Immigrant Limited, New Zealand. Immigration, tourism, education

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Prospective Immigrant Questionnaire

Please answer the following questions in as much detail as possible. Some questions will not be relevant to you. If the question is not relevant please answer "N/A". Please answer the questions in English.

Your full name:
Your gender:	male female
Your date of birth:day/month/year:
Your citizenship(s):
Current residence address (city and country):
Marital status:	never married married divorced de-facto partnership widowed
Spouse's age:
If you have any post high school education, please provide full details of the following: Full name of college or university or polytechnic from which degree was obtained Field of study in which degree obtained Name of Diploma or certificate which you obtained (ie: Bachelors Degree) Period of study
Please show below your complete employment history, including name of the employer, position, and period of employment:
Please indicate your own English speaking ability:

Do you have IELTS test examination report with an overall band not less than 6.5?	yes no

If your spouse has any post high school education, please provide full details of the following: Full name of college or university or polytechnic from which degree was obtained Field of study in which degree obtained Name of Diploma or certificate which you obtained (ie: Bachelors Degree) Period of study

Please show below your spouse's complete employment history, including name of the employer, position, and period of employment:

Please indicate your spouse's English speaking ability:

Do you or your spouse have a job offer in New Zealand? If "yes", please state the position offered, name of employer and duration of this position:

Please state whether you wish to run your own business in New Zealand:	yes no

If "yes", what is the maximum amount you are prepared to invest (in US$):

How many children do you have? Their age?:
Do you or your spouse have any relatives currently living in New Zealand with permanent residence or citizenship? If "yes" how long have they had permanent residence in NZ and what is your relationship to them (eg. parents, siblings ...)

Why do you want to come to New Zealand?:
Your full postal address, telephone number:

Your email address:

How did you know about Immigrant Ltd:
Other sources:
Thank you for completing this form. Now click on the submit button and your details will be transferred to Immigrant Ltd. for evaluation.

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