Professional Documents
Culture Documents
INZ 1146
When filling in this form, please print clearly in English using CAPITAL LETTERS.
B5 Town/city of birth
Country of birth
B6 Country (or countries) of citizenship
Address
Fax Email
I am the holder of a New Zealand student visa/permit and I have provided a certified true copy of my passport
(the personal details page and the page with the immigration label or stamp on it).*
*Note: If you are an applicant for a work or student visa/permit, and your partner is applying at the same time as you, you do not need to provide
evidence of the immigration label or stamp.
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.
No.
C1 Have you previously supported or sponsored a successful principal applicant under our Residence – Partnership
policy or ‘partnership-based temporary entry policy’?
Yes. Provide details below.
No.
Details of ALL applications you have previously supported. Continue on a separate sheet of paper if necessary.
Name of applicant you supported Date of birth Date of arrival Date of departure (if applicable)
Yes. Go to C3 .
C3 Have five years or more passed since the date you were granted residence under Residence – Partnership policy?
Yes No
Go to Section D: Culturally arranged marriage requirements if your intended partner is applying for a visitor’s visa/permit under our culturally
arranged marriage policy. If not, go to Section E: Declaration.
Culturally arranged
Section D Section E: Declaration continued
marriage requirements
Telephone (daytime)
Complete this section if your intended partner is applying
for a visitor’s visa/permit under our culturally arranged Telephone (evening)
marriage policy.
Fax (if any)
D1 Do you intend to marry your intended partner within
Signature of person authorised to take a statutory declaration
3 months of their arrival in New Zealand?
Yes No
I consent to Immigration New Zealand providing information
D2 Is there any legal impediment to the intended about me to my partner/intended partner (the principal
marriage? A ‘legal impediment’ includes you or your applicant), if deemed necessary for the assessment of their
intended partner already being married to another application.
person, or being close relatives.
Yes No
Yes No
Go to Section E: Declaration.
Section E Declaration
All people supporting their partner/intended partner’s
temporary entry application must complete this section.
I,
[FULL NAME]
, of
[OCCUPATION]
About the information
[ADDRESS] you provide
solemnly and sincerely declare that the information
supplied on this form and in the attachments is true and Deciding your eligibility
correct, and that I support my partner/intended partner’s The information about you on this form is collected to
temporary entry application. determine your eligibility to support your partner/intended
And I make this solemn declaration conscientiously partner’s temporary entry application.
believing the same to be true and by virtue of the Oaths The main recipient of the information is Immigration
and Declarations Act 1957. New Zealand, a service of the Department of Labour, but it
may also be shared with other Government agencies, which are
Signature
entitled to the information under applicable legislation or with
your partner/intended partner (if you have consented above).
The address of Immigration New Zealand is PO Box 3705,
Declared at (place) Wellington, New Zealand. This is not where this form should
be sent.
Collection of this information is authorised by the
Date D D M M Y Y Y Y Immigration Act 1987 and the Immigration Regulations made
under that Act. You do not have to provide the information,
before me but if you do not then your partner/intended partner’s
application may be declined.
Any person who is in New Zealand has the right to access the
information about them held by Immigration New Zealand and to
ask for any of it to be corrected if they think that is necessary.
Completing this form does not mean that your partner/
Contact details of person authorised to take intended partner’s temporary entry application will be
statutory declarations approved. Applicants for temporary entry visas/permits must
Address for correspondence meet all of the requirements of the policy they are applying
under before they will be granted a visa or permit to be in
New Zealand. For full details of the requirements you must
[NAME OF PERSON AUTHORISED TO TAKE STATUTORY DECLARATIONS] meet and your partner/intended partner must meet, see our
website www.immigration.govt.nz.
[OFFICIAL DESIGNATION]