/
Silver Fern Questionnaire5.html
768 lines (673 loc) · 32.7 KB
/
Silver Fern Questionnaire5.html
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583
584
585
586
587
588
589
590
591
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
631
632
633
634
635
636
637
638
639
640
641
642
643
644
645
646
647
648
649
650
651
652
653
654
655
656
657
658
659
660
661
662
663
664
665
666
667
668
669
670
671
672
673
674
675
676
677
678
679
680
681
682
683
684
685
686
687
688
689
690
691
692
693
694
695
696
697
698
699
700
701
702
703
704
705
706
707
708
709
710
711
712
713
714
715
716
717
718
719
720
721
722
723
724
725
726
727
728
729
730
731
732
733
734
735
736
737
738
739
740
741
742
743
744
745
746
747
748
749
750
751
752
753
754
755
756
757
758
759
760
761
762
763
764
765
766
767
768
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head id="ctl00_Head1"><title>
Silver Fern Questionnaire
</title><link href="../../../Content/css/style.css" type="text/css" rel="stylesheet" /><link href="../../../Content/css/style_general.css" type="text/css" rel="stylesheet" /><link href="../../../Content/css/SilverFern.css" type="text/css" rel="stylesheet" /><link href="../../../Content/css/style_cssm.css" type="text/css" rel="stylesheet" /><link href="../../../Content/css/import.css" type="text/css" rel="stylesheet" /><link href="../../../Content/css/import_cssm.css" type="text/css" rel="stylesheet" /><link href="../../../Content/css/import_general.css" type="text/css" rel="stylesheet" /><link rel="stylesheet" type="text/css" href="../../../Content/themes/smoothness/ui.all.css" /><link rel="stylesheet" type="text/css" href="../../../Content/css/ui-smoothness.datepick.css" />
<script src="/SILVERFERN/Content/js/jquery-1.3.2.js"> type="text/javascript"></script>
<script src="/SILVERFERN/Content/js/jquery-ui-1.7.2.custom.min.js"> type="text/javascript"></script>
<script src="/SILVERFERN/Content/js/jquery.blockUI.js"> type="text/javascript"></script>
<script src="/SILVERFERN/Content/js/jquery.form.js"> type="text/javascript"></script>
<script src="/SILVERFERN/Content/js/ui.core.js"> type="text/javascript"></script>
<script src="/SILVERFERN/Content/js/jquery.datepick.js"> type="text/javascript"></script>
<script src="/SILVERFERN/Content/js/NZISSilverFern.js"> type="text/javascript"></script>
</head>
<body>
<div class="onlineapplicationwizardpage">
<!-- top blue banner starts -->
<table width="100%" cellpadding="0" cellspacing="0" border="0" class="block">
<tr valign="middle">
<td width="1" class="topbannerpop" height="46"><a href="#pagecontent"><img src="/Images/brand/sp.gif" width="1" height="46" alt="Skip to main content for this page" border="0"></a></td>
<td class="topbannerpop" width="35">
<a href="../../../home/index" id="ctl00_HeaderUC1_fernAnchor" title="Silver Fern Job Search visa Online Application Home Page">
<img src="/Images/brand/fern_topleft.gif" width="35" height="18" alt="" title="Silver Fern Job Search visa Online Application" border="0"></a></td>
<td class="topbannerpop"><h1>Silver Fern Job Search visa Online Application</h1></td>
<td width="100" class="popright"> </td>
</tr>
</table><!-- top blue banner ends -->
<!-- breadcrumb stripe row starts -->
<table width="100%" cellpadding="0" cellspacing="0" border="0" class="block">
<tr valign="middle">
<td class="breadcrumb"><a href="../../../home/index" id="ctl00_HeaderUC1_homeAnchor" title="Silver Fern Homepage" style="font-weight: bold">Home</a></td>
<td class="breadclose" align="right">
<a href="http://formshelp.immigration.govt.nz/onlineservices/silverfern/termsandconditions.htm" id="termsandcondition" target="_blank" title="Link opens in a new window" onclick="window.open('http://formshelp.immigration.govt.nz/onlineservices/silverfern/termsandconditions.htm','newpopuppopup','toolbar=no ,menubar=no ,location=no ,status=yes ,directories=no ,scrollbars= yes ,resizable= yes ,width=600 ,height=434'); return false" >Terms and Conditions</a>
<img src="../../../Images/brand/navlink_seperator_short.gif" />
<script language="JavaScript" type="text/javascript">
if (window.opener) { document.write('<a href="javascript:window.close();">Close Window</a> '); }
</script>
</td>
</tr>
</table>
<table width="100%" cellspacing="0" cellpadding="0" border="0">
<tr valign="middle">
<td>
<br>
<h2 style="margin-left: 20px">
<span id="ctl00_headingLabel"></span>
</h2>
</td>
</tr>
<tr valign="top">
<td class="bodycontent">
<a name="pagecontent"></a>
<div class="content">
<script type="text/javascript">
$(document).ready(function() {
var options = {
//target: '#wizardpage', // target element(s) to be updated with server response
beforeSubmit: showRequest, // pre-submit callback
success: showResponse, // post-submit callback
error: ErrorDisplay
};
$('#wizardpage form:first').ajaxForm(options);
$('.DateTimePicker').datepick({ useThemeRoller : true, changeMonth: false, changeYear: false, showBigPrevNext: true, stepBigMonths: 12,
showOn: 'both', buttonImageOnly: true, buttonImage: '../../../Images/calendar.gif', duration: 'normal', closeAtTop: false, hideIfNoPrevNext: true, mandatory: true, onSelect: SelectDate, beforeShow: SetUpMaxMinDateForDatePicker
});
});
</script>
<p>
The information you enter into this application form will be used to determine your eligibility for the <a href="http://www.immigration.govt.nz/migrant/stream/work/silverfern/jobsearch" id="immigrationAnchor1" target="_blank" title="Link opens in a new window" onclick="window.open('http://www.immigration.govt.nz/migrant/stream/work/silverfern/jobsearch','newpopup','toolbar=yes ,menubar=yes ,location=yes ,status=yes ,directories=yes ,scrollbars= yes ,resizable= yes ,width=600 ,height=434'); return false" >Silver Fern Job Search visa</a>. There are a limited number of places available in the <a href="http://www.immigration.govt.nz/migrant/stream/work/silverfern/jobsearch" id="immigrationAnchor1" target="_blank" title="Link opens in a new window" onclick="window.open('http://www.immigration.govt.nz/migrant/stream/work/silverfern/jobsearch','newpopuppopup','toolbar=no ,menubar=no ,location=no ,status=yes ,directories=no ,scrollbars= yes ,resizable= yes ,width=600 ,height=434'); return false" >Silver Fern quota</a>, your place is only secured once you submit and if required pay for your application.
</p>
<p>
After you have completed the online stage of the application you will be required to submit <a href="http://www.immigration.govt.nz/migrant/stream/work/silverfern/jobsearch/#evid" id="evidence" target="_blank" title="Link opens in a new window" onclick="window.open('http://www.immigration.govt.nz/migrant/stream/work/silverfern/jobsearch/#evid','newpopup','toolbar=yes ,menubar=yes ,location=yes ,status=yes ,directories=yes ,scrollbars= yes ,resizable= yes ,width=600 ,height=434'); return false" >evidence</a> you meet the Silver Fern Job Search visa requirements.
</p>
<div id="wizardpage" class="onlineapplicationwizardpage">
<form action="/SILVERFERN/Questionnaire/Details/ContactDetails/1666659" method="post">
<br>
<table width="100%" border="0" cellpadding="0" cellspacing="0">
<tr style="padding-bottom: 8px; padding-top: 8px">
<td>
<input type="submit" name="submitButton" accesskey="P" alternatetext="Previous (ALT + P)" value="Previous" style="font: 'Trebuchet MS'; font-weight:bold; color:White; text-transform: capitalize; background-color: #3399cc; border: 1pt ridge lightgrey; width:80px; cursor:pointer;";/>
</td>
<td align="center">
<input id="saveButton" name="submitButton" accesskey="S" alternatetext="Validate & Save (ALT + S)" type="submit" value="Validate & Save" style="font: 'Trebuchet MS'; font-weight:bold; color:White; text-transform: capitalize; background-color: #3399cc; border: 1pt ridge lightgrey; width:120px; cursor:pointer;";/>
<input id="completeLaterImageButton" name="submitButton" accesskey="L" alternatetext="Complete Later (ALT + L)" type="submit" value="Complete Later" style="font: 'Trebuchet MS'; font-weight:bold; color:White; text-transform: capitalize; background-color: #3399cc; border: 1pt ridge lightgrey; width:120px; cursor:pointer;";/>
</td>
<td align="right">
<input type="submit" name="submitButton" accesskey="N" alternatetext="Next (ALT + N)" value="Next" style="font: 'Trebuchet MS'; font-weight:bold; color:White; text-transform: capitalize; background-color: #3399cc; border: 1pt ridge lightgrey; width:60px; cursor:pointer;";/>
</td>
</tr>
</table>
<table width="100%" border="0" cellpadding="0" cellspacing="0" id=Table2>
<tr>
<td valign="top" colspan="3">
<table width="100%">
<tr>
<td align="left">
<table border="0" cellpadding="2" cellspacing="0" width="250">
<tr>
<td nowrap align="left" colspan =2>
<label class="smalltext">You must complete all fields with a </label>
<span title="Field is mandatory"
style="font-family: Arial; font-size: small; color: #AA0000">*</span><label class="smalltext"> next to them.</label>
</td>
</tr>
<tr>
<td nowrap align="left">
<img id="8_errorImage" Title="Section contains errors" src="../../../Images/Tabcontrol/icon_error.gif" alt="Error" style="border-width:0px;height:13px;width:13px;" />
</td>
<td align="left"><label for="errorImage" class="smalltext">The section is incomplete and/or contains errors.</label>
</td>
</tr>
<tr>
<td nowrap align="left">
<img id="8_okImage" title="Section is complete and has no errors" src="../../../Images/Tabcontrol/icon_tick.gif" alt="Clear" style="border-width:0px;height:13px;width:13px;" />
</td>
<td align="left"><label for="okImage" class="smalltext">Section is complete and has no errors.</label>
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
<div><br><table cellspacing="0" cellpadding="0" width="100%" border="0" bordercolor="red" class="tabtable"><tr valign="bottom"><td><div class="tabcontainer"><div class=innercontainer><img src="../../../Images/Tabcontrol/icon_tick.gif" border="0" width="13" height="13" alt="Completed" title="Completed" /> <input type="submit" name="tabButton_PersonalDetails" value="Personal Details"class="newtabbutton" title="Personal Details" /></div><div class=innercontainer><img src="../../../Images/Tabcontrol/icon_error.gif" border="0" width="13" height="13" alt="Contains Errors" title="Contains Errors" /> <input type="submit" name="tabButton_SilverFernSpecific" value="Silver Fern Requirements"class="newtabbutton" title="Questions Specific to your Silver Fern application" /></div><div class=innercontainer><img src="../../../Images/Tabcontrol/icon_error.gif" border="0" width="13" height="13" alt="Contains Errors" title="Contains Errors" /> <input type="submit" name="tabButton_MedicalConditions" value="Health"class="newtabbutton" title="Medical Details" /></div><div class=innercontainer><img src="../../../Images/Tabcontrol/icon_error.gif" border="0" width="13" height="13" alt="Contains Errors" title="Contains Errors" /> <input type="submit" name="tabButton_Character" value="Character"class="newtabbutton" title="Character" /></div><div class=current><img src="../../../Images/Tabcontrol/icon_error.gif" border="0" width="13" height="13" alt="Contains Errors" title="Contains Errors" /> <input type="submit" name="tabButton_ContactDetails" value="Contact Details"class="newtabbuttonon" title="Contact Details" /></div></div></div></td></tr></table>
<div class="blockme">
<table id="wizardPageHeader_nav_SectionHeaderTable" cellspacing="0" cellpadding="2" width="100%" border="0" class="sitetable"><tr valign="top"><td width="20"> </td><td valign="top"><h2>Contact Details</h2></td><td width="20"> </td></tr></table>
<table id="entryTable" cellpadding="2" cellspacing="0" border="0" width="100%" class="sitetable">
<tbody>
<tr valign="top">
<td width="20">
</td>
<td>
<table width="100%">
<tbody>
<tr>
<td width="35%">
Email Address
<br />
Note: This is the email address that will be used to contact you about this application. Please note, if you have an immigration adviser acting on your behalf, a copy of the emails sent to you will also be sent to them.
</td>
<td width="5%">
</td>
<td width="35%" nowrap="nowrap">
<input id="EmailAddress_Value" maxlength="100" name="EmailAddress.Value" type="text" value="happyjenymiao@gmail.com" />
<span style="font-family: 'Arial', Times, serif; font-size: large; color: #800000">*</span>
</td>
<td>
<span class="SilverFernErrorMessage"></span>
</td>
<td>
</td>
</tr>
<tr>
<td width="35%">
Confirm email address
</td>
<td width="5%">
</td>
<td width="35%" nowrap="nowrap">
<input id="EmailAddressConfirm_Value" maxlength="100" name="EmailAddressConfirm.Value" type="text" value="" />
<span style="font-family: 'Arial', Times, serif; font-size: large; color: #800000">*</span>
</td>
<td>
<span class="SilverFernErrorMessage" style= "visibility: hidden;">You must answer this question.</span>
</td>
<td>
</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<td width="35%">
<!--SR238851_0963_Global Changes - Req22 - Just a typo error Change - KarthicK - 19072010 -->
Are you represented by an <a href="http://glossary.immigration.govt.nz/immigrationadviser" id="ImmigrationAdvisersLink" target="_blank" title="Link opens in a new window" onclick="window.open('http://glossary.immigration.govt.nz/immigrationadviser','newpopuppopup','toolbar=no ,menubar=no ,location=no ,status=yes ,directories=no ,scrollbars= yes ,resizable= yes ,width=600 ,height=434'); return false" >immigration adviser</a>?
</td>
<td width="5%">
</td>
<td width="35%" nowrap="nowrap">
<select id="HasAgent_Value" name="HasAgent.Value"><option value="">Select an option</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select>
<span style="font-family: 'Arial', Times, serif; font-size: large; color: #800000">*</span>
</td>
<td>
<span class="SilverFernErrorMessage" style= "visibility: hidden;">You must answer this question.</span>
</td>
</tr>
</tbody>
</table>
<h3>
Current Residential Address:</h3>
<table width="100%">
<tbody>
<tr>
<td width="35%">
Street Number
</td>
<td width="5%">
</td>
<td width="35%" nowrap="nowrap">
<input id="StreetNumber_Value" maxlength="8" name="StreetNumber.Value" type="text" value="" />
</td>
<td>
<span class="SilverFernErrorMessage"></span>
</td>
</tr>
<tr>
<td width="35%">
Street Name
</td>
<td width="5%">
</td>
<td width="35%" nowrap="nowrap">
<input id="Address1_Value" maxlength="100" name="Address1.Value" type="text" value="" />
<span style="font-family: 'Arial', Times, serif; font-size: large; color: #800000">*</span>
</td>
<td>
<span class="SilverFernErrorMessage" style= "visibility: hidden;">You must answer this question.</span>
</td>
</tr>
<tr>
<td width="35%">
Suburb
</td>
<td width="5%">
</td>
<td width="35%" nowrap="nowrap">
<input id="Suburb_Value" maxlength="100" name="Suburb.Value" type="text" value="" />
</td>
<td>
<span class="SilverFernErrorMessage"></span>
</td>
</tr>
<tr>
<td width="35%">
City
</td>
<td width="5%">
</td>
<td width="35%" nowrap="nowrap">
<input id="City_Value" maxlength="100" name="City.Value" type="text" value="" />
<span style="font-family: 'Arial', Times, serif; font-size: large; color: #800000">*</span>
</td>
<td>
<span class="SilverFernErrorMessage" style= "visibility: hidden;">You must answer this question.</span>
</td>
</tr>
<tr>
<td width="35%">
Province/State
</td>
<td width="5%">
</td>
<td width="35%" nowrap="nowrap">
<input id="Province_Value" maxlength="30" name="Province.Value" type="text" value="" />
</td>
<td>
<span class="SilverFernErrorMessage"></span>
</td>
</tr>
<tr>
<td width="35%">
PIN/ZIP code
</td>
<td width="5%">
</td>
<td width="35%" nowrap="nowrap">
<input id="PostCode_Value" maxlength="15" name="PostCode.Value" type="text" value="" />
</td>
<td>
<span class="SilverFernErrorMessage"></span>
</td>
</tr>
<tr>
<td width="35%">
Country
<br />
Note: You must be outside New Zealand to apply for a Silver Fern Job Search visa.
</td>
<td width="5%">
</td>
<td width="35%" nowrap="nowrap">
<select id="CountryId_Value" name="CountryId.Value"><option value="">Select an option</option>
<option value="4">Afghanistan</option>
<option value="5">Albania</option>
<option value="6">Algeria</option>
<option value="7">American Samoa</option>
<option value="8">Andorra</option>
<option value="9">Angola</option>
<option value="10">Anguilla</option>
<option value="11">Antarctica</option>
<option value="12">Antigua & Barbuda</option>
<option value="13">Argentina</option>
<option value="14">Armenia</option>
<option value="15">Aruba</option>
<option value="16">Australia</option>
<option value="17">Austria</option>
<option value="18">Azerbaijan</option>
<option value="19">Bahamas</option>
<option value="20">Bahrain</option>
<option value="21">Bangladesh</option>
<option value="22">Barbados</option>
<option value="23">Belarus</option>
<option value="24">Belgium</option>
<option value="25">Belize</option>
<option value="26">Benin</option>
<option value="27">Bermuda</option>
<option value="28">Bhutan</option>
<option value="29">Bolivia</option>
<option value="252">Bonaire, Sint Eustatius & Saba</option>
<option value="30">Bosnia & Herzegovina</option>
<option value="31">Botswana</option>
<option value="32">Brazil</option>
<option value="33">British Indian Ocean Territory</option>
<option value="34">Brunei Darussalam</option>
<option value="35">Bulgaria</option>
<option value="36">Burkina Faso</option>
<option value="37">Burundi</option>
<option value="38">Cambodia</option>
<option value="39">Cameroon</option>
<option value="40">Canada</option>
<option value="41">Cape Verde</option>
<option value="42">Cayman Islands</option>
<option value="43">Central African Republic</option>
<option value="44">Chad</option>
<option value="45">Chile</option>
<option value="46">China</option>
<option value="47">Christmas Island</option>
<option value="48">Cocos (Keeling) Island</option>
<option value="49">Colombia</option>
<option value="50">Comoros</option>
<option value="51">Congo</option>
<option value="52">Cook Islands</option>
<option value="53">Costa Rica</option>
<option value="54">Croatia</option>
<option value="55">Cuba</option>
<option value="253">Curacao</option>
<option value="56">Cyprus</option>
<option value="57">Czech Republic</option>
<option value="58">Democratic Republic of Congo</option>
<option value="59">Denmark</option>
<option value="60">Djibouti</option>
<option value="61">Dominica</option>
<option value="62">Dominican Republic</option>
<option value="63">East Timor</option>
<option value="64">Ecuador</option>
<option value="65">Egypt</option>
<option value="66">El Salvador</option>
<option value="67">Equitorial Guinea</option>
<option value="68">Eritrea</option>
<option value="69">Estonia</option>
<option value="70">Ethiopia</option>
<option value="71">Faeroe Islands</option>
<option value="72">Falkland Islands</option>
<option value="73">Federated States of Micronesia</option>
<option value="74">Fiji</option>
<option value="75">Finland</option>
<option value="76">France</option>
<option value="77">French Guiana</option>
<option value="78">French Polynesia</option>
<option value="79">Gabon</option>
<option value="80">Gambia</option>
<option value="81">Georgia</option>
<option value="82">Germany</option>
<option value="83">Ghana</option>
<option value="84">Gibraltar</option>
<option value="85">Great Britain</option>
<option value="86">Greece</option>
<option value="87">Greenland</option>
<option value="88">Grenada</option>
<option value="89">Guadeloupe</option>
<option value="90">Guam</option>
<option value="91">Guatemala</option>
<option value="92">Guinea</option>
<option value="93">Guinea - Bissau</option>
<option value="94">Guyana</option>
<option value="95">Haiti</option>
<option value="96">Honduras</option>
<option value="97">Hong Kong</option>
<option value="98">Hungary</option>
<option value="99">Iceland</option>
<option value="100">India</option>
<option value="101">Indonesia</option>
<option value="102">Iran</option>
<option value="103">Iraq</option>
<option value="104">Ireland</option>
<option value="105">Israel</option>
<option value="106">Italy</option>
<option value="107">Ivory Coast</option>
<option value="108">Jamaica</option>
<option value="109">Japan</option>
<option value="110">Jordan</option>
<option value="111">Kazakhstan</option>
<option value="112">Kenya</option>
<option value="113">Kiribati</option>
<option value="114">Kosovo - UN Mission in</option>
<option value="250">Kosovo - Republic of</option>
<option value="115">Kuwait</option>
<option value="116">Kyrgyzstan</option>
<option value="117">Laos</option>
<option value="118">Latvia</option>
<option value="119">Lebanon</option>
<option value="120">Lesotho</option>
<option value="121">Liberia</option>
<option value="122">Libya</option>
<option value="123">Liechtenstein</option>
<option value="124">Lithuania</option>
<option value="125">Luxembourg</option>
<option value="126">Macau</option>
<option value="127">Macedonia</option>
<option value="128">Madagascar</option>
<option value="129">Malawi</option>
<option value="130">Malaysia</option>
<option value="131">Maldives</option>
<option value="132">Mali</option>
<option value="133">Malta</option>
<option value="134">Marshall Islands</option>
<option value="135">Martinique</option>
<option value="136">Mauritania</option>
<option value="137">Mauritius</option>
<option value="138">Mayotte</option>
<option value="139">Mexico</option>
<option value="140">Moldova</option>
<option value="141">Monaco</option>
<option value="142">Mongolia</option>
<option value="248">Montenegro</option>
<option value="143">Montserrat</option>
<option value="144">Morocco</option>
<option value="145">Mozambique</option>
<option value="146">Myanmar</option>
<option value="147">Namibia</option>
<option value="148">Nauru</option>
<option value="149">Nepal</option>
<option value="150">Netherlands</option>
<option value="151">Netherlands Antilles</option>
<option value="152">New Caledonia</option>
<option value="153">New Zealand</option>
<option value="154">Nicaragua</option>
<option value="155">Niger</option>
<option value="156">Nigeria</option>
<option value="157">Niue</option>
<option value="158">Norfolk Island</option>
<option value="159">North Korea</option>
<option value="160">Northern Mariana Islands</option>
<option value="161">Norway</option>
<option value="162">Oman</option>
<option value="163">Pacific Island Trust Territory</option>
<option value="164">Pakistan</option>
<option value="165">Palau</option>
<option value="166">Palestine</option>
<option value="167">Panama</option>
<option value="168">Papua New Guinea</option>
<option value="169">Paraguay</option>
<option value="170">Peru</option>
<option value="171">Philippines</option>
<option value="172">Pitcairn Islands</option>
<option value="173">Poland</option>
<option value="174">Portugal</option>
<option value="175">Puerto Rico</option>
<option value="176">Qatar</option>
<option value="177">Reunion</option>
<option value="178">Romania</option>
<option value="179">Russia</option>
<option value="180">Rwanda</option>
<option value="181">Samoa</option>
<option value="182">San Marino</option>
<option value="183">Sao Tome & Principe</option>
<option value="184">Saudi Arabia</option>
<option value="185">Senegal</option>
<option value="247">Serbia</option>
<option value="249">Serbia & Montenegro</option>
<option value="186">Seychelles</option>
<option value="187">Sierra Leone</option>
<option value="188">Singapore</option>
<option value="254">Sint Maarten </option>
<option value="189">Slovakia</option>
<option value="190">Slovenia</option>
<option value="191">Solomon Islands</option>
<option value="192">Somalia</option>
<option value="193">South Africa</option>
<option value="194">South Korea</option>
<option value="195">South Pacific commission</option>
<option value="251">South Sudan</option>
<option value="196">Soviet Union</option>
<option value="197">Spain</option>
<option value="198">Sri Lanka</option>
<option value="199">St Helena</option>
<option value="200">St Kitts - Nevis</option>
<option value="201">St Lucia</option>
<option value="202">St Pierre & Miquelon</option>
<option value="203">St Vincent and the Grenadines</option>
<option value="204">Sth Georgia & Sandwich Islands</option>
<option value="205">Sudan</option>
<option value="206">Suriname</option>
<option value="207">Swaziland</option>
<option value="208">Sweden</option>
<option value="209">Switzerland</option>
<option value="210">Syria</option>
<option value="211">Taiwan</option>
<option value="212">Tajikistan</option>
<option value="213">Tanzania</option>
<option value="214">Thailand</option>
<option value="215">Timor Leste</option>
<option value="216">Togo</option>
<option value="217">Tokelau</option>
<option value="218">Tonga</option>
<option value="219">Trinidad and Tobago</option>
<option value="220">Tunisia</option>
<option value="221">Turkemenistan</option>
<option value="222">Turkey</option>
<option value="223">Turks and Caicos Islands</option>
<option value="224">Tuvalu</option>
<option value="225">Uganda</option>
<option value="226">Ukraine</option>
<option value="227">United Arab Emirates</option>
<option value="228">United Nations</option>
<option value="229">United States of America</option>
<option value="230">Uruguay</option>
<option value="231">US Outlying Islands</option>
<option value="232">US Pacific Islands</option>
<option value="233">Uzbekistan</option>
<option value="234">Vanuatu</option>
<option value="235">Vatican City</option>
<option value="236">Venezuela</option>
<option value="237">Vietnam</option>
<option value="238">Virgin Islands, British</option>
<option value="239">Virgin Islands, USA</option>
<option value="240">Wallis and Futuna</option>
<option value="241">Western Sahara</option>
<option value="242">Yemen</option>
<option value="243">Yugoslavia</option>
<option value="244">Zambia</option>
<option value="245">Zimbabwe</option>
</select>
<span style="font-family: 'Arial', Times, serif; font-size: large; color: #800000">*</span>
</td>
<td>
<span class="SilverFernErrorMessage" style= "visibility: hidden;">You must answer this question.</span>
</td>
</tr>
</tbody>
</table>
<table width="100%">
<tr>
<td colspn = "4">Please provide the telephone numbers at which you can be contacted:</td>
</tr>
<tr>
<td width="35%">Phone (daytime)</td>
<td width="5%">
</td>
<td width="35%" nowrap="nowrap">
<input id="DayPhoneNumber_Value" maxlength="25" name="DayPhoneNumber.Value" type="text" value="" />
</td>
<td>
<span class="SilverFernErrorMessage"></span>
</td>
<td></td>
</tr>
<tr>
<td></td>
<td></td>
<td colspan="2" class="smalltext">(CountryCode AreaCode TelephoneNumber e.g. 64 4
1234567)</td>
</tr>
<tr>
<td width="35%">Phone (night)</td>
<td width="5%">
</td>
<td width="35%" nowrap="nowrap">
<input id="NightPhoneNumber_Value" maxlength="25" name="NightPhoneNumber.Value" type="text" value="" />
</td>
<td>
<span class="SilverFernErrorMessage"></span>
</td>
<td></td>
</tr>
<tr>
<td></td>
<td></td>
<td colspan="2" class="smalltext">(CountryCode AreaCode TelephoneNumber e.g. 64 4
1234567)</td>
</tr>
<tr>
<td width="35%">Phone (mobile)</td>
<td width="5%">
</td>
<td width="35%" nowrap="nowrap">
<input id="CellPhoneNumber_Value" maxlength="25" name="CellPhoneNumber.Value" type="text" value="" />
</td>
<td>
<span class="SilverFernErrorMessage"></span>
</td>
<td></td>
</tr>
<tr>
<td></td>
<td></td>
<td colspan="2" class="smalltext">(CountryCode NetworkCode TelephoneNumber e.g. 64
21 1234567)</td>
</tr>
<tr>
<td width="35%">Fax</td>
<td width="5%">
</td>
<td width="35%" nowrap="nowrap">
<input id="FacsimileNumber_Value" maxlength="25" name="FacsimileNumber.Value" type="text" value="" />
</td>
<td>
<span class="SilverFernErrorMessage"></span>
</td>
<td></td>
</tr>
<tr>
<td></td>
<td></td>
<td colspan="2" class="smalltext">(CountryCode NetworkCode TelephoneNumber e.g. 64
21 1234567)</td>
</tr>
</table>
</td>
<td width="20">
</td>
</tr>
<tr>
<td colspan="4">
</td>
</tr>
</tbody>
</table>
</div>
<span class="errormessage">
<p>
<b>Important – please check the information you have entered carefully to ensure it is correct before going to the next section.</b>
</p>
</span>
<br>
<table width="100%" border="0" cellpadding="0" cellspacing="0">
<tr style="padding-bottom: 8px; padding-top: 8px">
<td>
<input type="submit" name="submitButton" accesskey="P" alternatetext="Previous (ALT + P)" value="Previous" style="font: 'Trebuchet MS'; font-weight:bold; color:White; text-transform: capitalize; background-color: #3399cc; border: 1pt ridge lightgrey; width:80px; cursor:pointer;";/>
</td>
<td align="center">
<input id="saveButton" name="submitButton" accesskey="S" alternatetext="Validate & Save (ALT + S)" type="submit" value="Validate & Save" style="font: 'Trebuchet MS'; font-weight:bold; color:White; text-transform: capitalize; background-color: #3399cc; border: 1pt ridge lightgrey; width:120px; cursor:pointer;";/>
<input id="completeLaterImageButton" name="submitButton" accesskey="L" alternatetext="Complete Later (ALT + L)" type="submit" value="Complete Later" style="font: 'Trebuchet MS'; font-weight:bold; color:White; text-transform: capitalize; background-color: #3399cc; border: 1pt ridge lightgrey; width:120px; cursor:pointer;";/>
</td>
<td align="right">
<input type="submit" name="submitButton" accesskey="N" alternatetext="Next (ALT + N)" value="Next" style="font: 'Trebuchet MS'; font-weight:bold; color:White; text-transform: capitalize; background-color: #3399cc; border: 1pt ridge lightgrey; width:60px; cursor:pointer;";/>
</td>
</tr>
</table>
</form>
</div>
</div>
</td>
</tr>
<tr valign="bottom">
<td><!-- just show this copyright text where needed -->
<p class="footer">© 2010 Immigration New Zealand. All rights reserved.
Version
<span id="ctl00_FooterUC2_versionLabel">1.0.20.0</span>.</p>
</td>
</tr>
</table>
</div>
</body>
</html>