GLOBAL IMMIGRATION SERVICES (NZ) LTD.
                               Immigration Consultants (Member of NZAMI)

Immigration Assessments

Immigration assessments are given to each applicant who answer the detailed questionnaire. It is important that you try and answer every question as we would like to assess your chances for residency as accurately as possible. In complex situations the finer detail assists us to give you a proper evaluation.

If you have no chance of obtaining residency this will be advised to you and the reasons why. If you have any information not specifically asked in the questionnaire but which you believe could have some relevance please feel free to pass this on to us.

There is a small charge of $200 for this service and you are under no obligation to use our company's services once you have obtained our assessment. If you later do decide to use our company's services, this amount will be deducted from your future fees

All information given to us will be kept confidential and will not be passed on to any other person or agency without your express written permission.

Banking Details: Fees are payable in cash at our office or through our bankers (bank draft/telegraphic transfer): Global Immigration Services (NZ) Ltd. Westpac Banking Services, Ponsonby, Auckland, New Zealand. Fax 64 9 378 9686 Account 030255 - 0035467-00

QUESTIONNAIRE FOR RESIDENCY ENQUIRY
Contact Details
1.	Your surname/family name:
2.	First names:
3.	Date of Birth
4.	Sex:	Male    Female
5.	Place and Country of Birth:
6.	Citizenship:
7.	Marital Status:	Married  Single  Divorced  Defacto  Engaged
8.	Full Postal Address:
9.	Phone No:
10.	Fax No:
	E-mail:
Education and Qualifications
11.  Give name(s) and addresses of schools, educational & trade institutes, universities attended, including dates of commencement and dates of completion, including any not completed:
	Name of Qualification(s) gained:
	Normal completion time of course:
Work Experience
12.	Name of Employer, place, dates employed , duties and position held:
i.
ii.
iii.
Continue at the end of this questionnaire if additional space is necessary to describe your duties and work experience as full as possible
	Were any of the above positions held not relevant to your qualifications?
		Yes   No
	If Yes, please give details:
English Competency
13.	What is the degree of competency you have in English?
		Poor  Fair  Good  Very Good  Highly Fluent
14.	Have you sat the IELTS exam for English?
		Yes   No
15.	If yes, what score did you receive in this exam in each section:
		Listening  Reading  Writing  Speaking
Financial Situation
16.	Do you or your spouse have a close family member permanently living in New Zealand?
		Yes   No
17.	Have you or any member of your family been imprisoned on any charge, convicted for any criminal activity or have any police convictions apart from minor traffic violations?
		Yes   No
	If Yes, give details:
18.	Have you or any member of your family ever been refused a visa by any country:
		Yes   No
	If Yes, give details:
About Yourself
19.	If there is anything special you wish to tell us about yourself, please do so in the space provided. Please include your hopes and aspirations, strengths, weaknesses etc.
	If you are a single applicant and have never been married you do not need to fill in any of the questions from 20 to 27.
Spouse Current
20.	Your surname/family name:
	First names:
	Maiden Name:
	Date of Birth:
	Sex:	Male  Female
	Place and Country of Birth:
	Citizenship (current):
21.	If Defacto, how many years have you been living together in this state:
Children from current marriage or status
22.	(those common to applicant and current spouse or defacto; include any who may be adopted)
i.	Name:
	Date of Birth:
ii.	Name:
	Date of Birth:
iii.	Name:
	Date of Birth:
Current spouse's education and qualifications
23.	Give names and addresses of schools, educational & trade institutes, universities attended, including dates of commencement and dates of completion:
	Name of Qualification(s) gained:
Current spouse's work experience
24.	Name of Employers, place, dates employed and positions held:
i.
ii.
Current spouse's competency in English
25.	Poor  Fair  Good  Very Good  Highly Fluent
26.	Have you (spouse) sat the IELTS exam for English?
		Yes   No
27.	If Yes, what score did you receive in this exam in each section:
		Listening  Reading  Writing  Speaking
Signature or name of applicant or enquirer:
Date:
	Global Immigration Services (NZ) Ltd. gives its unqualified assurance that the information received in this questionnaire will not be disclosed to any other person, company or agency without the express written approval or instruction of the applicant or enquirer.