Sponsorship Form For Temporary Entry - New Zeland Immigration Page 10

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When filling in this form, please write clearly using CAPITAL LETTERS.
Section G
Declaration by sponsor
The following declaration must be witnessed by a person authorised to take statutory declarations, such as
a Justice of the Peace, a lawyer, or a notary public. Make sure that you understand the declaration before you
sign this section. If the sponsor is an organisation or government agency, the full name of the organisation or
agency must be given for each of the undertakings below, but the declaration must be signed by the authorised
contact person.
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, INZ will return my
sponsorship form.
I,
,
[full name of sponsor or authorised contact]
[occupation]
of
[name of sponsoring organisation or government agency, if applicable]
[sponsor’s address]
solemnly and sincerely declare that:
• the information supplied on this form and in the accompanying documents is true and correct
• I/the organisation/the government agency [
] will honour the sponsorship undertakings given in
circle as appropriate
Section E: Sponsorship undertakings in respect of the person(s) named in Section A: Applicant’s details or Section B:
Foreign crew of fishing vessel, who I/the organisation/the government agency [
] have agreed to
circle as appropriate
sponsor in this form.
I acknowledge that I will be liable for any reasonable costs incurred by the Crown or a third party as a result of failing
to ensure the person named in Section A: Applicant’s details or Section B: Foreign crew of fishing vessel:
• has suitable accommodation while in New Zealand
• has financial support to meet the reasonable costs of essential provisions for their health and welfare while in
New Zealand (including medical treatment if necessary)
• has the means to leave New Zealand at the end of the sponsorship period (including any reasonable costs associated
with deportation), and
• has paid for the cost of maternity health services in New Zealand (if I have agreed to this undertaking in Section E:
Sponsorship undertakings)
and that those costs may be recoverable in the New Zealand courts.
I make this solemn declaration conscientiously believing the same to be true and by virtue of the Oaths and
Declarations Act 1957.
Signature of sponsor or authorised contact
this
day of
20
Declared at
[place]
[date]
[month]
[year]
before me
,
[name of person authorised to take statutory declarations]
[official designation]
Contact details of person authorised to take statutory declarations. (Note: The supply of any contact details to INZ
is optional. Any information you provide will be used for verification purposes only. Contact your nearest Immigration
New Zealand office for more information, or to access or correct any information you have provided.)
Address
Telephone (daytime)
Telephone (evening)
Fax
Email
Signature of person authorised to take statutory declarations
This form has been approved under section 381 of the Immigration Act 2009
10 – Sponsorship Form for Temporary Entry – November 2016

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