Making a Complaint About an Immigration Adviser form

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Making a Complaint About an Unlicensed Immigration Adviser
Under the Immigration Advisers Licensing Act, it is an offence to give immigration advice about a New Zealand
immigration matter when not licensed or exempt. The Authority encourages you to bring these situations to our
attention to enable us to take action. The actions that we take may include an investigation which may lead to a criminal
prosecution. As part of the investigation you may be contacted by an Investigator from the Authority.
For more information please see our website www.iaa.govt.nz/enforcement
Tell us below about someone who has given immigration advice about New Zealand when not licensed or exempt.
The information below is collected by the Authority and held at 52 Symonds Street, Grafton, Auckland.
Privacy Act 1993
a) The information provided by you on this form will be used for the purposes of investigating a complaint under the
Immigration Advisers Licensing Act 2007.
b) Upon receipt of this completed form the Immigration Advisers Authority may make any necessary enquiries about the
contents of this form, so that decisions can be made regarding this complaint.
c) This may include the necessary disclosure of this information to third parties.
Under the Privacy Act 1993 you may access and request a correction of any personal information.
Please complete this form in English.
Section 1
Personal details
Name
Date of birth
Day Month Year
Address
Street name and number
Suburb
Town/City
Area/State
Postcode
Country
Daytime phone number
+
Email
(+country code - area code - local number)
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