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

November 2014 INZ 1177

Military Visa
Application
For members of a visiting force (including its civilian component)
or crew members of any craft transporting such people.

Information about military visa applications

A military visa facilitates the movement of members of a visiting force (including members of the civilian component
of the visiting force) as defined in the Visiting Forces Act 2004, or crew members of any craft transporting the visiting
force to New Zealand, who are in New Zealand at the request or with consent of the Government of New Zealand.
If you are a member of a visiting force (including a member of its civilian component), or a crew member transporting
such people to New Zealand, you do not need a visa to travel to New Zealand, but you are required to hold a military
visa while in New Zealand. If you arrive in New Zealand on a military craft you will be deemed to hold this visa. If you
arrive at an airport on a commercial craft you will apply for and may be granted this visa at the border or you may apply
for a military visa prior to travel to New Zealand to facilitate your entry.
Your partner or other family members cannot apply on this application form. They must lodge separate applications for
the type of visa they need.
Application requirements
You must provide evidence that you will be in New Zealand at the request or with the consent of the Government of
New Zealand. This evidence may include but is not limited to original or certified copies of:
• a military movement order, or
• joining instruction for a course run by the New Zealand Defence Force, or
• other evidence provided by the New Zealand Defence Force.
How much does a military visa cost?
A military visa is free of charge.
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.
Where do you send your application and documents?
Applicants who are overseas: send your completed application form and documents to your nearest INZ office,
New Zealand Embassy, or New Zealand High Commission. Applicants who are in New Zealand: send your completed
application form and documents to your nearest INZ office. For full details see www.immigration.govt.nz/contactus.
For more information
If you have questions about any of the information in this form, see our website www.immigration.govt.nz, or
telephone our call centre on 0508 558 855 (within New Zealand), or +64 9 914 4100 for those outside of New Zealand.

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

All applicants must complete sections A, B, C, and D.

Section A Applicant’s personal details

Attach two passport-size photographs of yourself here.
These photographs must be less than six months old.
Write your full name on the back of each photograph.

A1 Name as shown in military travel document, movement order

document, or passport 4.5cm 4.5cm

Family/last name

Given/first name(s) 3.5cm 3.5cm

A2 Gender Male Female A3 Date of birth

A4 Town/city and country of birth

A5 Country of citizenship

A6 Passport details (if available)

Number

Country Expiry date

Note: if you are a civilian you must provide your passport.

Section B Contact details

B1 Name and address for communication about this application

Name

Address

Telephone (daytime) Telephone (evening)

Fax Email

B2 If you have given someone else’s name above do you authorise that person to act on your behalf?
Yes No Not applicable

B3 Have you received immigration advice on this application?

Yes Make sure that your immigration adviser completes Section E: Immigration Adviser’s Details.
No

Section C Military visa

C1 What date will you arrive in New Zealand? D D M M Y Y Y Y

C2 What date will you finally depart New Zealand? D D M M Y Y Y Y

C3 What evidence have you attached to establish that you will be in New Zealand at the request of or with the consent
of the Government of New Zealand?

2 – Military Visa Application This form has been approved under section 381 of the Immigration Act 2009
 Tick to confirm what evidence you have provided.
Military movement order
Joining instruction for a course run by the New Zealand Defence Force
Other evidence List below

Section D Declaration by applicant

I have provided true and correct answers to the questions in this form.
I agree to tell Immigration New Zealand about any changes to my circumstances that occur after making this application.
I agree to leave New Zealand before my visa expires. If I remain in New Zealand after my visa has expired, I may be
liable for deportation.
I agree that if I am not entitled to free health care in New Zealand, I will pay for any health care or medical assistance I
may require in New Zealand.
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 (INZ)
will refuse to accept my application.
I authorise Immigration New Zealand to make any necessary enquiries about information on this form so that they can:
• make a decision on this application
• answer enquiries about my immigration status once my application has been decided.
I authorise any agency that holds information (including personal information) related to those matters to disclose
that information to Immigration New Zealand.

Signature of applicant Date 2D 3D M

1 M2 2 0Y Y1 9Y
Y

Section E Immigration adviser’s details

This section must be completed by the applicant’s immigration adviser. 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. 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 applicant

.
E4 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.

Military Visa Application – 3

 When filling in this form, please write clearly using CAPITAL LETTERS.

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.

Section F Declaration by person assisting 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 address given at B1 , 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 applicant has signed this form it is an offence for me to change or add further information,
or change or add any documents attached to the form, without making a statement identifying what information or
material has been changed, added or attached and by whom. If I make these changes or additions, I must state on the
form what they were, who made them and the reason they were made.
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 filling in the form
I have assisted the applicant in another way. 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

4 – Military Visa Application