ$
I3 If you intend to include a partner as a secondary applicant in your residence application, what is the minimum
income (before tax) your partner will earn annually?
NZ$
14 – Parent Category Expression of Interest Form - November 2012

I4 What is the source(s) of the guaranteed lifetime income you and any secondary applicant partner will earn?
I5 Please provide any further information about your and any secondary applicant partner’s income to demonstrate
that it is guaranteed, stable and will be paid indefinitely.
Section J Settlement funds
For more information, see ‘Settlement funds’ in the Parent Category Guide.
J1 Do you have NZ$500,000 in settlement funds, or assets that can be liquidated, to bring to New Zealand?
Yes No
J2 Can you demonstrate ownership of settlement funds of NZ$500,000? Yes No
J3 Who owns the funds/assets you have nominated in J1 ? You You and your partner
J4 Please show the type and location of the funds and/or assets that will be used for the purposes of the settlement funds.
Funds/assets type (eg bank deposits) Location (eg XXX Bank) Net value Value (NZ$)
Parent Category Expression of Interest Form - November 2012 – 15

When filling in this form, please write clearly using CAPITAL LETTERS.
J5 Please explain how you earned or acquired your settlement funds and/or assets. Continue on a separate sheet of
paper if necessary.
J6 Were any of the funds and/or assets you nominated at J1 gifted to you?
Yes
No Go to Section K: Declaration for the Expression of Interest.
J7 If you answered Yes to J6 , please explain how your donor earned or acquired the gifted funds and/or assets.
Continue on a separate sheet of paper if necessary.
16 – Parent Category Expression of Interest Form - November 2012

Section K Declaration for the Expression of Interest
This section must be signed by the principal submitter on behalf of all the people included in this Expression of
Interest. Make sure you understand the declarations below before you sign and agree to them.
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 application.
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 understand that in order to work in certain occupations in New Zealand, registration is required by law. I accept that
the grant of residence does not guarantee that registration will be granted.
I have not included any documents with this Expression of Interest.
Signature of principal applicant
Date
Parent Category Expression of Interest Form - November 2012 – 17

When filling in this form, please write clearly using CAPITAL LETTERS.
Section L Immigration adviser’s details
This section must be completed by the submitter’s immigration adviser. If the submitter does not have an immigration
adviser, this section does not have to be completed.
L1 Tick the one option that applies to you.
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.
L2 Licensed advisers. Provide your licence details.
Licence type: full provisional limited. List conditions specified in the register.
Licence number Go to Section M: Declaration by person assisting.
L3 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 a foreign diplomat or consular staff.
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 M: Declaration by person assisting.
18 – Parent Category Expression of Interest Form - November 2012

Section M Declaration by person assisting
This section must be completed and signed by the submitter’s immigration adviser, or by any person who has assisted the
submitter by providing immigration advice, explaining, translating, or filling in the form. If the submitter does not have an
immigration adviser, and no one helped the submitter to fill in this form, this section does not have to be completed.
If you are unlicensed when you should be licensed under the Immigration Advisers Licensing Act 2007, INZ will return your client’s application. It is an
offence to provide immigration advice without holding a licence.
For more information, go to the Immigration Advisers Authority website www.iaa.govt.nz, or email info@iaa.govt.nz or write to them at PO Box 6222,
Wellesley Street, Auckland 1141, New Zealand.
Name and address of person assisting applicant.
Family/last name
Given/first name(s)
Company name (if applicable) and address
Telephone (day)
Fax
Email
Telephone (night)
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 applicant as an interpreter/translator.
I have assisted the applicant with recording information on the form.
I have assisted the applicant in another way. Specify
I have provided immigration advice (as defined in the Immigration Advisers Licensing Act 2007) and my details in
Section L: Immigration adviser’s details are correct.
Signature of person assisting principal applicant
Section N Submitting your Expression of Interest
Send your Expression of Interest to:
Immigration New Zealand
PO Box 276118
Auckland Mail Centre
Auckland
New Zealand
Please do not send any additional documents with this Expression of Interest.
You may attach additional pages required to answer questions in the form.
Date
Parent Category Expression of Interest Form - November 2012 – 19

When filling in this form, please write clearly using CAPITAL LETTERS.
Complete sections O, P and Q only after you have received an invitation to apply for residence and are
making an application.
For more information on sections O, P and Q, see ‘Additional information when applying’ in the Parent Category Guide.
Section O Additional information when lodging an application
This section should be completed when applying for residence, not when submitting an Expression of Interest.
Please check the information in this form and indicate any changes you wish to make to the information provided in
the table below. If any of the information in this form has changed or if your circumstances have changed, and this may
affect your eligibility for residence in New Zealand, you must advise INZ. If the information relates to questions that you
have previously left unanswered or have stated were not applicable, please indicate in the table below any additional or
updated information and which questions these apply to.
Question number Page number Addition or change
20 – Parent Category Expression of Interest Form - November 2012

Section P Declaration for changes included with your application
This section should be completed when applying for residence, not when submitting an Expression of Interest. It must
be signed by all applicants included in this application. Make sure you understand each of the points in the declaration
below before you sign and agree to them.
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 application may be declined, I may lose any right to appeal any decline decision,
any residence class visa granted may later be revoked and I may also be committing an offence and liable to prosecution,
a fine and imprisonment.
I understand the notes and questions in this form and I declare that the information given about myself and my partner
is true and complete.
I declare that the amendments that I have made (if any), at Section O: Additional information when lodging an application
and throughout the form, for the purposes of an application for New Zealand residence under the Parent Category are
true and complete.
Signature of principal applicant
Signature of secondary applicant (if applicable)
Section Q Declaration by person assisting the applicant in making these changes
This section should be completed when applying for residence, not when submitting an Expression of Interest.
It must be completed by the applicant’s immigration adviser or any person who has assisted the applicant by providing
immigration advice, explaining, translating or filling in the form for the applicant.
If you are unlicensed when you should be licensed under the Immigration Advisers Licensing Act 2007, INZ will return your client’s application. It is an
offence to provide immigration advice without holding a licence. For more information, go to the Immigration Advisers Authority website www.iaa.govt.nz,
or email info@iaa.govt.nz or write to them at PO Box 6222, Wellesley Street, Auckland 1141, New Zealand.
Date
Name and address of person assisting applicant:
Family/last name Given/first name(s)
Company name (if applicable) and address
Telephone (daytime) Telephone (evening)
Fax Email
I understand that after the applicant 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 applicant 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 applicant as an interpreter/translator.
I have assisted the applicant with recording information on the form.
I have assisted the applicant in another way. Specify ____________________________________
I have provided immigration advice (as defined in the Immigration Advisers Licensing Act 2007) and my details in Section I:
Immigration adviser’s details in the enclosed form Parent Category Residence Application (INZ 1206) are correct.
Signature of person assisting principal applicant
Date
Date
Parent Category Expression of Interest Form - November 2012 – 21

When filling in this form, please write clearly using CAPITAL LETTERS.
22 – Parent Category Expression of Interest Form - November 2012
This form is approved under section 381 of the Immigration Act 2009.

About the information you provide
The information about you and your family
in this form is being collected to determine
whether we will invite you to apply for residence in
New Zealand and may also be used to contact you for
research or marketing purposes or to advise you on
immigration matters. This information may also be
used to determine your entitlement to board a flight
to come to or return to New Zealand. Your personal
information will not be shared with airline check in
agents, however a boarding message will be returned
to the airline check in agent based on information you
have supplied on this form.
The main recipient of the information is Immigration
New Zealand (INZ), a service of the Ministry of
Business, Innovation and Employment, but it may also
be shared with other Government agencies that
are entitled to this information under applicable
legislation. In particular, the Ministry of Social
Development (Work and Income) may be given
information about your personal resources.
The collection of the information is authorised
by the Immigration Act 2009 and the Immigration
Regulations made under that Act. The supply of the
information is voluntary, but if you do not supply the
mandatory information required by the Expression
of Interest form, then your Expression of Interest
cannot be accepted.
You will, if you are in New Zealand, have the right to
see the information about you held by INZ, and to
ask for any of it to be corrected if you think that
is necessary. INZ addresses can be found on our
website at www.immigration.govt.nz.
For more information
If you have questions about completing the form:
• see our website www.immigration.govt.nz/contactus
• telephone our call centre on 0508 558 855
(within New Zealand).
Section R
Paying your expression of interest
fee
See our Fees Guide (INZ 1028) or our website
www.immigration.govt.nz/fees for more information about
current fees and payment methods.
Your Expression of Interest fee
Amount you are paying:
Currency
Expression of Interest number
(office use only)
Preferred methods of payment
We recommend that you use one of the following methods
of payment for better security and faster processing.
Bank cheque/bank draft
Credit card (choose one)
Visa
Mastercard
Name of cardholder
Card number
CVC/CVV number
Note: your CVC/CVV number is the three-digit number found
on the signature strip on the back of your credit card.
Expiry date D D M M Y Y Y Y
Signature of cardholder
Date D D M M Y Y Y Y
Other methods of payment
Personal cheque. Note that we will hold your application for 10
working days to allow the cheque to be cleared.
We do not accept cash or money orders.
Parent Category Expression of Interest Form - November 2012 – 23

When filling in this form, please write clearly using CAPITAL LETTERS.
24 – Parent Category Expression of Interest Form - November 2012