Family Details If you are a legal adoptee, information is still required. Enter the details of your adoptive parents and state your age when adopted. If brought up by a step-parent(s), guardian or anyone acting as a parent, please attach a separate sheet. If those listed are deceased, information is still required. Father: Surname First names Address Date of birth Place of Nationality at birth birth Present nationality Occupation Mother: Surname First names Address Date of birth Place of Nationality at birth birth Present nationality Occupation Partner (please give details of spouse, de or fiancée): Surname First names Address Date of Place of Nationality at birth Present nationality Occupation Do you have any other immediate family members Yes No (not listed above) who reside overseas?
Family Details If you are a legal adoptee, information is still required. Enter the details of your adoptive parents and state your age when adopted. If brought up by a step-parent(s), guardian or anyone acting as a parent, please attach a separate sheet. If those listed are deceased, information is still required. Father: Surname First names Address Date of birth Nationality at birth Place of birth Present nationality Occupation Mother: Surname First names Address Date of birth Nationality at birth Place of birth Present nationality Occupation Partner (please give details of spouse, de or fiancée): Surname First names Address Date of Nationality at Place of birth Present nationality Occupation Do you have any other immediate family members (not listed above) who reside overseas? Yes No
NZIC-APPLICATION-FORM-Oct-2048.docx