NZ Citizenship Application Form – Adult

Use this application form if you are 16 years or over and are applying for a grant of New Zealand citizenship.
What is your full name?*
Please specify*
First and middle names*
Surname or family name*
Are you?*
- Male
- Female
What is your date of birth?*

Day
Month
Year
City, town or village where you were born*
Country where you were born*
Which country or countries are you currently a citizen of?*
In the last five years, what passports / travel documents have you had?

Include the country of the passport / travel document and its number. Also include all expired passports / travel documents for all countries.
Passport / travel document number*
Country of this passport / travel document*
Passport / travel document number
Country of this passport / travel document
Passport / travel document number
Country of this passport / travel document

Witness section
Who can be your witness?

You have the option of having either a valid New Zealand passport holder or an Internal Affairs representative (i.e. a citizenship officer or customer service officer) as your witness. The New Zealand passport holder must:
- > have a valid New Zealand passport
- > have known you for 1 year or more
- > be 16 years of age or older
- > not be related to you or part of your extended family group
- > not be your spouse or partner
- > not live at the same address as you.
Do you know the witness's details such as passport number, name, date of birth, address and day-time phone number?*
- Yes
- No
Tick the following box if it is confirmed that:*
- The witness hold a valid New Zealand Passport AND the witness is not related to me AND we do not live at the same address.
Witness's New Zealand Passport number
How many years you have known the witness?
Witness's surname or family name
Witness's first and middle names
Witness's date of birth

Day
Month
Year
Witness's address and contact details
Street number and name Suburb City or town State / region Post code Country
Witness's daytime phone
Email address

Questions about your parents