OFFICE USE ONLY Client no.: Date received: / / Application no.

INZ 1100

Expression of Interest
Form
Skilled Migrant Category

INZ 1101
Use the guide to help you complete the application form
Expression of Interest
Guide
A guide to help you understand and fill out an Expression of Interest form
For help completing this form, refer to the Expression of Interest Guide (INZ 1101).
OVERVIEW OF THE SKILLED MIGRANT
Information about this guide CATEGORY

When you submit this Expression of Interest to Immigration New Zealand (INZ), we

You should read this guide before you
complete the application form. The guide How does the Skilled Migrant Category work?
OFFICE USE ONLY Client no.: Date received: /
gives you information about:
/ Application no.:

INZ 1100

Expression of Interest • how to decide which visa or New Zealand offers many opportunities for skilled migrants,
Form
permit you need to apply for particularly in industries and regions experiencing growth and

will consider offering you an Invitation to Apply for residence in New Zealand only if you meet
Skilled Migrant Category

INZ 1101
Use the guide to help you complete the application form
skill shortages. The Skilled Migrant Category has been designed
• what evidence you need
Expression of Interest
Guide
A guide to help you understand and fill out an Expression of Interest form
For help completing this form, refer to the Expression of Interest Guide (INZ 1101).
OVERVIEW OF THE SKILLED MIGRANT
Information about this guide CATEGORY

When you submit this Expression of Interest to Immigration New Zealand (INZ), we
You should read this guide before you
complete the application form. The guide How does the Skilled Migrant Category work?

to give priority to meeting those needs and opportunities.

OFFICE USE ONLY Client no.: Date received: /
gives you information about:
/ Application no.:

INZ 1100

Expression of • how to decide which visa or New Zealand offers many opportunities for skilled migrants,
Interest Form
permit you need to apply for particularly in industries andregions experiencing growth

will consider offering you an Invitation to Apply for residence in New Zealand only if you meet
Skilled Migrant Category

Use the guide to help you complete the application form

For help completing this form, please refer to the Expression of Interest Guide and skill shortages. The Skilled Migrant Category has been
(INZ 1101).
When you submit this Expression of Interest, you may be considered for an Invitation to Apply
for residence in New Zealand only if you meet the following requirements: • what evidence you need
•
•
•
character
health
English language
designed to give priority to meeting those needs and
•
•
age
meet the minimum threshold of 100 points for employability and capacity building factors
to provide with your
The criteria for each of these requirements are explained in this form as per the Government’s
Residence Policy (Skilled Migrant Category).
If you are unsure about whether you meet the prerequisites, use the Skilled Migrant Quick Check and the Points Indicator opportunities.
at www.immigration.govt.nz to get an idea of whether it’s worth completing an Expression of Interest.
You must complete all the questions in the form, unless the form specifically directs you straight to another question or
section further on. If a question does not apply to you, mark it N/A or Not Applicable.
If you leave questions that qualify for the award of points blank, this will be interpreted as a ’no‘ answer. If you fail to
application form
answer any questions or to clearly mark them 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 the necessary information is provided.
Expressions of Interest must be accompanied by the correct Expression of Interest fee.
Do not send supporting documentation with your Expression of Interest form. Include only any additional sheets required
to complete questions in the form. • what a visitor’s visa/permit If you are interested in migrating to New Zealand as a skilled
Detailed explanations to assist you to fill out this form can be found in the Expression of Interest Guide (INZ 1101) or on

migrant, and if you have the skills we need, then we are ready

the following requirements:

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

allows you to do.
Under the Immigration Advisers Licensing Act 2007, anyone giving immigration advice will have to be licensed (unless they
are exempt). From 4 May 2009, all immigration advisers working in New Zealand must be licensed. From 4 May 2010, all
immigration advisers, whether working onshore or offshore, must be licensed. It is an offence to provide immigration
advice without holding a licence from these dates.
to work with you to meet our mutual goals.
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, email [email protected], or write to them at PO Box 6222, Wellesley Street, Auckland 1141, New Zealand.
Purpose of this guide
For further information on immigration
visit www.immigration.govt.nz The prerequisites
This guide relates specifically
to step two of the process To be considered under this category you need to be of
outlined on page 3. It provides information to help good health, good character, have a reasonable standard
you understand the terms and requirements of the of English** and be under 56 years of age. You will also need

• character
Expression of Interest form. to meet the threshold of 100 points for employability and
capacity building factors to have an Expression of Interest
Skilled Migrant Category Policy (EOI) accepted.

to provide with your

This booklet is only a guide to help you understand the The points system
terms as you complete your Expression of Interest
form. The authoritative details of the Skilled Migrant The points system is designed to reflect which applicants

• health
Category are contained in the INZ Operational Manual have the most to offer New Zealand so that Immigration New
under Skilled Migrant Category Policy. You can read Zealand (INZ) can extend invitations to apply for residence
this online at www.immigration.govt.nz. to them. The points you can qualify for are set out on page
6. Points are available for skilled employment in New Zealand,
work experience, qualifications, age and close family in
New Zealand. Bonus points are available for employment

• English language
in identified areas of future growth and/or absolute skill
shortage. Bonus points are also available for employment
outside Auckland, studying full-time in New Zealand for
at least two years towards a recognised New Zealand
qualification, gaining recognised New Zealand qualification(s),
and for a partner’s recognised qualification or offer of skilled
employment in New Zealand.

* Principal applicants (and their partners, if that person is claiming

points for a job, job offer or qualification) must have an English-
speaking background, or have reached an ove rall IELTS band
• age
score of 6.5. Other secondary applicants 16 years and over must

• the minimum threshold of 100 points for employability and capacity-building factors.
have an English-speaking background, have reached an overall
IELTS band score of 5 or pre-purchase a specified amount of
English for Speakers of Other Languages (ESOL) tuition.

For further information on immigration

November 2009
visit www.immigration.govt.nz

If you are interested in migrating to New Zealand as a skilled

The criteria for each of these requirements are explained in this form as per the Government’s

application form
Residence Policy (Skilled Migrant Category).
If you are unsure about whether you meet the prerequisites, use the Skilled Migrant Quick Check and the Points Indicator
at www.immigration.govt.nz to get an idea of whether it’s worth completing an Expression of Interest.
You must complete all the questions in the form, unless the form specifically directs you straight to another question or
section further on. If a question does not apply to you, mark it ‘N/A’ or ‘not applicable’.
If you leave questions that qualify for the award of points blank, this will be interpreted as a ’no‘ answer. 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 the necessary information is provided.
Expressions of Interest must be accompanied by the correct Expression of Interest fee.
• what a visitor’s visa/permit migrant, and if you have the skills we need, then we are ready
to work with you to meet our mutual goals.
Do not send supporting documentation with your Expression of Interest form. Include only any additional sheets required
to complete questions in the form.

the following requirements:

allows you to do.
Detailed explanations to assist you to fill out this form can be found in the Expression of Interest Guide (INZ 1101) 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, anyone giving immigration advice will have to be licensed (unless they
are exempt). From 4 May 2009, all immigration advisers working in New Zealand must be licensed. From 4 May 2010, all

The prerequisites
immigration advisers, whether working onshore or offshore, must be licensed. It is an offence to provide immigration
advice without holding a licence from these dates.

Purpose of this guide

If your immigration adviser is not licensed when they should be, INZ 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, email [email protected], or write to them at PO Box 6222, Wellesley Street, Auckland 1141, New Zealand.

To be considered under this category you need to be of

For further information on immigration November 2009
visit www.immigration.govt.nz

This guide relates specifically

to step two of the process good health, good character, have a reasonable standard
outlined on page 3. It provides information to help of English* and be under 56 years of age. You will also need
to meet the threshold of 100 points for employability

• character
you understand the terms and requirements of the
Expression of Interest Form (INZ 1100). and capacity-building factors to have an Expression of
Interest (EOI) accepted.
Skilled Migrant Category Policy
The points system
This booklet is only a guide to help you understand the
terms as you complete your Expression of Interest The points system is designed to reflect which applicants
form. The authoritative details of the Skilled Migrant have the most to offer New Zealand so that Immigration

• health
Category are contained in the INZ Operational Manual New Zealand (INZ) can extend invitations to apply for
under Skilled Migrant Category Policy. You can read residence to them. The points you can qualify for are set
this online at www.immigration.govt.nz. out on page 6. Points are available for skilled employment
in New Zealand, work experience, qualifications, age and
close family in New Zealand. Bonus points are available
for employment in identified areas of future growth and/

• English language
or absolute skill shortage. Bonus points are also available
for employment outside Auckland, studying full-time in
New Zealand for at least two years towards a recognised
New Zealand qualification, gaining recognised New Zealand
qualification(s), and for a partner’s recognised qualification
or offer of skilled employment in New Zealand.

* Principal applicants (and their partners, if that person is claiming

points for a job, job offer or qualification) must have an English-
speaking background, or have reached an overall IELTS band score
• age
of 6.5. Other secondary applicants 16 years and over must have

• the minimum threshold of 100 points for employability and capacity-building factors.
an English-speaking background, have reached an overall IELTS
band score of 5 or pre-purchase a specified amount of English
for Speakers of Other Languages (ESOL) tuition.

For further information on immigration

July 2010
visit www.immigration.govt.nz

The criteria for each of these requirements are explained in this form as per the Residence
Instructions (Skilled Migrant Category).
If you are unsure about whether you meet the prerequisites, use the Skilled Migrant Quick Check and the Points Indicator
at www.immigration.govt.nz to get an idea of whether it’s worth completing an Expression of Interest.
You must complete all the questions in the form, unless the form specifically directs you straight to another question or
section further on. If a question does not apply to you, mark it ‘N/A’ or ‘not applicable’.
If you leave questions that qualify for the award of points blank, this will be interpreted as a ’no‘ answer. 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 the necessary information is provided.
Expressions of Interest must be accompanied by the correct Expression of Interest fee.
Do not send supporting documentation with your Expression of Interest form. Include only any additional sheets required
to complete questions in the form.
Detailed explanations to assist you to fill out this form can be found in the Expression of Interest Guide (INZ 1101) 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 [email protected]

For further information on immigration November 2010

visit www.immigration.govt.nz
 When filling in this form, please print clearly using CAPITAL LETTERS.

Section A Identity
In this section we need to confirm that you are who you say you are.

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
You are eligible for points for your age up to the age of 56. If you are aged 56 and over your Expression of Interest will not be accepted into the
Pool and you should not complete any further questions. Section SM18 of the Skilled Migrant Category refers.

A6 Town/city of birth

Country of birth

A7 Birth certificate number

Name of the issuing authority

A8 Main country of citizenship

A9 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

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

2 – Expression of Interest Form

A10 List other citizenships you hold

A11 Where applicable, provide the following details.

Driver licence 1
Name(s) as shown on driver licence

Driver licence number

Expiry date Valid for which country/state/area

Driver licence 2
Name(s) as shown on driver licence

Driver licence number

Expiry date Valid for which country/state/area

Driver licence 3
Name(s) as shown on driver licence

Driver licence number

Expiry date Valid for which country/state/area

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

Expression of Interest Form – 3

 When filling in this form, please print clearly using CAPITAL LETTERS.

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 will be 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

4 – Expression of Interest Form

A14 What is your current partnership status? (Select only one)
Married/in civil union Never married/never in civil union Partner Separated
Engaged Widowed Divorced
Note: If you have a partner it is important to declare at A16 whether they are to be included in this Expression of Interest or not.

A15 Do you meet the minimum requirements for recognition of partnerships? Yes No

Refer to the guide under Partner in the section ‘Summary of Terms’.

A16 Will your partner be included in your residence application? Yes No

A17 How many children do you have? This includes biological, adopted and stepchildren from previous marriages/relationships.

Will any of these children be included in your residence application? Yes No

For each dependent child who will be included in your residence application, complete a Child Supplement
Expression of Interest Form (INZ 1103). Refer to the Summary of Terms - Dependent Children in the Expression of
Interest Guide (INZ 1101).
If you are separated or divorced and bringing a child under 16 years of age with you to New Zealand, we will need
to see proof of their right to leave their home country and your right to remove them before any residence
application can be granted. Section F5.20 of Residence Instructions refers.

A18 What is your main occupation?

Note: Your main occupation is the job you spent most hours doing in the last 12 months. If you have not worked in the last 12 months, state your
previous occupation. If you have not worked for the past five years or more, state “Not applicable”.

A19 What industry is your main occupation in (ie the main activity of the place where you work)?

A20 Have you received immigration advice on this Expression of Interest?

You can find a definition of immigration advice at www.immigration.govt.nz/advice.

Yes. Make sure that your immigration adviser completes Section Q: Immigration adviser’s details.
No

A21 Indicate who you prefer INZ to communicate directly with. Select only one.
You
The person listed in Section R: Declaration by person assisting the applicant.

A22 What is your preferred means of communication in relation to this Expression of Interest? Email Letter

A23 If you have previously submitted an EOI provide the EOI number here.

Expression of Interest Form – 5

 When filling in this form, please print clearly using CAPITAL LETTERS.

Section B Character
In this section we need to confirm that you are of good character which is a prerequisite of the Skilled Migrant
Category. Provide the following details about your character.

Questions B1 to B9 relate to sections 15 and 16 of the Immigration Act (persons prohibited from being granted a resident
visa). People described in sections 15 and 16 of the Immigration Act cannot ordinarily be granted residence in New Zealand.

Questions B10 to B20 relate to other character requirements. People described in questions B10 to B20 require a
character waiver to be granted residence.

B1 Have you ever been sentenced to imprisonment for a term of five years or more (including any suspended
sentences or any expunged criminal records)? Yes No

B2 Have you 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

B3 Are you subject to a period of prohibition under the Immigration Act 2009? Yes No

B4 Have you ever been deported from any country, including New Zealand? Yes No

B5 Have you been involved in any terrorist activities or supported similar violent activities? Yes No

B6 Have you been a member of, or belonged to, any terrorist group? Yes No

B7 Have you been involved in any drug trading or trafficking? Yes No

B8 Have you been a member of, or belonged to, any group with criminal objectives? Yes No

B9 Have you 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 B1 to B9 , 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, your Expression of Interest cannot be accepted into the Pool.

B10 Are you currently under investigation, or wanted, by any law enforcement agency in any country? Yes No

B11 Have you 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

B12 Have you 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

B13 Have you ever been charged with any offence against the law in any country? Yes No

B14 Have you ever been deported from any country, including New Zealand? Yes No

B15 Have you ever been refused entry to any country, including New Zealand? Yes No

B16 Have you ever been refused a visa/permit for any country, including New Zealand? Yes No

6 – Expression of Interest Form

B17 Have you been involved in any people trafficking? Yes No

B18 Have you 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

B19 Have you 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

B20 Have you, 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

B21 Have you, 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 B10 to B21 , you must provide a full explanation about the surrounding
circumstances. If your Expression of Interest is selected from the Pool, you 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 C Health
In this section we need to confirm that you meet a minimum standard of health, which is a prerequisite of the Skilled
Migrant Category. Providing accurate information about your health status is very important.

Questions C1 to C4 list medical conditions for which a medical waiver cannot be granted. People with these conditions
cannot ordinarily be granted residence in New Zealand.

Read the Health Requirements Leaflet (INZ 1121) for more information.

C1 Do you require or are you likely to require dialysis treatment in the immediate future? Yes No

C2 Do you have pulmonary tuberculosis (TB)? Yes No

C3 Do you have severe haemophilia? Yes No

C4 Do you have a physical incapacity that requires full-time care? Yes No

If you answered Yes to any of questions C1 to C4 , 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, your Expression of Interest cannot be accepted into the Pool.

Expression of Interest Form – 7

 When filling in this form, please print clearly using CAPITAL LETTERS.

C5 Have you been exposed to, or diagnosed with, any infectious or communicable diseases? Yes No

C6 Are you receiving, or have received, any treatment for any psychiatric condition or developmental disorder?
Yes No

C7 Do you have any condition that is likely to require ongoing treatment or medication? Yes No
If you answered Yes to any of questions C5 to C7 , you must provide an explanation of your 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.

Section D 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 Skilled Migrant Category. Provide the following details about your English language ability. Section SM5 of the
Skilled Migrant Category refers.

D1 Indicate how you meet the minimum standard of English, as defined in the guide under English Language
Requirements in the section ‘Summary of Terms’. (Select one only)
An IELTS Test Report with an overall band score of 6.5 or more Go to D3

Study for a recognised qualification conducted entirely in English Go to E1

Current skilled employment in New Zealand for 12 months or more Go to E1

Otherwise meet the minimum standard, as defined in the Guide Go to D2

Note: If you selected one of the last three options, you may be asked to provide an IELTS certificate.
If you cannot demonstrate that you meet the minimum standard of English, your Expression of Interest cannot be accepted into the Pool. You
should not complete any further questions.

D2 Provide details explaining why you meet the minimum standard, as defined in the Guide under English Language
Requirements in the section ‘Summary of Terms’.

D3 If you have an IELTS certificate, what is your IELTS Test Report Form number?

D4 What was the date you sat your test?

Overall IELTS band score

8 – Expression of Interest Form

Sections E and F

The following sections outline the factors which qualify for points. To submit your Expression of Interest, you must
meet the minimum threshold of 100 points.

Section E Skilled employment in New Zealand

In this section you qualify for points and bonus points, depending on whether you have current skilled employment in
New Zealand or an offer of skilled employment in New Zealand. Provide the following details about your employment.
Sections SM6, SM7, SM8, SM9 and SM19 of the Skilled Migrant Category refer.

E1 Are you claiming points for skilled employment, and declare that you meet criteria for any of the following? Refer to
the guide under Skilled Employment in the section ‘Summary of Terms’. Select only one.
Current skilled employment in New Zealand for 12 months or more
Current skilled employment in New Zealand for less than 12 months
Offer of skilled employment in New Zealand
None of the above Go to F1

E2 What is your job title?

E3 What industry is your main occupation in (ie the main activity of the place where you work)?

E4 Indicate why your job is skilled. Give a detailed reason in support of your claim for points. We recommend that you
first check our definition of skilled employment in the Expression of Interest Guide (INZ 1101).
You should explain what is in your job description and how this is consistent with the occupational tasks listed for
your occupation in the Australian and New Zealand Standard Classification of Occupations (ANZSCO), see
www.immigration.govt.nz/ANZSCO. You should also explain how your recognised qualification and/or work
experience is relevant to your job.

If you are claiming that your employment is skilled because it will enhance the quality of New Zealand’s
accomplishments and participation in that occupational area, explain:
• how your employment will achieve this; and
• what evidence you can provide to show that you have an international reputation and record of excellence in your
occupational field.
For more information, refer to the guide under Skilled Employment in the section ‘Summary of Terms’.

Attach additional sheets if necessary.

Expression of Interest Form – 9

 When filling in this form, please print clearly using CAPITAL LETTERS.

E5 Provide the following details for the skilled employment listed above.

Employer contact name (manager)

Business/organisation name

Number and street name

Suburb/City

County/Province/State PIN/ZIP

Country

Telephone
(Country code/Area code/Telephone number) (eg + 12 3 456 7890)

Email Website

E6 Is your skilled employment outside Auckland? Refer to the guide under Employment outside Auckland in the section
‘Summary of Terms’.

Yes No

E7 Is your skilled employment in one of the identified future growth areas? If yes, provide the growth area name. Refer to
the guide under Identified Future Growth Area in the section ‘Summary of Terms’ for the future growth area names.

Yes No Go to E8

Growth area name

E8 Is your skilled employment in one of the areas of absolute skills shortage? If yes, provide the absolute skills shortage
occupation name. Refer to the Long Term Skill Shortage List (LTSSL) on our website www.immigration.govt.nz or
request a copy of the LTSSL from your nearest INZ branch.

Yes No Go to F1

Absolute skills shortage occupation name

Note: If you are invited to apply for residence your employer will need to confirm your claims in relation to questions E7 and E8 .

E9 To do your job in New Zealand, do you require full or provisional occupational registration? Refer to the guide under
Occupational Registration in the section ‘Summary of Terms’.
No Yes, provide the following:

New Zealand Occupational Registration Number (if applicable)

Name of the New Zealand Occupational Registration Body

Note: You cannot claim these bonus points for your occupation unless you meet the specific requirements laid out in columns three and four of the
Long Term Skill Shortage List.

10 – Expression of Interest Form

 Section F Recognised qualification(s)
In this section you qualify for points and bonus points if you have a recognised qualification(s). Provide the following
details about your qualification(s). Sections SM14, SM15 and SM16 of the Skilled Migrant Category refer.

It is recommended that you first read about which qualifications are recognised for the award of points under the
Skilled Migrant Category in the Expression of Interest Guide (INZ 1101).

F1 Are you claiming points for a recognised qualification(s) and declaring that you meet criteria?
Refer to the guide under Recognised Qualification in the section ‘Summary of Terms’.

Yes No

How many qualifications are you submitting?

Answer questions F2 to F6 for each of your qualifications. You should attach additional sheets if necessary; you
may wish to photocopy this section to use.

F2 Provide the details of the recognised qualification(s) for which you are claiming points. If claiming points for a
postgraduate qualification, also add details of your undergraduate qualifications.

Name of qualification

Date obtained Major area of study

Date commenced studies Date completed studies

Institution name

Number and street name

Suburb City

County/Province/State PIN/ZIP

Country

Telephone Student ID#

(Country code/Area code/Telephone number) (eg + 12 3 456 7890)

Attach additional sheets if necessary. You may wish to photocopy this section to use.
Note: To qualify for points as a recognised qualification your qualification must have been assessed by the New Zealand Qualifications
Authority (NZQA) *, by:

• being on the List of Qualifications Exempt from Assessment (LQEA) (see F3 ); or

• individual assessment (see F4 to F6 ); or

• being on the List of Qualifications Recognised as an Exception (see F3 ).

F3 Is this qualification(s) included as an exact match** on the LQEA or the List of Qualifications Recognised as
an Exception, or has an Occupational Registration Body assessed your qualification(s) as comparable to a
New Zealand qualification that is on the LQEA?

Yes Provide the level of your qualification on the New Zealand Register of Quality Assured Qualifications

No

* Your qualification may also be assessed by an Occupational Registration Body (see F3 ).

** Read section SM14.10 of the Skilled Migrant Category for exclusions and exceptions. This includes some trade qualifications and
apprenticeships.

Expression of Interest Form – 11

 When filling in this form, please print clearly using CAPITAL LETTERS.

F4 Has your qualification been assessed by the NZQA?

Yes No Go to F7 .

Note: If you have answered ‘No’ to questions F3 and F4 , this qualification does not qualify for points as a recognised qualification.

F5 What are the reference number, type and level assessed by the NZQA? Refer to the Guide under Qualifications
Assessment Report in the section Summary of Terms.

Reference number
Type Preliminary (Pre-Assessment) Interim Full

Level

F6 What New Zealand qualification(s) was your qualification(s) assessed as being comparable with?

Note: If you have only submitted a Pre-Assessment Result (PAR) for your EOI, and you are invited to apply for residence, the level of your
qualification will have to be confirmed through a full International Qualifications Assessment (IQA) by NZQA before points can be awarded.

F7 Have you studied full-time in New Zealand towards a New Zealand-recognised qualification for two years or more?
Refer to the guide under Two Years Study in the ‘Summary of Terms’.

Yes No

F8 Do you have a recognised basic New Zealand qualification gained in New Zealand? Refer to the guide under Basic
New Zealand Qualification in the ‘Summary of Terms’.

Yes Provide the details of your recognised basic New Zealand qualification(s) in F9 .

No Go to F10 .

F9 Name of qualification

Date obtained Major area of study

Date commenced studies Date completed studies

Institution name

Number and street name

Suburb City

County/Province/State PIN/ZIP

Country

Telephone Student ID#

(Country code/Area code/Telephone number) (eg + 12 3 456 7890)

F10 Do you have a recognised postgraduate New Zealand qualification gained in New Zealand? Refer to the guide under
Postgraduate New Zealand Qualification in the ‘Summary of Terms’.

No Go to F12 .

Yes Provide the details of your recognised postgraduate New Zealand qualification(s) in question F11 .

12 – Expression of Interest Form

 F11 Name of qualification

Date obtained Major area of study

Date commenced studies Date completed studies

Institution name

Number and street name

Suburb City

County/Province/State PIN/ZIP

Country

Telephone Student ID#

(Country code/Area code/Telephone number) (eg + 12 3 456 7890)

Qualifications and bonus points

Note: a qualification in an identified future growth area only qualifies for bonus points if you are also claiming points for current skilled
employment or an offer of skilled employment in an identified future growth area. Therefore, only complete F12 if you are claiming points for
current skilled employment or an offer of skilled employment.

F12 Are you claiming points for a qualification in one of the identified future growth areas?
Yes Provide details below. For growth area names refer to the guide under Identified Future Growth Area in the section ‘Summary of Terms’.

No Go to F13 .

Name of qualification this applies to

Growth area name

F13 Are you claiming points for a qualification in one of the areas of absolute skills shortage? If yes, provide the
absolute skills shortage occupation name. Refer to the Long Term Skill Shortage List on our website at
www.immigration.govt.nz/LTSSL or request a copy of the list from your nearest INZ branch.
Yes No Go to G1 .

Name of qualification this applies to

Absolute skills shortage occupation name

Note: you cannot claim these bonus points unless:
• you have a qualification relevant to your occupation as specified in column four of the Long Term Skill Shortage List; or
• you have skilled employment in New Zealand in an area of absolute skill shortage; and the specialist, technical or managerial expertise required
for that employment was obtained through the completion of this qualification.

Expression of Interest Form – 13

 When filling in this form, please print clearly using CAPITAL LETTERS.

Section G Recognised work experience

In this section we recognise the importance of skills and experience gained through your previous employment that:
• are readily transferable; and
• will enable you to get skilled employment in New Zealand; and
• will help you to contribute to New Zealand socially and economically.
Section G refers to Sections SM11, SM12 and SM13 of the Skilled Migrant Category.
Note: If you do not have current skilled employment in New Zealand or an offer of skilled employment in New Zealand, or if your work experience is not in
an area of absolute skills shortage, you can only qualify for points for your work experience if it is in a labour market that is comparable to New Zealand.
Refer to the guide under Comparable Labour Market in the section ‘Summary of Terms’.

G1 How many separate periods of work experience are you claiming for?
Complete this section for each separate period of work experience you are claiming points for. You should attach
additional sheets if necessary; you may wish to photocopy this section to use.
Note: The periods of work detailed in this section should match the total number of years of work experience claimed in G3 .
Work experience

From To

Type of business/industry

Your job title/position held

Business/organisation name

Number and street name

Suburb City

County/Province/State PIN/ZIP

Country

Country employer is domiciled in

Telephone Contact name

(Country code/Area code/Telephone number) (eg + 12 3 456 7890)

Indicate why you believe this work experience should be recognised. Refer to the Guide under Recognised Work
Experience in the section ‘Summary of Terms’. (For example, it is relevant to your recognised qualification, or your
skilled employment.)

Attach additional sheets if necessary.

G2 Indicate the total number of years of recognised work experience in New Zealand only. Refer to the guide under
Recognised Work Experience in the section ‘Summary of Terms’. Ensure you have captured the details of this work
experience in G1 .
One but less than two years Two but less than three years Three years or more

None of these.

14 – Expression of Interest Form

 G3 Indicate the total number of years of recognised work experience. Refer to the Guide under Recognised Work
Experience in the section ‘Summary of Terms’. Include any New Zealand work experience indicated in G2 . Ensure you
have captured the details of this work experience in G1 .
Two but less than four years Four but less than six years Six but less than eight years

Eight but less than 10 years Ten years or more None of these

G4 Indicate the total number of years of work experience in an identified future growth area. Refer to the guide
under Identified Future Growth Area in the section ‘Summary of Terms’. You need to note that work experience in
an identified future growth area only qualifies for bonus points if you are also claiming points for current skilled
employment or an offer of skilled employment in an identified future growth area.

Two but less than six years Six years and over None of these

Growth area name

G5 Indicate the total number of years of work experience in an area of absolute skills shortage. Refer to the Guide
under Area of Absolute Skills Shortage in the section ‘Summary of Terms’.

Two but less than six years Six years and over None of these

Absolute skills shortage occupation name

Note: You cannot claim these bonus points for your work experience unless you meet the specific requirements laid out in columns three and four
of the Long Term Skill Shortage List.

Section H 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.

H1 Name as shown in passport

Family/last name Given/first name(s)

H2 Provide all other names you are known by or have ever been known by

H3 Preferred title Mr Mrs Ms Miss Dr other (specify)

H4 Gender Male Female

H5 Date of birth

H6 Country of birth

Place of birth (ie town, city, or province)

H7 Provide your partner’s birth certificate number and the name of the issuing authority.

Birth certificate number

Name of the issuing authority

Expression of Interest Form – 15

 When filling in this form, please print clearly using CAPITAL LETTERS.

H8 State your partner’s main country of citizenship

H9 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

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

H10 List any other citizenships currently held.

H11 Where applicable, provide the following details.

Driver licence 1
Name(s) as shown on driver licence

Driver licence number

Expiry date Valid for which country/state/area

Driver licence 2
Name(s) as shown on driver licence

Driver licence number

Expiry date Valid for which country/state/area

Driver licence 3
Name(s) as shown on driver licence

Driver licence number

Expiry date Valid for which country/state/area

Taxation number
Taxation number Country

16 – Expression of Interest Form

 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

H12 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 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

H13 If your partner has previously submitted an EOI provide the EOI number here

Section I Partner’s character

In this section we need to confirm that your partner is of good character which is a prerequisite of the Skilled Migrant
Category. Provide the following details about your partner’s character. Section A5 of Residence Instructions refers.

Questions I1 to I9 relate to sections 15 and 16 of the Immigration Act (persons prohibited from being granted a visa).
People described in sections 15 and 16 of the Immigration Act cannot ordinarily be granted residence in New Zealand.

Questions I10 to I20 relate to other character requirements. People described in questions I10 to I20 require a
character waiver to be granted residence.

I1 Has 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

I2 Has 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

I3 Is your partner subject to a period of prohibition under the Immigration Act 2009? Yes No

I4 Has your partner ever been deported from any country, including New Zealand? Yes No

Expression of Interest Form – 17

 When filling in this form, please print clearly using CAPITAL LETTERS.

I5 Has your partner ever been involved in any terrorist activities or supported similar violent activities?
Yes No

I6 Has your partner been a member of, or belonged to, any terrorist group? Yes No

I7 Has your partner been involved in any drug trading or trafficking? Yes No

I8 Has your partner been a member of, or belonged to, any group with criminal objectives? Yes No

I9 Has 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 I1 to I9 , 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, your Expression of Interest cannot be accepted into the Pool.

I10 Is your partner currently under investigation, or wanted, by any law enforcement agency in any country?
Yes No

I11 Has 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

I12 Has 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

I13 Has your partner ever been charged with any offence against the law in any country? Yes No

I14 Has your partner ever been deported from any country, including New Zealand? Yes No

I15 Has your partner ever been refused entry to any country, including New Zealand? Yes No

I16 Has your partner ever been refused a visa/permit for any country, including New Zealand? Yes No

I17 Has your partner been involved in any people trafficking? Yes No

I18 Has 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

I19 Has 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

I20 Has 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

18 – Expression of Interest Form

 If you answered Yes to any of questions I10 to I2O you must provide a full explanation about the surrounding
circumstances. If your Expression of Interest is selected from the Pool, you 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 J Partner’s health

In this section we need to confirm that your partner meets a minimum standard of health, which is a prerequisite of
the Skilled Migrant Category. Providing accurate information about your partner’s health status is very important.
Questions J1 to J4 list medical conditions for which a medical waiver cannot be granted. People with these conditions
cannot ordinarily be granted residence in New Zealand.

J1 Does your partner require or are they likely to require dialysis treatment in the immediate future? Yes No

J2 Does your partner have pulmonary tuberculosis (TB)? Yes No

J3 Does your partner have severe haemophilia? Yes No

J4 Does your partner have a physical incapacity that requires full-time care? Yes No
If you answered Yes to any of questions J1 to J4 , you must provide an explanation of your partner’s medical
condition. If, having considered your explanation, we assess that your partner’s medical condition is one for which
a medical waiver cannot be granted, your Expression of Interest cannot be accepted into the Pool.

J5 Has your partner been exposed to, or diagnosed with, any infectious or communicable diseases? Yes No

J6 Is your partner receiving, or have they received, any treatment for any psychiatric condition or developmental disorder?
Yes No

J7 Does your partner have any condition that is likely to require ongoing treatment or medication? Yes No
If you answered Yes to any of questions J5 to J7 , you must provide an explanation of 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 Immigration New Zealand to fully consider those circumstances.

Expression of Interest Form – 19

 When filling in this form, please print clearly using CAPITAL LETTERS.

Section K Partner’s English language ability

The information you provide in this section will give us an indication of your partner’s English language ability. Meeting the
minimum standard of English language will assist your partner to settle successfully in New Zealand. Provide the following
details about your partner’s English language ability. Section SM5 of the Skilled Migrant Category refers.

K1 Does your partner meet the minimum standard of English, listed below? Refer to the guide under English Language
Requirements in the section ‘Summary of Terms’. Select only one.
An IELTS Test Report with an overall band score of 5 or more Go to K3

An IELTS Test Report with an overall band score of 6.5 or more if you are claiming points for your
partner’s skilled employment, offer of skilled employment or recognised qualification(s). Go to K3
Study for a recognised qualification conducted entirely in English Go to L1

Completed qualifications that meet the minimum standard, as defined in the guide Go to L1

Current skilled employment in New Zealand for 12 months or more Go to L1

Otherwise meets the minimum standard, as defined in the guide Go to K2

None of the above.

Note: Unless you are claiming points for your partner’s recognised qualification, skilled employment or offer of skilled employment, partners must
pre-purchase English for Speakers of Other Languages (ESOL) tuition if they do not meet the minimum standard of English. They will need to
attend English language classes once they arrive in New Zealand.

K2 Provide details explaining why your partner meets the minimum standard. Refer to the Guide under English
Language Requirements in the section ‘Summary of Terms’.

K3 If your partner has an IELTS certificate, what is the Test Report Form number?

K4 What was the date that your partner sat their test and the score?

Overall IELTS band score

Section L Partner’s skilled employment

In this section you can qualify for bonus points if your partner has current ongoing skilled employment in New Zealand
or an offer of ongoing skilled employment in New Zealand. Your partner will only be able to claim points for an offer of
skilled employment in New Zealand if they meet the English language requirements for principal applicants. Refer to
the guide under English Language Requirements in the section ‘Summary of Terms’.
Furthermore, if your partner has an offer of employment in an occupation which requires registration, your
partner will only be able to claim points for this offer of employment if they have the required registration.
Occupations requiring registration can be found in the guide under Occupational Registration in the section
‘Summary of Terms’. Provide the following details about your partner’s skilled employment. Section SM10 of the
Skilled Migrant Category refers.

L1 Are you claiming points for your partner’s skilled employment? Refer to the guide under Skilled Employment in the
section ‘Summary of Terms’. Select only one.
Offer of skilled employment in New Zealand
Current skilled employment in New Zealand for more than 12 months
Current skilled employment in New Zealand for less than 12 months
None of the above Go to M1 .

20 – Expression of Interest Form

 L2 What is your partner’s job title?

L3 Indicate why this job is skilled employment. Give a detailed reason in support of your claim for points. We
recommend that you first check our definition of skilled employment in the Expression of Interest Guide (INZ 1101).
You should explain what is in your partner’s job description and how this is consistent with the occupational tasks
for your partner’s occupation in the Australian and New Zealand Standard Classification of Occupations (ANZSCO).
Also explain how your partner’s recognised qualification and/or work experience are relevant to their job.
If you are claiming that your partner’s employment is skilled because it will enhance the quality of New Zealand’s
accomplishments and participation in that occupational area, explain:
• how your employment will achieve this; and
• what evidence you can provide to show that you have an international reputation and record of excellence in your
occupational field.
For more information, refer to the Guide under Skilled Employment in the section ‘Summary of Terms’.

L4 Provide the following details for the skilled employment detailed above.

Employer contact name (manager)

Business/organisation name

Number and street name

Suburb/City

County/Province/State PIN/ZIP

Country

Telephone
(Country code/Area code/Telephone number) (eg + 12 3 456 7890)

Email Website

Expression of Interest Form – 21

 When filling in this form, please print clearly using CAPITAL LETTERS.

Section M Partner’s recognised qualification(s)

In this section we need to confirm whether your partner’s qualification(s) will be recognised in New Zealand.

It is recommended that you first read about which qualifications are recognised for the award of points under the
Skilled Migrant Category and the partner English language requirements in the Expression of Interest Guide (INZ 1101).

Note: Your partner will only be able to claim points for their qualification(s) if they meet the English language requirements for principal applicants.
Provide the following details about your partner’s recognised qualification(s). Section SM17 of the Skilled Migrant Category refers.

M1 Are you claiming points for your partner’s recognised qualification(s)?

Refer to the guide under Recognised Qualification in the section ‘Summary of Terms’.
Yes No

How many qualifications are you submitting?

Note: To qualify for points as a recognised qualification your partner’s qualification must have been assessed by the NZQA*, by

• being on the List of Qualifications Exempt from Assessment (LQEA) (see M3 ); or

• individual assessment (see M4 to M6 ); or

• being on the List of Qualifications Recognised as an Exception (see M3 ).

Answer questions M2 to M6 for each of your partner’s qualifications. You should attach additional sheets if necessary; you may wish to photocopy
this section to use.

M2 Provide the details of the recognised qualification for which your partner is claiming points. If claiming points for
your partner’s postgraduate qualification, also add details of your partner’s undergraduate qualifications.

Name of qualification

Date obtained Major area of study

Date commenced studies Date completed studies

Institution name

Number and street name

Suburb City

County/Province/State PIN/ZIP

Country

Telephone Student ID#

(Country code/Area code/Telephone number) (eg + 12 3 456 7890)

M3 Is this qualification included as an exact match** on the LQEA or the List of Qualifications Recognised as an
Exception, or has an Occupational Registration Body assessed your qualification as comparable to a New Zealand
qualification that is on the LQEA?

Yes Provide the level of your qualification on the New Zealand Register of Quality Assured Qualifications

No Go to M5 .

*
Your partner’s qualification may also be assessed by an Occupational Registration Body (see M3 ).
**
Read section SM14.10 of the Skilled Migrant Category for exclusions and exceptions. This includes some trade qualifications
and apprenticeships.

22 – Expression of Interest Form

 M4 Has this qualification been assessed by the NZQA?
Yes No Go to N1 .

M5 What is the level assessed by the NZQA, as defined in the guide?

Level

M6 What is the reference number and type assessed by the NZQA? Refer to the guide under Qualifications
Assessment Report in the section ‘Summary of Terms’.

Reference number
Type Preliminary (Pre-Assessment) Interim Full
What New Zealand qualification(s) was/were your qualification(s) assessed as being comparable with?

Note: if your partner has only submitted a Pre-Assessment Result (PAR) for your EOI, and you are invited to apply for residence, the level of your
partner’s qualification will have to be confirmed through a full International Qualifications Assessment (IQA) by the NZQA before points can be awarded.

Section N Other family

Children

N1 How many children do you have? This includes biological, adopted and stepchildren from previous marriages/relationships.

Provide the following details for your children (including biological, adopted and stepchildren from previous
marriages/relationships).

Child one
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated
Engaged Widowed Divorced

Country of residence
Will this child be included in your application for residence? Yes No

Child two
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated
Engaged Widowed Divorced

Country of residence
Will this child be included in your application for residence? Yes No

Expression of Interest Form – 23

 When filling in this form, please print clearly using CAPITAL LETTERS.

Child three
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated
Engaged Widowed Divorced

Country of residence
Will this child be included in your application for residence? Yes No

Child four
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated
Engaged Widowed Divorced

Country of residence
Will this child be included in your application for residence? Yes No

Child five
Full name
Gender Male Female Date of birth
Partnership status
Married/in civil union Never married/never in civil union Partner Separated
Engaged Widowed Divorced

Country of residence
Will this child be included in your application for residence? Yes No

Child six
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated
Engaged Widowed Divorced

Country of residence
Will this child be included in your application for residence? Yes No

24 – Expression of Interest Form

 Child seven

Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated
Engaged Widowed Divorced

Country of residence
Will this child be included in your application for residence? Yes No
Attach additional sheets if necessary.
For each dependent child who will be included in your residence application, complete a Child Supplement
Expression of Interest Form (INZ 1103). Refer to the guide under Dependent Children in the ‘Summary of Terms’.
If you are separated or divorced and bringing a child under 16 years of age with you to New Zealand, we will need
to see proof of their right to leave their home country and your right to remove them. Section F5.20 of the
Residence Instructions refers.

N2 The Skilled Migrant Category recognises that the presence of close family in New Zealand enhances long-term
prospects for employability and settlement. Do you have a close family member living in New Zealand (adult brother
or sister, adult child, or parent) who is a resident or citizen of New Zealand? For more details refer to the guide under Close
Family in New Zealand.

Yes Indicate for which family member points are being claimed, from the family members detailed in N3 .
No

N3 Give details of all your family, members (not just those living in New Zealand), including those adopted legally or by
custom. Include: parents (whether biological or adoptive), brothers and sisters (whether full, half, step and adopted),
and children (whether biological, adopted, or stepchildren, including those from previous marriages/relationships.) It is
not necessary to list deceased family members or family included elsewhere in this application form.

Family member one

Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated

Engaged Widowed Divorced

Country of residence

Relationship to you

Family member two
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated

Engaged Widowed Divorced

Country of residence

Relationship to you

Expression of Interest Form – 25

 When filling in this form, please print clearly using CAPITAL LETTERS.

Family member three

Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated

Engaged Widowed Divorced

Country of residence

Relationship to you

Family member four
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated

Engaged Widowed Divorced

Country of residence

Relationship to you

Family member five
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated

Engaged Widowed Divorced

Country of residence

Relationship to you

Family member six
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated

Engaged Widowed Divorced

Country of residence

Relationship to you

26 – Expression of Interest Form

 Family member seven

Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated

Engaged Widowed Divorced

Country of residence

Relationship to you

Family member eight
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated

Engaged Widowed Divorced

Country of residence

Relationship to you

Family member nine
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated

Engaged Widowed Divorced

Country of residence

Relationship to you

Family member ten
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated

Engaged Widowed Divorced

Country of residence

Relationship to you

Expression of Interest Form – 27

 When filling in this form, please print clearly using CAPITAL LETTERS.

Section O Partner’s family

Children
O1 How many children does your partner have? This includes biological, adopted and step-children from previous
marriages/relationships. Do not include children already listed under N1 .
Provide the details below for each of your partner’s children (including biological, adopted and step-children from previous
marriages/relationships).

None Go to O2 .

Child one
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated
Engaged Widowed Divorced
Country of residence
Will this child be included in your application for residence? Yes No

Child two
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated
Engaged Widowed Divorced
Country of residence
Will this child be included in your application for residence? Yes No

Child three
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated
Engaged Widowed Divorced
Country of residence
Will this child be included in your application for residence? Yes No

Child four
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated
Engaged Widowed Divorced
Country of residence
Will this child be included in your application for residence? Yes No

28 – Expression of Interest Form

 Child five
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated
Engaged Widowed Divorced

Country of residence
Will this child be included in your application for residence? Yes No

Child six
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated
Engaged Widowed Divorced

Country of residence
Will this child be included in your application for residence? Yes No
Attach additional sheets if necessary.
For each dependent child who will be included in your residence application, complete a Child Supplement Expression
of Interest Form (INZ 1103). Refer to Refer to the guide under Dependent Children in the ‘Summary of Terms’.
If your partner is separated or divorced and bringing a child under 16 years of age with them to New Zealand, we
will need to see proof of their right to leave their home country and your partner’s right to remove them. Section
F5.20 of Residence Instructions refers.

O2 The Skilled Migrant Category recognises that the presence of close family in New Zealand enhances long-term
prospects for employability and settlement. Does your partner have a close family member living in New Zealand
(adult brother or sister, adult child, or parent), who is a resident or citizen of New Zealand? For more details refer
to the guide under Close Family in New Zealand.
Yes Indicate for which family member points are being claimed, from the family members detailed in 03 .
No

O3 Give details of all your partner’s family members (not just those living in New Zealand), including those adopted legally or
by custom. Include: parents (whether biological or adoptive), brothers and sisters (whether full, half, step and adopted),
and children (whether biological, adopted, or step children, including those from previous marriages/relationships). It is
not necessary to list deceased family members or family included elsewhere in this application form.

Family member one

Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated

Engaged Widowed Divorced

Country of residence

Relationship to you

Expression of Interest Form – 29

 When filling in this form, please print clearly using CAPITAL LETTERS.

Family member two

Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated

Engaged Widowed Divorced

Country of residence

Relationship to you

Family member three
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated

Engaged Widowed Divorced

Country of residence

Relationship to you

Family member four
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated

Engaged Widowed Divorced

Country of residence

Relationship to you

Family member five
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated

Engaged Widowed Divorced

Country of residence

Relationship to you

30 – Expression of Interest Form

 Family member six
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated

Engaged Widowed Divorced

Country of residence

Relationship to you

Family member seven
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated

Engaged Widowed Divorced

Country of residence

Relationship to you

Family member eight
Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated

Engaged Widowed Divorced

Country of residence

Relationship to you

Family member nine

Full name

Gender Male Female Date of birth

Partnership status
Married/in civil union Never married/never in civil union Partner Separated

Engaged Widowed Divorced

Country of residence

Relationship to you

Attach additional sheets if necessary.

Expression of Interest Form – 31

 When filling in this form, please print clearly using CAPITAL LETTERS.

Section P Declaration of principal applicant

This section must be signed by the principal applicant 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.

Important
I understand that if I make any false statements, or provide any false or misleading information, or have changed or
altered this form (including the Child Supplement 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. Yes

I understand the notes and questions in this form (including the Child Supplement form), and I declare the information
given about myself, my partner and any children is true and complete. Yes
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. Yes
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 for which I am applying.
Yes
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. Yes
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.
Yes
I authorise INZ to make any enquiries it deems necessary regarding the information provided on this form (including the
Child Supplement 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. Yes
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. Yes
I accept that any advice given to me by INZ before expressing interest and submitting this form (including the Child
Supplement form) was intended to assist me, and acting on that does not mean that any later application for residence
will be granted. Yes
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. Yes.
I have not included any documents with this Expression of Interest. Yes.

Signature of principal applicant Date

32 – Expression of Interest Form

 Section Q Immigration adviser’s details
This section must be completed by the applicant’s immigration adviser. If the applicant does not have an immigration
adviser, this section does not have to be completed.

Q1 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 Q2 .
I am exempt from licensing under the New Zealand Immigration Advisers Licensing Act 2007. Go to Q3 .
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, unless you
are exempt.

Q2 Licensed advisers. Provide your licence details.

Licence type: full provisional limited. List conditions specified in the register.

Licence number Go to Section R: Declaration by person assisting the applicant.

Q3 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 R: Declaration by person assisting the applicant.

Expression of Interest Form – 33

 When filling in this form, please print clearly using CAPITAL LETTERS.

Section R Declaration by person assisting the applicant

This section must be completed and signed by the applicant’s immigration adviser, or by any person who has assisted
the applicant by providing immigration advice, explaining, translating, or filling in the form for the applicant. If the
applicant does not have an immigration adviser, and no one helped the applicant 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 [email protected] 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) Telephone (night)

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 Q: Immigration adviser’s details are correct.

Signature of principal applicant Date

Section S Submitting your Expression of Interest

If you are not completing an Expression of Interest online, send your Expression of Interest to:
Expression of Interest Team
Immigration New Zealand
DX SR 57164
PO Box 3705
Wellington
New Zealand

34 – Expression of Interest Form This form is approved under section 381 of the Immigration Act 2009.
 Section T Paying your application fee
About the information you provide
See our Fees Guide (INZ 1028) or our website
The information about you and your family www.immigration.govt.nz/fees for more information about
in this form is being collected to determine current fees and payment methods.
whether we will invite you to apply for residence in
New Zealand and may also be used to contact you Your application fee
for research or marketing purposes or to advise you
on immigration matters. This information may also be Amount you are paying:
used to determine your entitlement to board a flight
to come to or return to New Zealand. Your personal Currency
information will not be shared with airline check in
agents, however a boarding message will be returned Application number
to the airline check in agent based on information (office use only)
you have supplied on this form.
The main recipient of the information is Immigration Preferred methods of payment
New Zealand (INZ), a service of the Department
of Labour, but it may also be shared with other We recommend that you use one of the following methods
Government agencies that are entitled to this of payment for better security and faster processing.
information under applicable legislation. In particular, Bank cheque/bank draft
the Ministry of Social Development (Work and
Mastercard*
Income) may be given information about your
personal resources. Visa*
The collection of the information is authorised SWITCH card (UK only) SWITCH card issue number
by the Immigration Act 2009 and the Immigration
Regulations made under that Act. The supply of the Credit card*/SWITCH card details
information is voluntary, but if you do not supply the
mandatory information required by the Expression Name of cardholder
of Interest form, then your Expression of Interest
cannot be accepted.
Card number
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 Expiry date D D M M Y Y Y Y
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 Date D D M M Y Y Y Y

• telephone our call centre on 0508 558 855 (within

New Zealand) Other methods of payment
• contact one of INZ’s offices.
Personal cheque. Note that we will hold your application for 10
INZ has offices in Apia, Bangkok, Beijing, Ho Chi working days to allow the cheque to be cleared.
Minh City, Hong Kong, Jakarta, London, Manila,
Moscow, Mumbai, New Delhi, Nuku’alofa, Pretoria, Cash. Our New Zealand branches do not accept cash. Most of our
branches outside New Zealand do not accept cash.
Shanghai, Singapore, Suva, Sydney and Taipei.
You can also contact your nearest New Zealand
We do not accept money orders.
Embassy or High Commission.
In New Zealand offices are located in Auckland, To be removed and securely destroyed after credit card transaction is
Henderson, Manukau, Hamilton, Palmerston North, processed.
Wellington, Christchurch, Queenstown and Dunedin. *
Your CVC/CVV number is required if you are paying by
electronic credit card and your application is being lodged at
Immigration New Zealand’s Bangkok branch, London branch or
the MFAT post in The Hague. If your application will be lodged
in one of these three branches, please provide your CVC/CVV
number here.
Note: your CVC/CVV number is the three-digit number found on
the signature strip on the back of your credit card.

Expression of Interest Form – 35

 When filling in this form, please print clearly using CAPITAL LETTERS.

36 – Expression of Interest Form