Personal Information:
- Full Name (as per passport):
- [Enter your full name as it appears on your passport] NZETA APPLICATION FORM
- Date of Birth:
- [Enter your date of birth in DD/MM/YYYY format]
- Gender:
- [Select your gender from the options: Male/Female/Other]
- Nationality:
- [Enter your nationality]
- Passport Number:
- [Enter your passport number]
- Passport Expiry Date:
- [Enter the expiry date of your passport in DD/MM/YYYY format]
- Country of Birth:
- [Enter the country where you were born]
- Email Address:
- [Enter your email address]
- Phone Number:
- [Enter your phone number]
Travel Information:
- Purpose of Visit:
- [Select the purpose of your visit from the options: Tourism/Business/Transit/Other]
- Intended Arrival Date in New Zealand:
- [Enter the date you plan to arrive in New Zealand in DD/MM/YYYY format]
- Intended Departure Date from New Zealand:
- [Enter the date you plan to depart from NEW ZEALAND TOURIST VISA in DD/MM/YYYY format]
- Details of Accommodation in New Zealand:
- [Enter the address or name of the accommodation where you will be staying in New Zealand]
Health and Character Declarations:
- Health Declaration:
- [Confirm whether you have any medical conditions or recent exposure to contagious diseases. Select Yes/No]
- Character Declaration:
- [Confirm whether you have any criminal convictions. Select Yes/No]
Payment:
- Payment Method:
- [Select your preferred payment method: Credit Card/Debit Card/Other]
- Payment Details:
- [Enter your payment details as required]
Declaration:
I declare that the information provided in this NZeTA application form is true and accurate to the best of my knowledge. I understand that providing false information may result in the rejection of my application and may have legal consequences.
Signature: ___________________________
Date: ___________________________
Please note that this is a sample NZeTA application form. Actual forms may vary depending on the platform or service provider through which you are applying. Always ensure to fill out the form accurately and honestly to avoid any complications with your travel authorization.