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    Inz 1279

    Uploaded by

    PSMS Thanjavur

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Inz 1279

    Uploaded by

    PSMS Thanjavur
    18 views2 pages

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    inz1279

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    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    18 views2 pages

    Inz 1279

    Uploaded by

    PSMS Thanjavur

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    May 2022 INZ 1279

    Employer Accreditation
    Declaration Form
    A declaration for representatives of the organisation authorising a person to apply
    for employer accreditation or a job check on their behalf

    Using this form


    Use this form to authorise a person to apply for employer accreditation or a job check for your organisation.
    You must sign Section A to:
    • show you understand and agree to the statements about your application, any accreditation you may be granted or
    any approved job checks, and
    • agree to the application being submitted.
    You must also sign Section B if:
    • the person submitting your application is a licensed immigration adviser, or is exempt from licensing (such as
    a lawyer), and
    • will continue to act on your behalf after submitting your application.

    Section A: Employer Accreditation and Job Check Declaration


    I agree:
    • to tell Immigration New Zealand about any changes to circumstances that occur after making this application that may
    affect the decision on my application for accreditation or a job check.
    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 will not further process
    my application.
    I authorise:
    • Immigration New Zealand to make any necessary enquiries about information on this form and/or accompanying
    documentation

    I also authorise NAME OF PERSON of NAME OF ORGANISATION, IF APPLICABLE

    to submit my application online.

    New Zealand Business Number (for New Zealand businesses only)


    For help search: www.nzbn.govt.nz

    I confirm that all the information I have provided is true and correct, and that I have provided all the necessary documents. I
    understand that information provided in the online form by another person on my organisation’s behalf is considered to be
    information provided by my organisation.

    I agree with the declaration


    Signature of a person authorised
    to act on behalf of the organisation  Date D D M M Y Y Y Y

    immigration.govt.nz
    Section B: Authority to act with regards to your application
    To be completed if an immigration adviser, lawyer or another person exempt from the requirement to be licensed
    under the Immigration Advisers Licensing Act has recorded your information in the online form, will be submitting
    the online form on your behalf and will continue to act on your behalf throughout the processing of your application.
    Note: Only a licensed immigration adviser or person exempt from licensing may act on your behalf throughout the
    application process. See www.immigration.govt.nz/adviserlicensing for more information about who is exempt
    from licensing.
    I authorise the person identified in Section A who will submit my application, to act on my behalf with regards to
    the processing of that application.
    I also authorise all other licensed immigration advisers or persons exempt from licensing who work for
    the organisation named above to act on my behalf. Note: the person identified in Section A will receive all
    communication from Immigration New Zealand.

    Signature of a person authorised


    to act on behalf of the organisation Date D D M M Y Y Y Y

    2 – Employer Accreditation Declaration Form – May 2022

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