NEW ZEALAND toa Employer Supplementary Form ‘or employers who have offered a position from overseas wo Is applying for a work Visa Information foremployers Compete tis form if youare an employer wo has ‘offered positon toa perso trom overseas who ‘applying fora work visa eferto the inmigraton Guide ‘or Employers NZ 1031) varying the conden of ‘won “This form mast be used for: + Essential ils work visa applicants: ac * Worko Resence: Long Term Sil Shortage List LTSSL) work isa appleants; ana + Graduite Work Experience work visa applicants; and + Silver fer Practical Experience work isa appcants; and + Spec Purpose work isa apalcants, where 3job offer Isrequtree ane + Variaton of Condition work visa appicants Tis formis not required fo any ther werk isa catepor. ‘This form must be submited by the person you have ‘offered poston to withthe Work Visa Apiction (NZ 115) fom or the Apoicaon fe Variation of Conditions ‘or vriaton of Travel Conltons [NZ 020] orm, About the information you provide immigration New Zeland collects the information about you vn this fom to determine your request to recut overseas vorkers. We may also use te information to contact you for "esearch purposes or to aevise you on immigration meters, "he adress of immigration New Zealand Is POBox 3705, Wetington New Zealand, Do net send your application to his addres ‘oletng tr information is authorised by the Immigration \ct 2009 and te immigration Regulations made uncer that ct. You donot have to provide the nfermation but iF yu lonot we arekey to decline Your appication. ‘ote you are an Accredited Employer, you donot Dave to complete ls form to support a work visu hole appiving 20 vary the conditions of her wore visa, Prowaing tis information wil help us process the application, however we may need to cont you for ‘more information. ‘Submit photocopies ony. Do not submit orignal ‘documents as they wil nt be return" you. we nes to see an original document we wil ask you to proguce ‘talaer time. Work entitlement feis an offence under the immigration Act 2009 to emplay 2 person who snot ented to work in Nev Zealand, (ne way fer employers to avoid commiting tis eence Isto check a person's entitlement to wrk hvough Immigration New Zealand's onine ViaView aster. For more information orto realster peace vite wu Immigration govt na/isaview. Disdosure at information ‘through VisaView is authelsed by lessaton, ‘Wen ting n this form, please write clearly n English using CAPITALLETTERS. Immigration New Zealand may alsa share the Information you have provided with other government ‘genles that are etitea toi bylaw, ar with othe agendes (Gs you have agreed in the decaaton Youhave the lt to access the information we hold abost You andhave any oft corrected you tink is necessaty, For more information you have questions about completing tis orm: + seeour website wewimmigration govt nt * lemon our a centre on 0508558 855 wana eke—————— omigoton govcee‘Attach a copy of the full employment agreement and complete the following. IE sate name one person to wnom yunovectfee postion your snes Famiyhast name vest nets) t BRAK j Har A DER ! BB] terrae open orn eloyment Cathie Mele enzre Conny pd atone rea ee ea ah titness Wo% Nei Rak Te Rke ‘Telephone (daytime) | 7 5 73S 855 Telephone (evening) | 22.74 (82 Z 2 2 [emia rete cesepaemeres Webse | Moble! O2 74" B2zz_ | i ve youreconeaeova ncn rm nmiaon New Zeon ct vse wore es pos? Ces steer sont appoint ference umber ote etn craton yeep No Bi ste merpeotvsinss you peter example estat) Heath p Fdness las. Bi sowang ras yur compan ben oper? |__|" wpenana vena ponte oyoucurenovenpey? |“) IE ove you nace anyoay sudan romtts company orbusnesin he wt monet Gp ennai mn io aa SS [Bl hive you recent ben trough or are youcuentyin a onsutaton process reaton to perc Ce erm See TE syeorouivessaressteeccompany? Lives Whe —_—_— ~ Eric Susteren Fan Maeh 2015 "stom as ber amo ution fn mtn Ata———_ Bi | tne company or business GST registeres? [es CINo. Ul state ne rames of any oer companies or businesses you operat ee eee eee eee [a Se 7 Provide details the postion you have offered tothe potential employee named nts application. Bmeni_ Kner Tagluefer. Bl 2175.0 ocaupatin ie ocaunmton cde known, and tive known, ANZSCD she Astra ‘New Zealand Standard Gassfiaton of Occupation. Most New Zealand occupations sre fsted nthe ANESCO, ‘na sbi occupation code and a skilievel. For more formation see wwwimigration govenslancsea ANZSCO occupation tite | i ANZSCO occupation code -ANZSCO steve (ikon) Bl the type of work, duties and resporsioilities. Etoes Aesecenl 2 Prensa Allens sh Geena fele', j TB vais ray a condtcns of employment ream, Noy win O 5 boldly es per shelid emslegh piace a Bh mecurasonottnelob.| 5 92 BI vstrcatonseques. QS (ees ote re tee ype or experience requires. Length of experience required FB ot sit or competences eurere ing i frm pee rk eng APL TERS TE 0e= ee wore rere occpitins estan n New Zetnd? ps preening tn [J overseas recrutmentbosed on nor-avolabity of New Zelandresisente ‘This section must be completed ifthe person you have offered employment tos applying under the Essentil ‘Sts work category unless: + the person has been invited to apply under the Skilled Migrant Category, + the occupations on the Essential Skil in Demand Lists and the person meets the qualification anor work ‘experience requirements of he ist. Deal be atmo you have made to rect Nw ean cies or eden ss Waele tof he poeon Dyawucigtieasetens sete baie IE sve youtsed ne cany wt the Miso Sokal Devopment (MSO) — Work anno? (ver emeatsancn ay ermpae toh then ape tet rete [to theory aptateat epeenrstowametenpammat I sve you sss ote averting ra such 2s natn newpaper tere ec? (Dives osomaeo tac cect tering anger for ating Te mins eno sow ute and ‘econ Ya abo rect sh ee oe sa oa rahe (TINo misma any insaptearon arte persone tee ad emo t, I 01 outa tn vacany wa erutment peng? Dies crs tram ne rerum: ge ote ny recme! Oy ron ig My an New Zen Ono IB ave ou mae ort aan employer torn Zander tthe postions aataie? (ves au aren tig enw nt ee a Do newswire thingy hn nrmae os tran e nr trae plc of empoynt isn he ante ron ad the poston an ASCO sll levels occupation tse(ap, ou man engoge wh the Eantebar she ae Employment Hub wen stmptingtoveree tow dna ess or eaane aro tears tol ne poser anne Cee Ss and Enpionmene un sewn pporijenterryryn or one aos Canhas oases oo IE ive yo nsoed wien Sind Empaymen ub? ves mt atte rater ram ean san meee Shy he tone fe enanpament CoNo sme em pect ofthe prone ev tie emptor te: enhoment sn nrc anne env pcp cf wer ithe tril vate each, ‘Sty ont nt wna Coe Hg Coc ee ae "understand the questions in, and contents of this form, and the information | have provided s tru and correct. "consent to INZ seeking information concerning my compliance with New Zealand's Immigration and employment laws from any records eld by the Ministry of Business, Imevation and Employment. Sionaure bee ate [55 621041551 Name