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

INZ 1146

Form for Partners Supporting

Partnership-Based
Temporary Entry Applications
Supporting information for a partnership-based temporary entry application

What do you have to do?

About this form
New Zealand citizens or residence class visa holders must
Partnership-based temporary entry applications are complete sections A to C of the form. Only complete
applications made under the following instructions: Section D: Culturally arranged marriage requirements if it
appliestoyou.
Partners of New Zealand citizens or residence class
Applicants for, or holders of, student or work visas must
visa holders
complete sections A and B of the form.
Partners of holders of work or student visas
All applicants must complete Section E: Declaration by
Entry to New Zealand for the purpose of a culturally
person supporting an applicant under partnership-based
arranged marriage.
temporary entry applications.
The person applying for a temporary visa must complete
When you have completed the form, give the form with your
the form Application for a Partnership-Based Temporary
evidence/attachment to your partner/intended partner so
Entry Visa (INZ 1198).
that they can include it with their application.

Requirements for partners/intended partners About the information you provide

More information about the requirements you must meet
The information about you on this form is collected to
as the partner or intended partner of a person applying for
determine your eligibility to support your partner/intended
a temporary visa can be found in the Guide for Partnership-
partners temporary entry application.
Based Temporary Entry Applications (INZ1199).
The main recipient of the information is Immigration NewZealand,
Immigration Advisers Licensing Act 2007 a service of the Ministry of Business, Innovation and Employment,
but it may also be shared with other government agencies, which
Under the Immigration Advisers Licensing Act 2007 it is are entitled tothe information under applicable legislation, or
an offence to provide immigration advice without being
with your partner/intended partner (if you have consented at B11 ).
licensed or exempt. If your immigration adviser is not
licensed when they should be, Immigration New Zealand Collection of this information is authorised by the Immigration Act
will return your application. 2009 and the Immigration Regulations made under that Act. You
do not have to provide the information, but if you do not then your
For more information and to view the register of licensed
partner/intended partners application may be declined.
advisers, go to the Immigration Advisers Authority
website www.iaa.govt.nz, or email [email protected]. Any person has the right to access the information about
them held by Immigration NewZealand and to ask for any of
Lawyers provide immigration advice and are exempt
it to be corrected if they think that isnecessary. The address
from licensing under the Immigration Advisers Licensing
of Immigration NewZealand is PO Box 3705, Wellington,
Act. For more information and to view the register of
NewZealand. This is not where this form should be sent.
immigration lawyers, go to the New Zealand Law Society
website www.lawsociety.org.nz. Completing this form does not mean that your partner/
intended partners temporary entry application will be approved.
When filling in this form, please write clearly in English Applicants for temporary entry visas must meet all of the
using CAPITAL LETTERS. requirements of the instructions they are applying under before
they will be granted a visa to be in New Zealand. For full details
of the requirements you must meet and your partner/intended
partner must meet, see our website www.immigration.govt.nz.

For further information on immigration April 2013

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

Section A Principal applicants details

Principal applicant means the partner/intended partner whose temporary entry application you aresupporting.
A1 Principal applicants name as shown in passport
Family/last name Given/first name(s)

A2 Gender Male Female A3 Date of birth

Section B Your details

These are the details of the person who is supporting the applicants temporary entry application.
B1 Name as shown in passport
Family/last name Given/first name(s)

B2 Other names you are known by or have ever been known by

B3 Gender Male Female B4 Date of birth

B5 Town/city of birth

Country of birth

B6 Country (or countries) of citizenship

B7 Your residential address and contact details

Address

Telephone (daytime) Telephone (evening)

Fax Email

B8 To support a partner/intended partner you must be one of the following. Tick one of the options below:
I am a New Zealand citizen.
I am the holder of a current New Zealand residence class visa.
I am an Australian citizen.
I either hold or am applying for a New Zealand work visa.
I either hold or am applying for a New Zealand student visa.
You must provide either your original passport or a certified copy of the personal details page of your passport.
If you are a New Zealand citizen and you do not have a passport, you may provide an original or certified copy of
your New Zealand citizenship certificate or birth certificate instead.

B9 Are you currently living in New Zealand? Yes No

B10 Have you been convicted, in the last seven years, of any offence involving domestic violence or of a sexual nature in
any country, or are you currently under investigation for such an offence?
Yes Provide details below including date, country and nature of offence(s) No

We will advise you if we need you to submit police certificates.

2 Form for Partners Supporting Partnership-Based Temporary Entry Applications - April 2013 This form has been approved under section 381 of the Immigration Act 2009
B11 Do you consent to Immigration New Zealand providing information about you to your partner/intended partner (the
principal applicant), if deemed necessary for the assessment of their application?
Yes No

Section C Eligible sponsor requirements under our Residence Partnership instructions

All partners/intended partners who are New Zealand citizens or residence class visa holders must complete this section.

C1 Have you previously supported or sponsored a successful principal applicant under our Residence Partnership
instructions or partnership-based temporary entry instructions, or did you include a secondary applicant partner
in your residence application who was granted residence?
Yes Provide details in the following table of all applicants you have previously supported or included in your residence application. Continue on a
separate sheet of paper if necessary.

No
Name of applicant Date of birth Date of arrival Date of departure (if applicable)

C2 Were you a principal applicant under Residence Partnership instructions or granted residence as the secondary
applicant partner under another residence category?
Yes
No

C3 Have at least five years passed since:

you supported or sponsored a principal applicant under Residence Partnership instructions, or
you were granted residence as a principal applicant under Residence Partnership instructions, or
you were granted residence under any other category, if you included a partner in that application, or
you were granted residence as the secondary applicant partner under any other category?
Yes No Not applicable
Go to Section D: Culturally arranged marriage requirements if your intended partner is applying for a visitor visa under our culturally arranged
marriage instructions. If not, go to SectionE:Declaration by person supporting an applicant under partnership-based temporary entry applications.

Section D Culturally arranged marriage requirements

Complete this section if your intended partner is applying for a visitor visa under our culturally arranged
marriage instructions.
D1 Do you intend to marry your intended partner within three months of their arrival in New Zealand? Yes No

D2 Is there any legal impediment to the intended marriage? A legal impediment includes you or your intended partner
already being married to another person, or being close relatives.
Yes No

Section E Declaration by person supporting an applicant under partnership-based temporary

entry applications
I declare that the information supplied on this form and in the accompanying documents is true and correct.
I understand that it is an offence under the Immigration Act 2009 to provide false or misleading information, and that if
I do so, the application I am supporting will not be approved.
Signature of person supporting a partnership-based temporary visa application.

Signature Date D D M M Y Y Y Y

Form for Partners Supporting Partnership-Based Temporary Entry Applications - April 2013 3
 When filling in this form, please write clearly using CAPITAL LETTERS.

Section F Immigration advisers details

This section must be completed by the New Zealand partners immigration adviser. If the New Zealand partner does not
have an immigration adviser, this section does not have to be completed.

F1 If you are a licensed adviser, please provide your licence details.

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

Licence number 2 0 Go to Section G: Declaration by person assisting the New Zealand partner.

F2 If you are exempt from licensing, tick one box below to show why you are exempt from licensing then go to
SectionG: Declaration by person assisting the New Zealand partner.
I provided immigration advice in an informal or family context only, and I did not provide the advice systematically
or for a fee.
I provided immigration advice offshore in relation to applications or potential applications for student visas only.
I have provided immigration advice in the course my work (employed or volunteer) and that work exempts me
from the requirement to be licensed. Indicate the reason for your exemption below.
Lawyer with current New Zealand practicing certificate Community Law Centre Citizens Advice Bureau
New Zealand Member of Parliament or staff New Zealand public servant Foreign Diplomatic/Consular

See www.immigration.govt.nz/adviserlicensing for more information about who is exempt from licensing.

Section G Declaration by person assisting the New Zealand partner

This section must be completed and signed by the New Zealand partners immigration adviser, or by any person who
has assisted the New Zealand partner by providing immigration advice, explaining, translating, or filling in the form
for the New Zealand partner. If the New Zealand partner does not have an immigration adviser, and no one helped the
NewZealand partner to fill in this form, this section does not have to be completed.
If you are not exempt under the Immigration Advisers Licensing Act 2007, it is an offence for you to provide immigration advice without holding a license,
and Immigration New Zealand will refuse to accept your clients application. More information about immigration adviser licensing can be obtained from
the Immigration Advisers Authority website www.iaa.govt.nz, via email [email protected] or by telephone on 0508422422.

Name and address of person assisting New Zealand partner. Same as address given at B7 or as below.
Family/last name Given/first name(s)

Company name (if applicable) and address

Telephone (daytime) Telephone (evening)

Fax Email
I understand that after the New Zealand partner has signed this form it is an offence to change or add further
information, change any documents attached to the form, or attach any further documents to the form.
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. 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 certify that the New Zealand partner asked me to help them complete this form and any additional forms. I certify that
the New Zealand partner agreed that the information provided was correct before signing the declaration.
I have assisted the New Zealand partner as an interpreter/translator.
I have assisted the New Zealand partner with recording information on the form.
I have assisted the New Zealand partner in another way. Specify
I have provided immigration advice (as defined in the Immigration Advisers Licensing Act 2007) and my details in
Section F: Immigration advisers details are correct.

Signature of person assisting Date D D M M Y Y Y Y

4 Form for Partners Supporting Partnership-Based Temporary Entry Applications - April 2013