Pacific Access Category and Samoan Quota online registration

What are you registering for?

Pacific Access Category Samoan Quota

Tell us who is filling in this form

the principal registrant a Licenced Immigration Advisor someone who can give immigration advice or support without being licenced, such as a lawyer or a family member

I am exempt from licensing under the New Zealand Immigration Adviser Licensing Act 2007 because:*

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 foreign diplomat or consular staff. 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. I am a New Zealand member of Parliament or member of their staff and I provided immigration advice as part of my employment agreement.

Advisers licence number:*

Licence type:*

Last name:*

First names:

Organisation name:

Street number:

Street address or PO Box:*

Suburb:

Town or city:*

Country:*

Postcode:

Phone number — including international calling codes:

Email address:

Confirm your email address:

Principal registrant's contact details

Building name:

Unit or suite number:

Street number:

Street address or PO Box:*

Suburb:

Town or city:*

Country:*

Postcode:

Mobile phone number — including international calling codes:*

Note

Make sure your mobile number is correct. This is how we will contact you with updates.

Phone number — including international calling codes:

Email address:*

Note

Make sure your email address is correct. This is how we will contact you with updates.

Confirm your email address:*

Contacting you about this registration

Should we send communications about this registration to the same address as above?*

Yes No

Full name of contact person:

Organisation name:

Street number:

Street address or PO Box:*

Suburb:

Town or city:*

Country:*

Postcode:

Mobile phone number — including international calling codes:*

Note

Make sure your mobile number is correct. This is how we will contact you with updates.

Phone number — including international calling codes:

Email address:*

Note

Make sure your email address is correct. This is how we will contact you with updates.

Confirm your email address:*

Do you authorise the contact person to act for you?*

Yes No

Upload supporting documents

You can upload other additional documents or information to consider with your registration.

Note

The files must be PDF, JPEG, JPG, GIF or PNG and less than 2MB each. You can only upload up to 5 files.

You must upload details of additional dependents that you are not able to enter on the application form due to the 15 dependent limit on the form.

Declaration

Read our privacy statement. Privacy

I have read and understood the Immigration New Zealand (INZ) Privacy Statement.
I have provided true and correct answers to the questions in this form.
I understand that if false or misleading information is submitted, INZ may decline my registration or any resulting residence application without further warning.
I will inform INZ of any relevant fact or change of circumstances (including a change in my employment or partnership status) that may affect the decision on my registration.
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 not further process my application.
I consent for INZ to make necessary enquiries about information on this form and accompanying documentation, and to share this information with other government agencies (including overseas agencies) if it is necessary to make decision about my immigration status.
I consent for any New Zealand or overseas agency, including border or immigration agencies, education providers, financial institutions, foreign embassies, government authorities, healthcare providers, and police or other law enforcement agencies, to disclose any personal or other information related to this registration form or documentation to INZ so that they can:
- make a decision on this registration or a resulting residence application
- answer enquiries about my immigration status once my registration or application has been decided.
I consent for any agency that holds information (including personal information) related to those matters to disclose that information to INZ.

Yes, I agree

Pacific Access Category and Samoan Quota online registration

What visas these ballots are for

Who the principal registrant is

Location when registering for the ballot

Registration fees

Documents you need to upload

Registration opening and closing times

Thank you

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Registration form

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What are you registering for?

Tell us who is filling in this form

Principal registrant's details

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Principal registrant's contact details

Contacting you about this registration

Family details

Family member

Upload supporting documents

Declaration

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