*** Transcriber's Note Please set your voice synthesiser to read most punctuation. When you encounter the caret sign (^) at the end of a line, please enter the applicable information, if necessary. *** Department of Internal Affairs – Te Tari Taiwhenua CIT006 Application for confirmation of New Zealand citizenship by grant Use this form to apply for proof that you are a New Zealand citizen. If you are a citizen, you will get a certificate that confirms you were a citizen on the date the certificate was issued. Before you apply Things you need to know: • The fee for this application is $112.40. • The processing time is 15 working days. Allow extra time for postage. • There is no urgent service. • We may ask for further identification before we give you any information. • Applications must be completed by the applicant, unless they are aged 15 or under. For applicants aged 15 or under, their parent or legal guardian must complete the application. You must provide: • 2 identical photos of the applicant, certified by the witness • the completed form • the application fee. Photo requirements You must provide 2 identical passport-style photos. The photos need to be signed by the witness named on page 6 of this application. The photos must be: • of yourself • less than 6 months old • in colour • clear, sharp and in focus. The photos must show: • your head and shoulders • your face looking directly at the camera • your eyes open and clearly visible — not covered by hair or sunglasses • your face in a neutral expression, not smiling or frowning and with your mouth closed • a plain and neutral background. Prescription glasses are permitted as long as your eyes are still visible. Do not staple, glue or paperclip photos to the application form as this may cause damage. Contact details Website: govt.nz/contact-citizenship-office Email: Issuance.2@dia.govt.nz Only use email for queries about the form. To return the form, follow the postage instructions at the end of this form. Do not email the completed form to us. Checklist Make sure you have everything you need. If you do not provide all the documents that you need, your application will be delayed. All original documents will be returned to you. You need to supply the following with your application: 1. 2 identical photos of the applicant, verified by the witness 2. the filled out payment section at the end of this form. 1. Your name and title 1. Your name and title Please enter your title, for example Mr, Ms, Miss, Master or Other ^ Current first name(s) ^ Current surname. ^ First and middle names at the time you were granted NZ citizenship (if different) ^ Surname or family name at the time you were granted NZ citizenship (if different) ^ Other names. Include all names you are, or have been, known as. For example, official name changes, names used at school or work, English name, adoptive namesfamily names, and any other names used.^ 2. Your place and date of birth Village, town or city of birth ^ Country of birth ^ Date of birth (dd/mm/yyyy) ^ 3. Your gender (male, female or non-binary) ^ 4. Your citizenship certificate number (optional) ^ Section 2: Consent giver details If the applicant is aged 15 or under, provide details of the parent or legal guardian giving consent. 5. Is the consent giver the applicant's parent or legal guardian? ^ First and middle names of consent giver ^ Surname or family name of consent giver ^ Section 3: Applicant declaration The Department of Internal Affairs (DIA) processes applications using information matching programmes to share data with other agencies. These authorised information matching programmes share citizenship data we hold with: • the Electoral Commission • Inland Revenue • Waka Kotahi, New Zealand Transport Agency • the Ministry of Education • the Ministry of Social Development • Immigration New Zealand. Details are available on the DIA website at www.dia.govt.nz Collection and use of information given to support your application We need you to give certain information to support your application. The decision to give us your information is your choice. If you do not give us all the information we need, we may decline your application. We need your information: • to process your application • to check if the application meets the requirements of the Citizenship Act 1977. We collect and hold information from this form at the Department of Internal Affairs, PO Box 10680, Wellington. Under the Privacy Act 2020 you can access, check and correct the personal information you choose to give us. 7. Applicant declaration • I understand that the information, to the best of my knowledge is true, complete and correct. • I understand that if I give false information, any document issued on the basis of that information may be cancelled and the matter referred to the New Zealand Police. • I confirm that I have read and understood all the statements in this applicant declaration. • I allow an authorised matching programme, under Section 112 of the Births, Deaths, Marriages, and Relationships Registration Act 2021 to use my information to determine my eligibility for this application. • I allow DIA to contact me or other agencies, if needed, to process this application. Signature ^ Date of signature (dd/mm/yyyy) ^ If the applicant is aged 15 or under, the consent giver must sign this declaration on the applicant’s behalf. Section 4: Witness section Witness instructions Fill in and sign questions 8 to 13 of this form. The applicant needs to provide 2 identical photos. On the back of one of the photos, you must: • sign your own name • write the full name of the applicant, and • write the date. You must: • be aged 16 years or over • not be a relative or partner of the applicant • not live at the same address as the applicant. You must have known the applicant: • for more than 1 year, or • since birth if the applicant is under 12 months old. 8. Your name First name and middle names ^ Surname or family name ^ 9. Your date of birth (dd/mm/yyyy) ^ 10. Full name of the applicant whose photo you are witnessing ^ 11. How many years have you known the applicant? ^ 12. Your address Street number and name ^ Suburb ^ Town or city ^ Country ^ Postcode ^ Contact phone number ^ Email address ^ 13. Witness declaration I declare that: • I am 16 years of age or over. • I have known the applicant for more than 1 year, or since their birth. • The information I have given is complete and correct to the best of my knowledge. • The person in this photo is the person applying. • I have written the full name of the applicant, signed my name and written the date on the back of one photograph. • I understand that if I have provided false information, I can, by law, be fined or imprisoned. Signature of witness ^ Date signed (dd/mm/yyyy) ^ 14. Fees The application fee for a confirmation of New Zealand citizenship certificate is $112.40. Select a delivery method: I want the letter couriered to a New Zealand address for $0. Yes or no ^ I want the letter couriered to an overseas address for $15-30. Yes or no ^ Delivery to Australia, Asia, or Pacific will cost $15. Delivery to the USA will cost $20. Delivery to Europe will cost $25. Delivery to the rest of the world (includes Azerbaijan, Armenia, Bulgaria, Bosnia and Herzegovina, Cyprus, Croatia, Greece, Georgia, Macedonia, Malta, Moldova) costs $30. Contact us if you are unsure whether we can deliver to your country. 15. Delivery address We may need your email address to get in contact if your postal address changes. Delivery name ^ Street number and name ^ Suburb ^ Town or city ^ Country ^ Postcode ^ Contact phone number ^ Email address ^ 16. Payment Do not post cash or card. Do not email credit card details. Charge my credit or debit card (Visa, MasterCard, American Express, Prezzy Card): Card number ^ Card expiry date (mm/yy)^ Name on card ^ Cardholder signature ^ Next steps Print and sign the form. Post the form, payment information, and documents to us. When you post the application, it is best to use a ‘track and trace’ courier bag to keep track of your original documents. We will return your documents by courier. Postal address Citizenship Office Identity Services Department of Internal Affairs PO Box 10680 Wellington 6140 Courier address Citizenship Office Level 2, 7 Waterloo Quay Pipitea Wellington 6011 New Zealand Last updated 18 July 2024