*** 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 CIT105 / CITPRV Request for information under the Privacy Act 2020 Last updated 25 June 2024 This application form is for use by people wanting to find out about their own citizenship status, or the citizenship status of their child. If the child is 16 years of age or older, they must request the information themselves. Applications take up to 20 working days to process. Details of record to be searched Family/Last name(s) ^ Given/First names(s) ^ Any other names ever used (e.g. maiden name, married name, names legally changed) ^ Town/City of birth ^ Country of birth ^ Birthdate (day, month, year) ^ Details of requestor Family/Last name(s) ^ Given/First names(s) ^ Street address ^ Suburb ^ City ^ Country ^ Postcode ^ Email address ^ Phone number ^ Relationship to individual ^ Signed ^ Dated ^ Information wanted ^ You can send this form to us by scanning it and emailing it to: Citizenship@dia.govt.nz or posting to Citizenship Privacy Requests, PO Box 10680, Wellington 6143, New Zealand.