What is your name as shown on your passport?

(If you have no family or last

passport then enter your first or given name in the ‘Family/last name’ field o

Family/last name(As shown in passport)

Given/first name(s) (optional) (As shown in passport)

Middle name(s) (optional)(As shown in passport)

Title

Other names you are known by or have ever been known by (if applicable)

This includes your birth name, your name from marriage or from adoption, or your English name.

Other family/last name (optional)

Other given/first name(s) (optional)

Other middle name(s) (optional)

Name type (optional)

What is your gender?

What is your date of birth?* As shown in passport

Where were you born?

Provide details of your passport

Passport Number

Country/territory of passport (Select the country or territory of the passport, not the place of issue.)

Expiry date

If applicable, provide details of your national identity number

National identity number (optional)

If applicable, provide details of other citizenships you hold

What is your partnership status?

(You must choose the option that best describes your current partnership status.)

Have you previously applied for a visa for New Zealand?

if yes, Client number

Provide your current residential address

Country

Address line 1
Address line 2 ((optional)
Apartment, suite, unit, building, floor, etc.)
Address line 3 (optional)

Town/city

State/province/region (optional)

ZIP/post code (optional)

Provide your telephone and email address

Telephone (landline)

Mobile number

Email

Confirm the email address

Is your postal address the same as your current residential address?

if No

Country

Address line 1
Address line 2 ((optional)
Apartment, suite, unit, building, floor, etc.)

Address line 3 (optional)

Town/city

State/province/region (optional)

ZIP/post code (optional)

Will you be in the same country as your residential address when you submit this appl

If No, What Coubtry/Teroraty will you be in when you submit your application

Study Details

Are you applying for a Pathway Student Visa

Are you coming to New Zealand as an exchange student?

Do you have a scholarship to study in New Zealand?

What date do you intend to enter New Zealand?

How long do you plan to stay in New Zealand in total (including the time you have already spent in Ne

Are you exempt from programme fees?

Provide details about your programme of study

Start date

End date

Type of study

What subjects are you doing your postgraduate study in?

1
2

Name of the education provider where you will be studying

Qualification/programme you will be studying?

Is your programme of study 120 credits or more in total?

How does this programme of study follow on from your previous study and work experience?

What do you plan to do after you have completed your programme of study?

How does this programme of study fit into your longer term goals?
Financial Support

How will you be financially supported?

A third party (relative, friend or a supporting organisation) is providing a financial undertaking for me.

I have the required amount of funds to pay for my living costs, according to the visa I am applying for

My living costs are already paid.

I have sponsorship for temporary entry by an acceptable sponsor.

What arrangements have you made for outward travel from New Zealand?

I have pre-purchased travel

I have sufficient funds to purchase travel

A third party has provided a financial undertaking of guaranteeing my outward travel

Health Details

Do you have tuberculosis (TB)?

Provide details*
Do you have any medical condition that requires, or may require, one of the following duri
Zealand?
Renal dialysis

Provide details

Hospital care

Residential care

Have you been identified as a person who requires special education services?

Have you previously provided a chest X-ray certificate?

Have you ever had a blood or blood product transfusion?

Have you ever used intravenous drugs?

Have you ever participated in, or been exposed to, any activity which may have exposed you to a seri
(such as HIV, or hepatitis B or C)?

When you applied for your last visa, did Immigration New Zealand ask you to provide any
medical information with this visa application?

Chest X-ray Certificate

General Medical Certificate

Any other medical information

I have not been asked to provide medical information

Character Details

Have you ever been convicted for any offence(s) against the law in any country, including New Zealan

Have you ever been under investigation in any country, including New Zealand?

Have you ever been charged for any offence(s) against the law in any country, including New Zealand

Have you ever been excluded from, or refused entry to, any country, excluding New Zealand?

Have you ever been refused a visa by any country, excluding New Zealand?

Have you ever been removed, deported, or expelled from any country, excluding New Zealand?

Are you currently wanted for questioning for any offence(s) against the law in any country, including N

Are you currently under investigation for any offence(s) against the law in any country, including New

Are you currently facing charges for any offence(s) against the law in any country, including New Zeal
Education History

Start date

End date

Name of Institution

Country/territory

State/province/region

Town/city

Qualification/programme of study

Qualification awarded?

Start date

End date

Name of Institution

Country/territory

State/province/region

Town/city

Qualification/programme of study

Qualification awarded?

Start date

End date

Name of Institution

Country/territory

State/province/region
Town/city

Qualification/programme of study

Qualification awarded?

Work History

Provide details of your employment history; include your current employment and periods of self-employment.

Name of company/organisation

Type of work/occupation/job title

Start date (Provide month and year only. Use the format mm/yyyy)

End date (Provide month and year only. Use the format mm/yyyy)

Country/territory

State/province/region

Town/city

Name of company/organisation

Type of work/occupation/job title

Start date (Provide month and year only. Use the format mm/yyyy)

End date (Provide month and year only. Use the format mm/yyyy)

Country/territory

State/province/region

Town/city

Name of company/organisation

Type of work/occupation/job title

Start date (Provide month and year only. Use the format mm/yyyy)

End date (Provide month and year only. Use the format mm/yyyy)

Country/territory

State/province/region

Town/city

Name of company/organisation

Type of work/occupation/job title

Start date (Provide month and year only. Use the format mm/yyyy)

End date (Provide month and year only. Use the format mm/yyyy)

Country/territory

State/province/region

Town/city

Name of company/organisation

Type of work/occupation/job title

Start date (Provide month and year only. Use the format mm/yyyy)

End date (Provide month and year only. Use the format mm/yyyy)

Country/territory

State/province/region

Town/city

Name of company/organisation

Type of work/occupation/job title

Start date (Provide month and year only. Use the format mm/yyyy)
End date (Provide month and year only. Use the format mm/yyyy)

Country/territory

State/province/region

Town/city

Name of company/organisation

Type of work/occupation/job title

Start date (Provide month and year only. Use the format mm/yyyy)

End date (Provide month and year only. Use the format mm/yyyy)

Country/territory

State/province/region

Town/city

Name of company/organisation

Type of work/occupation/job title

Start date (Provide month and year only. Use the format mm/yyyy)

End date (Provide month and year only. Use the format mm/yyyy)

Country/territory

State/province/region

Town/city

Family Details

Do you have at least one parent still living?

Provide your parent's and legal guardian's details

Family/last name

Given/first name(s)

Date of birth unknown

Date of birth

Gender

Partnership status

Relationship to you

Citizenship

Country/territory of residence

Country/territory of birth

Occupation

Family/last name

Given/first name(s)

Date of birth unknown

Date of birth

Gender

Partnership status

Relationship to you

Citizenship

Country/territory of residence

Country/territory of birth

Occupation
Do you have any brothers or sisters?

If Yes Provide your brother's and sister's details

Family/last name

Given/first name(s)

Date of birth unknown

Date of birth

Gender

Partnership status

Relationship to you

Citizenship

Country/territory of residence

Country/territory of birth

Occupation

If Married Provide the details of Spouse

Family/last name

Given/first name(s)

Date of birth unknown

Date of birth

Gender

Partnership status

Relationship to you
Citizenship

Country/territory of residence

Country/territory of birth

Occupation

If Yes Provide your child's details

Family/last name

Given/first name(s)

Date of birth unknown

Date of birth

Gender

Partnership status

Relationship to you

Citizenship

Country/territory of residence

Country/territory of birth

Occupation

Other Details

Do you have any contact in NZ

If Yes Provide the details

Family/last name
Given/first name(s)

Date of birth

Gender

Relationship to you

Residential Adress

Contact No

E-Mail Id

Declaration

I confirm that I have not provided any false or misleading information above.

Signature

Date
MEHMOOD

MUHAMMAD AZHAR

AZHAR

MR

MALE

Day Month Year

12 10 2004

State/
province/
Country/territory Town/city
region
(optional)
PAKISTAN PUNJAB FAISALABAD

QP0169181

PAKISTAN

Day Month Year

12 9 2033

33105-0408918-3
Country

PAKISTAN

SINGLE

NO

203 GB,TEHSIL SAMUNDRI

DISTRICT FAISALABAD

PAKISTAN

203GB

KHIDDARWALA
SAMUNDRI

PUNJAB

37300

923154744203

923154744203

muhammadazharmehmood6@gmail.com

muhammadazharmehmood6@gmail.com

yes
yes

Country

yes

NO

NO

Day Month Year

1 1 2025

4 YEARS

Day Month Year

17 2 2025

5 11 2028

FULL TIME
NO

NO

NO

NO

NO If Yes Country

NO Date

NO Visa Type

NO

NO
2019/1/4
16/10/2021
AHSAN MODEL HIGH SCHOOL

PAKISTAN

PUNJAB

SAMUNDRI

MATRICULATION

SECONDARY QUALIFICATION

2021/1/11

13/09/2023
PUNJAB COLLEGE OF SCIENCE
AND COMMERCE

PAKISTAN

PUNJAB

SAMUNDRI

FSC PRE ENG

INTERMEDIATE

28/10/2023

2023/9/11

BRITISH COUNCIL

PAKISTAN

PUNJAB
LAHORE

ILETS

ILETS

MADINA ZARIE MARKAZ

ADMINISTRATOR

18/12/2023

2024/6/7

PAKISTAN

ADDA ZAFAR CHOWK CITY SAMUNDRI

YES
MEHMOOD

MUHAMMAD KHALID

18/12/1970

MALE

MARRIED

FATHER

PAKISTAN

PAKISTAN

PAKISTAN

BUSINESSMAN

PARVEEN

SAJIDA

20/02/1977

FEMALE

MARRIED

MOTHER

PAKISTAN

PAKISTAN

PAKISTAN

HOUSEWIFE
KHALID KHALID KHALID

MISBAH SARA ESHAL

05/01/201
08/01/2008 02/04/2015
0
FEMALE FEMALE FEMALE

SINGLE SINGLE SINGLE

SISTER SISTER SISTER

PAKISTAN PAKISTAN PAKISTAN

PAKISTAN PAKISTAN PAKISTAN

PAKISTSN PAKISTAN PAKISTAN

STUDENT STUDENT STUDENT

NO
Mr Female 1 January 1900 1900

Mrs Male 2 February 1901 1901

Miss 3 March 1902 1902

Dr 4 April 1903 1903

Dame 5 May 1904 1904

Honourabl
e 6 June 1905 1905

Minister 7 July 1906 1906

Professor 8 August 1907 1907

Sir 9 September 1908 1908

10 October 1909 1909

11 November 1910 1910

12 December 1911 1911

13 1912 1912

14 1913 1913

15 1914 1914
16 1915 1915

17 1916 1916

18 1917 1917

19 1918 1918

20 1919 1919

21 1920 1920

22 1921 1921

23 1922 1922

24 1923 1923

25 1924 1924

26 1925 1925

27 1926 1926

28 1927 1927

29 1928 1928

30 1929 1929

31 1930 1930
1931 1931

1932 1932

1933 1933

1934 1934

1935 1935

1936 1936

1937 1937

1938 1938

1939 1939

1940 1940

1941 1941
1942 1942

1943 1943

1944 1944

1945 1945

1946 1946

1947 1947

1948 1948

1949 1949

1950 1950

1951 1951

1952 1952

1953 1953

1954 1954

1955 1955
1956 1956

1957 1957

1958 1958

1959 1959

1960 1960

1961 1961

1962 1962

1963 1963

1964 1964

1965 1965

1966 1966

1967 1967

1968 1968

1969 1969

1970 1970

1971 1971

1972 1972

1973 1973

1974 1974
1975 1975

1976 1976

1977 1977

1978 1978

1979 1979

1980 1980

1981 1981

1982 1982

1983 1983

1984 1984

1985 1985

1986 1986

1987 1987

1988 1988

1989 1989

1990 1990

1991 1991

1992 1992

1993 1993

1994 1994

1995 1995

1996 1996

1997 1997

1998 1998

1999 1999
2000 2000

2001 2001

2002 2002

2003 2003

2004 2004

2005 2005

2006 2006

2007 2007

2008 2008

2009 2009

2010 2010

2011 2011

2012 2012

2013 2013

2014 2014

2015 2015

2016 2016

2017 2017

2018 2018

2019 2019

2020 2020

2021 2021

2022 2022
Afghanista Accountan
n
Single Yes 6 months or less cy
Albania

Aerospace
Engineeri
ng and
Technolog
More than 6 months
Married/in Civil union No and up to 12 months y
Algeria
More than 12 months Agricultur
and less than 24
Partner / de facto months al Science
Andorra

Agricultur
Engaged 24 months or more e
Angola Archaeolo
Seperated gy
Antigua Architectu
and
Barbuda Divorced re
Argentina Art
Widowed History
Armenia Astronom
y
Australia
Audiology
Austria

Automotiv
e
Engineeri
ng and
Technolog
y
Azerbaijan Biological
Sciences
Bahamas
Business
Bahrain
Chemical
Engineeri
ng
Banglades Chemical
h
Sciences
Barbados
Civil
Engineeri
ng
Belarus Classical
Studies
Belgium
Communi
cation and
Media
Studies
Belize Computer
Science
Benin Dental
Studies
Bhutan Earth
Sciences
Bolivia Economic
s
Bosnia and
Herzegovin
a Education
Studies
Botswana

Electrical
and
Electronic
Engineeri
ng and
Technolog
y
Brazil
English
Brunei
Environm
ental
Studies
Bulgaria Epidemiol
ogy
Burkina
Faso Finance
Burundi Fisheries
Studies
Foreign
Côte Language
d'Ivoire
s
Cabo Forestry
Verde
Studies
Cambodia
Geomatic
Engineeri
ng
Cameroon
Graphic
and
Design
Studies
Canada
History
Central
African Horticultu
Republic re and
Viticulture
Chad Informatio
n Systems
Chile

Informatio
n
Technolog
y not
elsewhere
classified
China
Law
Colombia

Librarians
hip,
Informatio
n
Managem
ent and
Curatorial
Studies
Comoros
Linguistics
Congo
(Congo-
Brazzaville Managem
) ent
Costa Rica

Maritime
Engineeri
ng and
Technolog
y
Croatia
Mathemat
ical
Sciences
Cuba

Mechanic
al and
Industrial
Engineeri
ng and
Technolog
y
Cyprus Medical
Studies
Czechia
(Czech
Republic)
Nursing
Democratic
Republic of
the Congo Optical
Science
Denmark
Other
Creative
Arts
Djibouti Other
Education
Dominica
Other
Engineeri
ng
Dominican Other
Republic
Health
Other
Ecuador Humanitie
s
Egypt Other
Managem
ent and
Commerc
e
El Salvador

Other
Natural
and
Physical
Sciences
Equatorial
Guinea Pathology
Eritrea Performin
g Arts
Estonia
Pharmacy
Eswatini
(fmr.
"Swaziland
") Philosoph
y
Ethiopia
Physics
Fiji Policy
Studies
Finland Political
Science
France

Process
and
Resources
Engineeri
ng
Gabon Psycholog
y
Gambia Public
Health
Georgia Radiograp
hy
Germany
Radiology
Ghana
Rehabilita
tion
Therapies
Greece Sales and
Marketing
Grenada Social
Work
Guatemala
Sociology
Guinea Speech
Science
Sport and
Guinea- Recreatio
Bissau
n
Guyana Teacher
Education
Haiti
Tourism
Holy See Veterinary
Studies
Visual
Honduras Arts and
Crafts
Hungary Women's
Studies
Iceland

India

Indonesia

Iran

Iraq

Ireland

Israel

Italy

Jamaica

Japan

Jordan

Kazakhsta
n
Kenya

Kiribati

Kuwait

Kyrgyzstan

Laos

Latvia

Lebanon

Lesotho

Liberia

Libya

Liechtenst
ein
Lithuania
Luxembour
g
Madagasca
r
Malawi

Malaysia

Maldives

Mali

Malta

Marshall
Islands
Mauritania

Mauritius

Mexico

Micronesia

Moldova

Monaco

Mongolia

Montenegr
o
Morocco

Mozambiqu
e
Myanmar
(formerly
Burma)

Namibia

Nauru

Nepal

Netherland
s
New
Zealand
Nicaragua

Niger

Nigeria

North
Korea
North
Macedonia
Norway

Oman

Pakistan

Palau

Palestine
State
Panama

Papua New
Guinea
Paraguay

Peru

Philippines

Poland

Portugal

Qatar

Romania

Russia

Rwanda

Saint Kitts
and Nevis
Saint Lucia

Saint
Vincent
and the
Grenadines
Samoa

San Marino

Sao Tome
and
Principe

Saudi
Arabia
Senegal

Serbia

Seychelles

Sierra
Leone
Singapore

Slovakia

Slovenia

Solomon
Islands
Somalia

South
Africa
South
Korea
South
Sudan
Spain

Sri Lanka

Sudan

Suriname

Sweden

Switzerlan
d
Syria

Tajikistan
Tanzania

Thailand

Timor-
Leste
Togo

Tonga

Trinidad
and
Tobago
Tunisia

Turkey

Turkmenist
an
Tuvalu

Uganda

Ukraine

United
Arab
Emirates
United
Kingdom
United
States of
America

Uruguay

Uzbekistan

Vanuatu

Venezuela

Vietnam

Yemen

Zambia

Zimbabwe
X Primary 6month or Less

6 To 12
Secondary months

Undergra 12 to 24
duate months

Postgradu
ate More than
excluding 24
PhD months

PhD
English
Language