NZ Immigration Authorisation Form

Child's NHI Number (add this IF you know it/have it)

Child's first name

Child's middle name

Child's family name

Child's date of birth

Child's gender

Child's country of birth

Child's date of entry to NZ

Child's residency status

Spoken language (1)

Spoken language (2)

Spoken language (3)

Spoken language (4)

Address

Address 2

City / Town

Postal code

Child's ethnicity

Child's ethnicity 2

Child's ethnicity 3

Name of child's School or Preschool

Child's school year level

Doctor's name

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