DRG001 25 May 2024
Page 7 of 12
New Zealand parent
Full name
Signature
Date
29
I have read and understood the information above relating to the collection and use of information for this
application, and I authorise the use and disclosure of my information as outlined above.
D D
MM
Y Y Y Y
SIGN HERE
Privacy Act information - who should read this?
Collection, authorisation and use of information in support of this application
This application form requires you to produce certain information in support of your application. The decision to supply the
information is voluntary. If you do not produce sucient information to enable a claim to New Zealand citizenship by descent to
be determined, the application will be declined.
We need to collect this information to see if the requirements of the Citizenship
Act 1977 are met, to process the application and for other lawful purposes. The information you provide in this form is collected
and held by: Department of Internal Aairs, PO Box 10680, Wellington, New Zealand.
Information held by the Citizenship Oce and Passport Oce can be used in authorised information matching programmes by
the Electoral Enrolment Centre, the Department of Internal Aairs, the Inland Revenue Department, the New Zealand Transport
Agency, the Ministry of Education, the Ministry of Social Development, and the Ministry of Business, Innovation and Employment as
authorised by statute. Details are available on the Department of Internal Aairs website – dia.govt.nz or call +64 (4) 462 0651.
You have a right of access to and correction of personal information you have provided under the Information Privacy Principles
of the Privacy Act 2020. Please contact the Citizenship Oce for more details.
WARNING: It is an oence against the Passports Act 1992 to knowingly or recklessly make a statement that is false or misleading
in a material particular for the purposes of gaining a New Zealand passport. It is also an oence to knowingly or recklessly give
false information or conceal any facts for the purpose of gaining New Zealand citizenship for oneself or on behalf of someone. If
you do so, you may be denied/lose New Zealand citizenship, face criminal charges, or both.
Who needs to sign
Under the New Zealand Citizenship Act 1977, a citizen by descent holds that status from their date of birth or adoption. There is
no legal requirement to register that status, but if the person chooses to do so parental consent to register is not required, as
citizenship by descent is considered a birthright.
By signing the application form, you are not consenting to the registration of citizenship but are consenting to the collection and
use of information about yourself to determine the claim to citizenship.
If the claim to citizenship is through the mother, the father is not required to sign the form as we do not need to collect any
information about him to verify maternity.
If the claim is through the father, we need acceptable evidence of paternity and consent from both parents to collect and use
information about them to verify the claim.
The Department retains the right to request further documents should they be required.
28
The ‘New Zealand Parent’ and ‘Other Parent’ need to read the information in this section. Each parent then needs to write
their name, date and sign at the bottom of the page to say that they have read and understood the information.
Other parent
Full name
Signature Date
30
I have read and understood the information above relating to the collection and use of information for this
application, and I authorise the use and disclosure of my information as outlined above.
D D
MM
Y Y Y Y
SIGN HERE
By signing below you declare the following:
• The statements made in this application are to the best of my knowledge true, complete and correct.
• If false information has been provided I understand that any citizenship certificate/passport issued on the basis of that
information may be cancelled and the matter referred to the New Zealand Police.
• I understand that information may be obtained about me to determine my child’s eligibility for this citizenship application
by way of an authorised information matching programme in accordance with the Births, Deaths, Marriages and
Relationships Registration Act 2021.
• I authorise any necessary additional enquiries including the disclosure of personal information about myself or the child for
the purpose of determining eligibility for this application. My authorisation includes, but is not limited to, any information
held by the Department of Internal Aairs.
• If I have also applied for a New Zealand passport for my child at the same time, I authorise my/the child’s information to be
taken from or shared with the New Zealand Passport Oce for the ecient processing of both applications.
• I understand that if I have possession of a forged or false New Zealand travel document, I may be liable on conviction to
imprisonment for a term not exceeding 10 years, a fine not exceeding NZ$250,000 or both.