Client Intake Form

1. Personal & Contact Details

First Name :

Last Name :(Required)

Date of Birth (DD/MM/YYYY) :

Place of Birth (City, Country) :

Gender / Preferred Pronouns :

Current Address :

Phone Number :

Email Address :

2. Passport & Identification

Passport Number / Issuing Country :

Passport Issue & Expiry Dates :

Other Nationality or ID (if any) :

3. Immigration & Residency History

Current Immigration Status in NZ (e.g., visitor) :

Current client number, if applicable :

Past Refusals / Deportations (with details, if any) :

4. Contact in New Zealand

Name :

Relationship :

Contact Info :

5. Family Background

Marital / Relationship Status :

Partner/Spouse Details (Name, Date of Birth, Nationality) :

Children (Names, DOBs, Nationalities) :

Other Immediate Family in NZ (Name, Relationship, Status) :

6. New Zealand Immigration Objective

Purpose of immigration services (tick one) :

Skilled Migrant / Work Visa

Study Visa

Family / Partner Visa

Visitor / Tourism

Business / Investor

Other

9. Other information

10. Engagement & Consent

How did you hear about us? (Referral, website, advertisement, social media, etc.) :

Consent Statement:

I confirm that the information provided is true and correct to the best of my knowledge.
I authorize this consultancy to act on my behalf for immigration matters.
I understand that accurate and complete information is essential for compliance and success.

Ready to take the next step in your immigration journey?
Contact us today to schedule a consultation with one of our immigration experts. We look forward to helping you achieve your immigration goals.