OFFICE USE ONLY   Client no.:                          Date received:     /      /           Application no.
    August 2018                                                                                                 INZ 1023
                                           Application for Transfer or
                                              Confirmation of a Visa
 Who should use this form?
 Transferring your eVisa or visa label to a new passport
 If you have a new passport (because your old passport expired, was lost, stolen, damaged or your name has changed),
 you will need to transfer your visa into your new passport so you can continue to travel to and from New Zealand.
 This applies regardless of whether you had an eVisa or a physical visa label in your old passport.
 If you are transferring your eVisa to your new passport or had a visa label in your old passport and you would like an
 eVisa in your new passport, there is no fee. If you still require a physical label in your new passport, a fee applies.
    eVisas
    eVisas are issued for all visas. Instead of receiving a label in your passport you will get an eVisa letter containing
    your visa details. Physical labels are no longer required. Your eVisa can be checked electronically by airlines,
    employers, education providers and other New Zealand Government agencies.
 Applying for the balance of your visa
 If your temporary visa was granted for a shorter length than requested because your passport was about to expire,
 you can apply for the balance of the visa to be placed in your new passport.
 Confirming your New Zealand immigration status
 If you were granted a residence permit under the Immigration Act 1987 or Immigration Act 1964 you can apply for
 confirmation of your residence status. A fee applies.
 If you arrived before 2 April 1974 and you no longer have your original passport you will need to provide evidence
 that you have lived in either New Zealand or Australia continuously since 2 April 1974.
 Australian citizen or Australian permanent resident
 If you are an Australian Citizen or permanent resident currently living in New Zealand and you require evidence of your
 visa status, you can apply to get an eVisa or have a physical label placed in your passport showing your visa status.
 Please note that if you travel outside New Zealand, your resident visa will expire and your eVisa or visa label will
 become invalid. If you return and you still require evidence of your visa status, you would be required to get a new
 eVisa or label in your passport.
 If you do not want your visa to expire when you leave New Zealand, you should instead apply for a ‘variation of
 travel conditions’ by completing the INZ 1175 – Application from a Resident or Former Resident Visa Holder form.
 Requesting a physical label
 If you have received an eVisa and require a physical label in your passport. A fee applies.
 Fees and where to send your application
 For location and fee details see our website www.immigration.govt.nz/fees
                                Do not use this form if you are a New Zealand citizen.
                    Complete a New Zealand Citizenship Endorsement Application (INZ 1174) instead.
                                                                                                          immigration.govt.nz
   When filling in this form, please write clearly using CAPITAL LETTERS.
       Section A        Principal applicant’s personal details
   All principal applicants must complete this section.
       A1 	 Name as shown in passport
            Family/last name 	                                                   Given/first name(s)
       A2 	 Other names you are known by or have ever been known by
       A3 	 Gender       Male       Female               A4 Date of birth    D   D   M   M   Y   Y     Y   Y
       A5 	 Town/city of birth
           	Country of birth
       A6 	 Passport details
   	       Number
           Country                                                                                              	 Expiry date
   	                                                                                                                            D   D   M   M   Y   Y   Y   Y
       A7 	 Country of citizenship
       A8 	 Your postal address and telephone number
   	Address
   	       Telephone (daytime)                                                   Telephone (evening)
   	Email
       A9 	 Name and address for communication about this application
              Same as address at       A8   , or   Other
           Family/last name	                                                     Given/first name(s)
           Organisation name (if applicable) and address	
           New Zealand Business Number (for New Zealand businesses only)
           For help search: www.nzbn.govt.nz
           Telephone (daytime)                                                   Telephone (evening)
           Email
    A10 	 Do you authorise the person stated at            A9   to act on your behalf?           Yes           No
2 – Application for Transfer or Confirmation of a Visa – August 2018
    A11 	 Do you authorise all other licensed immigration advisers or persons exempt from licensing who work for the
          organisation named at A9 to act on your behalf (if applicable)?
            Yes Note: the person identified at    A9 will receive all communication from Immigration New Zealand.
            No Only the person indicated at    A9 may act on my behalf.
A12 	 Have you received immigration advice on this application?
       	 You can find a definition of immigration advice at www.immigration.govt.nz/advice.
            Yes Please make sure that your immigration adviser completes Section E: Immigration adviser’s details.
            No
    Section B         What you are applying for	
All applicants must complete this section.
    B1 	 Tick to show why you are applying.
            	 I am applying to have my visa transferred into my new passport.
        	    Please include your previous and current passport.
             If your previous passport was lost, stolen or damaged, include evidence it has been reported to the
             New Zealand Police (if lost or stolen) and/or your embassy or high commission. Go to B2 .
            	 I am applying for the balance of my visa.
        	    Please include your previous and current passport and letter from INZ confirming your visa balance. Go to                                        B2 .
            	 I am an Australian citizen or Australian permanent resident and require evidence of my resident visa.
              Please include your passport and/or evidence of Australian permanent residence. Go to B2 .
            	 I have received an eVisa but require a visa label in my passport. Go to                                B2   .
            	 I need confirmation of my New Zealand residence status. Go to Section C: Confirmation of residence status.
    B2 	 Has your name changed in your new passport?
           	 Yes — Please provide evidence of your name change (e.g. original or certified copy of marriage certificate,
                    new birth certificate, or other name change document)
           	 No
    B3 	 Tick to show whether you would like an eVisa or a physical visa label.
            	 I would like an eVisa (I don’t need a label in my passport) – no fee is required. Go to Section D: Declaration by applicant.
            	 I would like a physical visa label – you will be required to pay a fee. Go to Section D: Declaration by applicant.
    Section C         Confirmation of residence status
Complete this section if you were granted a residence permit under the Immigration Act 1987 or Immigration
Act 1964 or you arrived before 2 April 1974 for the purpose of permanent residence and you need your residence
status confirmed.
    C1 	 Date you arrived in New Zealand           D   D        M   M   Y   Y   Y   Y
    C2 	 Have you lived in New Zealand continuously from the date of your arrival (apart from any time spent in the
         Cook Islands, Niue, Tokelau, or Australia)?
	                Yes Go to   C4   		         No Go to      C3
    C3 	 When was the last time you entered New Zealand?                            D   D   M   M    Y   Y   Y   Y
                                                                                                    Application for Transfer or Confirmation of a Visa – August 2018 – 3
   When filling in this form, please write clearly using CAPITAL LETTERS.
       C4 	 Have you attached your passport containing the original resident visa endorsement or other entry authority
            applying at the time of entry?
   	             Yes Go to Section D: Declaration by applicant         No Go to   C5
       C5 	 If you arrived before 2 April 1974 and no longer have your original passport, please provide evidence which shows
            you have lived in New Zealand continuously since 2 April 1974. This may include your new passport, evidence
            of your non-New Zealand citizenship, rates demand, drivers license, receipted power bills, income tax returns,
            school records or employment references.
   	       List the documents you are providing below and attached them to this form.
       Section D        Declaration by applicant
   All applicants must complete this section.
   I have provided true and correct answers to the questions in this form.
   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, Immigration New Zealand
   will return my application.
   Signature of applicant	                                                                             Date    D   D   M   M   Y   Y   Y   Y
   Signature of parent or guardian if principal applicant is under 18 years of age
   Signature of parent or guardian	                                                                    Date    D   D   M   M   Y   Y   Y   Y
       Section E        Immigration adviser’s details
   This section must be completed by the applicant’s immigration adviser. If the applicant has authorised all
   advisers within an organisation to act on their behalf at A11 , only the person named at A9 must complete
   this section. If the applicant does not have an immigration adviser, this section does not have to be completed.
       E1 	 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                              E2
              I am exempt from licensing under the New Zealand Immigration Advisers Licensing Act 2007. Go to                                  E3
           If you are unlicensed when you should be licensed under the Immigration Advisers Licensing Act 2007, Immigration New Zealand will
           return your client’s application. It is an offence to provide immigration advice without holding a licence, unless you are exempt.
     E2 	 Licensed advisers. Please provide your licence details.
   	      Licence type	
   	          full      provisional        limited. List conditions specified in the register.
   	       Licence number 2 0                                Go to Section F: Declaration by person assisting the applicant.
4 – Application for Transfer or Confirmation of a Visa – August 2018
 E3 	 Exempt from licensing. Tick one box 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 F: Declaration by person assisting the applicant.
   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.
 Section F         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, Immigration New Zealand 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                    Same as name and address given at            A9   , or    as below.
Family/last name	                                                        Given/first name(s)
Organisation name (if applicable) and address
New Zealand Business Number (for New Zealand businesses only)
For help search: www.nzbn.govt.nz
Telephone (daytime)                                                           Telephone (evening)
Fax                                                          Email
                                                                                   Application for Transfer or Confirmation of a Visa – August 2018 – 5
   When filling in this form, please write clearly using CAPITAL LETTERS.
   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 understand 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. Please specify
          	 I have provided immigration advice (as defined in the Immigration Advisers Licensing Act 2007) and my details
            in Section E: Immigration adviser’s details, are correct.
   Signature of person assisting                                                    Date      D   D    M   M    Y   Y   Y   Y
                                                                              This form has been approved under section 381 of the Immigration Act 2009
6 – Application for Transfer or Confirmation of a Visa – August 2018
                                                           Section G                  Paying your application fee
  About the information you provide
                                                          See our Fees Guide (INZ 1028) or our website
  Collecting the information on this form is authorised   www.immigration.govt.nz/fees for more information
  by the Immigration Act 2009 and the Immigration         about current fees and payment methods.
  Regulations made under that Act. You do not
  have to provide the information, but if you do          If you are applying for a transfer of your visa, but have
  not we are likely to decline your application.          indicated that you would like an eVisa instead of a
                                                          physical label, no immigration fee or levy applies.
  You are able to ask for the information we hold
  about you and have any of it corrected if you
  think it is necessary. The address of Immigration       Your application fee and immigration levy
  New Zealand is PO Box 1473, Wellington 6140,
  New Zealand.                                            Amount you are paying:
  Do not send your application to this address.           Amount	
  Deciding whether you are eligible to board              Currency	
  a flight to New Zealand                                 (e.g. NZD, USD, RMB)
  The information we collect may also be used to
  determine whether you are allowed to board a            Application number
  flight to New Zealand.                                  (office use only)
  We will not share your personal information with
  airline check-in agents; however, we will send a        Preferred methods of payment
  boarding message to the airline check-in agent based
  on the information you have provided in this form.      We recommend that you use one of the following methods
                                                          of payment for better security and faster processing.
  Immigration New Zealand may also share the
  information you have provided with other                  	    Bank cheque/bank draft
  government agencies that are entitled to it
  by law, or with other agencies.                         Credit card
                                                            	    Mastercard                    Visa
  If you are in New Zealand, you can ask to see the
  information we hold about you and have any of           Name of cardholder
  it corrected if you think it is necessary.
  VisaView
                                                          Card number
  It is an offence to employ a person who is not
  entitled to work in New Zealand. One way for
  employers to avoid committing this offence is
  to check a person’s entitlement to work with            CVC/CVV number
  Immigration New Zealand’s online VisaView
                                                          Note: Your CVC/CVV number is the three-digit number found on
  system. Disclosure of information through               the signature strip on the back of your credit card.
  VisaView is authorised by legislation.
                                                          Expiry date         D   D    M   M       Y       Y   Y   Y
  If you believe that an employer has been given
  the wrong entitlement information about you             Signature of cardholder
  via VisaView, you may contact the Immigration
  Contact Centre (0508 558 855) to request
  correction of that information.
                                                          Date    D   D   M       M    Y   Y   Y       Y
 Returning your documents                                 Other methods of payment
Please return documents to me by secure post at the
                                                            	    Personal cheque. Note that we will hold your application
address given at:                                                for 10 working days to allow the cheque to be cleared.
   A8
                                                            		 Cash. Our New Zealand offices do not accept cash. Most of
   A9                                                            our offices outside New Zealand do not accept cash.
                                                          We do not accept money orders.
                                                                   Application for Transfer or Confirmation of a Visa – August 2018 – 7
   When filling in this form, please write clearly using CAPITAL LETTERS.
8 – Application for Transfer or Confirmation of a Visa – August 2018