Online evaluation form

Often there is more than just the one way for you to be eligible to enter and remain in New Zealand.

Principal applicant’s details

* Required Fields

Please ensure all personal details are as per your passport.

  1. Full Name and Surname *
  2. Date of Birth - DD/MM/YYYY *
  3. Preferred title
    MrMrsMsMissMaster
  4. Contact details for us to get hold of you
    Home phoneMobile phoneWork phone
  5. Email *
  6. Country of Citizenship *
  7. Where do you normally reside? *
  8. Passport details *
    Passport NumberExpiry Date - DD/MM/YYYY
  9. What formal qualifications do you have?
  10. What language did you complete your qualification in?
  11. What other courses have you done?
  12. Have you had your qualification assessed by NZQA?
    NoYes
  13. How do you rate your English language ability on a scale of 1 - 10?
    1 being "Need the services of an interpreter" 10 being "Speak, read, write and comprehend to a high standard"
    12345678910
  14. Relationship status
    MarriedDefactoDivorcedSingle
  15. Do you have a written job offer in New Zealand?
    NoYes


    If so please provide details
    Position:Location:
  16. In your own words please describe your skills, duties and responsibilities as is in your current employment
    Just one paragraph please - Do not use enter key

  17. How many years experience you have in your current position?
    Please include all employers
  18. Do you have a visa to enter NZ?
    NoYes
  19. Have you applied for any visa?
    NoYes


    If so please provide details
    Visa applied forDate of application - DD/MM/YYYY UnsuccessfulSuccessful
  20. Do you have any convictions for any offences in any country?
    NoYes
  21. Have you ever been refused entry or been deported from any country?
    NoYes
  22. Do you have any health issues, or require any ongoing medical treatment?
    NoYes
  23. Spouse/partner's Full Name and Surname
  24. Spouse/partner's Date of Birth - DD/MM/YYYY
  25. What does your spouse/partner do?
  26. Does your spouse/partner have any qualifications? If so please list
  27. How does your spouse/partner rate their English language ability on a scale of 1 - 10?
    1 being "Need the services of an interpreter" 10 being "Speak, read, write and comprehend to a high standard"
    12345678910
  28. Do you have children?
    NoYes
    Please state ages
  29. Are any of the children adopted or from a previous relationship?
    NoYes
  30. Do you have any family or friends in NZ?
  31. Do you have other family in your home country?
    Parents, brothers or sisters
  32. Does your partner have any family in NZ?
    Parents, brothers or sisters
  33. Does your partner have other family in your home country?
    Parents, brothers or sisters
  34. Does your partner/children have any convictions for any offences in any country?
    NoYes
  35. Has your partner/children ever been refused entry or been deported from any country?
    NoYes
  36. Do your partner/children have any health issues, or require any ongoing medical treatment?
    NoYes
  37. How did you find A1 Immigration Services?
    IAATradeMeReferralOther:
  38. Please leave this field empty.

Thank you for taking the time to complete this evaluation. We will respond within 2 working days of receipt.

Privacy notice

The personal information you provide to A1 Immigration Services Ltd is secure and is collected with the sole purpose of assessing your potential for immigration to New Zealand under the current New Zealand immigration selection criteria. We will respond to you only in regard to your New Zealand Immigration evaluation. We operate strictly according to New Zealand Privacy law.