INZ 1096 PDF

Chest x-ray certificates. If you need to have a chest x-ray, you’ll need to provide a chest x-ray certificate. Chest x-ray certificate (INZ ) PDF. INZ Who should use this form? Applicants for entry to New Zealand are required to have an acceptable standard of health (Health. Fill Inz , download blank or editable online. Sign, fax and printable from PC, iPad, tablet or mobile with PDFfiller ✓ Instantly ✓ No software. Try Now!.

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Or find out more about our online services. View our detailed guides for VisaView.

X-ray Certificate for Temporary Entry (INZ 1096)

Radiographer The radiographer must: If referred, the INZ medical assessor may seek a specialist opinion. Declaration of person having chest X-ray examination in the presence of the radiographer.

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Find a list of forms that are currently accepted by Immigration New Zealand offices. Kiribati Pacific Pre-registration information sheet. Login here to apply online for your Student visa. If you haven’t got an account, you can create one here. Find information about 1069 fees and immigration levy Immigration New Zealand charges, who has to pay and how to pay.

Find out what you should bring with you. For more information If you have questions about completing the form: Use this form to apply for an Agreement 109 Recruit if you want to recruit overseas workers and have been granted Recognised Seasonal Employer RSE status. Please read carefully before iz. Children under 11 years of age and women who are pregnant are not required to undergo a chest X-ray examination unless requested by INZ. All other questions in this section must be completed by 10996 applicant before the examination.

Partner visa Login here to apply for a visa as a partner. Information on entering New Zealand as a resident, if you are a resident or former resident visa holder. Where abnormalities are present, the radiologist must provide details and comments in the space provided and the X-ray film must accompany this certificate.


If you are not required to use one of the approved radiologists, any registered radiologist can complete this certificate.

Evidence you’re in good health — medical certificates | Immigration New Zealand

Please read this information before you login. Get help registering under the Pacific Access Category if you are from Tuvalu.

Or find out more about our online services. A parent or guardian must sign on behalf of a child under 16 years of age. Login here to apply for your Visitor visa. I certify that the statements made by me in answer to all the questions are true to the best of my knowledge and belief. C1 Notes to radiologist from examining physician if applicable. Read this guide before you apply for a limited visa. Immigration New Zealand may also share the information you have provided with other government agencies that are entitled to it by law, or with other agencies as you have agreed in the declaration.

Visitor visa Login here to apply for your Visitor visa. I agree that the radiologist or radiographer who completes this certificate may release to INZ, any information acquired with regard to the health of myself or my child.

Section Navigation Our online systems. I understand that if I make any false statements, or provide any false or misleading information or have changed or altered this certificate in any way, my application may be declined, or my visa or permit may be revoked, and that I may be committing an offence and be liable to prosecution and imprisonment. Use this General Medical Certificate if you are unable to submit your health information electronically through your panel physician.

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A4 Valid passport sighted? Find information on how well you ijz speak and understand English for a residence class visa, or ins business visa. Complete this form if you are an employer who has offered a position to, or currently employs, a person who is applying for a resident visa under the Skilled Migrant Category. Use this form to apply for New Zealand citizen endorsement as evidence of your citizenship when travelling to New Zealand on a foreign passport.


D1 Is there evidence of TB? If you are a current 10966 holder and provide your details to a third-party such as a bankthey can use this information to verify your visa using the Visa Verification Service. You must use this chest X-ray certificate if: Where abnormalities are present or indicated, the X-ray film must accompany this certificate. Our online systems Use our online services selection, box to the right, to make an online application for selected visas.

X-ray Certificate for Temporary Entry (INZ )

Any mistakes made must be crossed out with one line only eg mistake. Complete this form INZ to apply for a variation of conditions 10996 your temporary work, student or visitor visa.

Use this form if you are a parent of a child born in New Zealand on or after 1 January and wish to have a statement of your child’s immigration status. Radiologist If a radiographer is not involved in this process, the radiologist must complete the steps outlined above, and: If you require information on the panel physicians list, please visit the INZ website at www. You do not have to provide the information, but if you do not we are likely to decline your application.

Use this form to obtain approval in principle to recruit up to six foreign fishing crew on a single NZ flagged vessel for up to 12 months. This certificate must be completed in English. Skip to main content Skip to top level navigation Skip to section navigation Skip to footer.

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