Application for a Residence Visa - Page 1 / 14

Application Fee

1 year - VT 105,000

1-3 years - VT 285,000

3-4 years - VT 467,000

5 years - VT 921,000

Kids less than 18 years - VT 20,000

Person born in Vanuatu before 30, July 1980 - VT 30,000

Person who is owner of Vanuatu offshore - VT 1,200,000

Payment must be done before we process the application. This must be treated as purchasing a product, it is a service but we must receive the payment, before we can process the application. For example if you deposit your application at the Australian High Commissioner or NZH payment must be done straight way.

1 - How many people are included in this application?

Number of people included in this application

2 - Give your details as shown on your passport.

Family Name

Given Name

3 - Have you been known by any other name?

If yes : Please give details and provide supporting documentation

Other name Yes No

Family Name

Given Name

4 - Gender Male Female

5 - Date of birth

6 - Place of birth

Town/city

Country

7 - Nationality

8 - Details of your passport

Country of passport

Passport number

Place of issue

Date of Issue

Date of Expiry

9 - Do you hold any other citizenship?

Do you hold any other citizenship? Yes No

If yes, please specify

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10 - Relationship Status

Relationship Status

Married

De facto

Engaged

Separated

Divorced

Widowed

Single

Name of partner/ spouse/ fiancée

Date of birth

11 - Your country of usual residence

Your country of usual residence

12 - Your residential address in your country of usual residence

Your residential address in your country of usual residence

13. Your telephone numbers outside Vanuatu (include country and area code)

Office hours

After hours

14. Address for correspondence

15 - Do you agree to Vanuatu Immigration communicating with you, or your authorised representative, by fax or e-mail?

Do you agree ? Yes No

If yes, please give details

Fax number

E-mail address

Application for a Residence Visa - Page 3 / 14

Previous Visa Applications

16 - Please give details of your family members included in this application

Members of your family may include your spouse or de-facto partner and your dependent children.

Family Member A

Family Name

Given Names

Date of Birth

Country of Passport

Passport Number

Place of Issue

Date of Issue

Date of Expiry

Family Member B

Family Name

Given Names

Date of Birth

Country of Passport

Passport Number

Place of Issue

Date of Issue

Date of Expiry

Family Member C

Family Name

Given Names

Date of Birth

Country of Passport

Passport Number

Place of Issue

Date of Issue

Date of Expiry

Family Member D

Family Name

Given Names

Date of Birth

Country of Passport

Passport Number

Place of Issue

Date of Issue

Date of Expiry

If you have more than 4 family members included in your application please attach a page to your application with the required information asked above.

Application for a Residence Visa - Page 4 / 14

Family members included in your application who are under 18 years of age

17 - If the family member included in your application is aged under 18 years of age, do you have the sole right to determine where they will live? Yes No

If no, please give details of any other person who has this right

Family Name

Given Names

Date of Birth

Address

Telephone

Relationship to dependent applicant

Basis of legal right

Please attach a statutory declaration from this person giving permission for the child to come to Vanuatu.

18 - Are your dependants subject to a court order giving you the sole right to determine where they live or to remove them from their country of residence? Yes No

If yes, please attach a copy of the court order

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Details of grounds of visa application

19 - On what grounds are you applying for a Residence visa?

Partner (Go to Question 20)

Child (Go to Question 24)

Employee (Go to Question 25)

Self-funded Resident (Go to Question 26)

Foreign Investor (Go to Question 29)

Land Owner (Go to Question 30)

Partner

20 - Are you legally married to a citizen of Vanuatu? Yes No

If yes, please give details of your marriage and provide a certified copy of your marriage certificate

Date

Place

Now go to Question 22

21 - Are you living in a marriage like (de facto) relationship with a citizen of Vanuatu? Yes No

If no, go to Question 23

If yes, please provide the following details

Date when you first met your partner

Location where you first met your partner

When did you and your partner begin living in a de-facto relationship?

Please provide a statutory declaration by both you and your partner indicating when the partnership commenced and where the relationship is ongoing and to the exclusion of all others.

Are you and your partner living together? Yes No

If yes, since when have you been living at the same address?

Date

Address

Please provide evidence that you and your partner have been living together

If no, please give a brief reason why you and your partner are not living together

Are you and your partner still legally married, or have been married or in a de-facto relationship, with another person? Yes No

If yes, please provide details (including date relationship started and ended and date of divorce if applicable)

22 - Your spouse or partners details

Family Name

Given Names

Other names your spouse/ partner has been known by

Gender Male Female

Date of Birth

Town/City of Birth

Counrtry of Birth

Is your spouse/ partner a citizen of Vanuatu? Yes No

If yes, please provide a certified copy of your spouse/partner's birth certificate or citizenship certificate

Your spouse/ partner's residential address and telephone number (if different to yours)

Address

Phone number

Now go to Question 32

23 - Are you the holder of a residence visa/ permit based on your marriage/ de-facto relationship with a citizen of Vanuatu who has sinced died? Yes No

If no, go to Question 24

If yes, you may be eligible for a further residence visa if:

- you were married or living in a de facto relationship with a citizen of Vanuatu, and

either

- have children who are citizens of Vanuatu; or

- if you where in that marriage or de facto relationship for at least 5 years at the time of your spouse/ partner's death

Please provide certified copies of your marriage certificate, your spouse/ partner's death certificate and your child(ren)'s birth certificate if applicable.

Now go to Question 32

Application for a Residence Visa - Page 6 / 14

Child

24 - Are you the child of a citizen of Vanuatu? Yes No

If no, go to Question 25

If yes, Please provide a certified copy of your birth certificate and a certified copy of your Vanuatu citizen parent's birth certificate or citizenship certificate. Provide legal adoption papers if applicable.

Please answer the following questions.

Are you under 18 years of age? Yes No

If yes, go to Question 32

If no, are you 18, 19, or 20 years of age and dependent on your Vanuatu citizen parent for financial, psychological or physical support? Yes No

If yes, please specify then go to Question 32

Employee

25 - Are you an employee or have you accepted employment from a business operating in Vanuatu for a period of at least 12 months? Yes No

If no go to Question 26

If yes, please provide a copy of your employment contract or a letter from your employer confirming your employment

Now go to Question 32

Self-funded Resident

26 - Are you the holder of a residence permit on the basis of being self-funded retiree prior to 1 February 2011? Yes No

If no, go to Question 28

If yes, go to Question 27

27 - Have you got an income certified by a bank operating in Vanuatu of at least 150 000 vatu per month or 300 000 vatu per month if your de-facto partner is included in the application? Yes No

If no, go to Question 28

If yes, please provide a letter from a bank operating in Vanuatu certifying your income.

Now go to Question 32

28 - Have you got an income certified by a bank operating in Vanuatu of at least 250 000 vatu per month or 500 000 vatu if your spouse or de-facto partner is included in the application? Yes No

If no, to Question 29

If yes, please provide a letter from a bank operating in Vanuatu certifying your income.

Now go to Question 32

Application for a Residence Visa - Page 7 / 14

Foreign Investor

29 - Have you been issued with an approval certificate by VIPA as a foreign investor? Yes No

If no, go to Question 30

If yes, please provide the VIPA approval certificate. If your VIPA certificate indicates that you will be operating a business in Vanuatu you must also supply a business license issued by the relevant official body.

Now go to Question 32

Land Owner

30 - Have you got leasehold ownership or a property in Vanuatu that has been valued at 10 million vatu or more by a bank operating in Vanuatu or by a chartered accountant? Yes No

If no, go to Question 31

If yes, please provide your land lease papers and an independent valuation of your property.

31 - Have you got an income certified by a bank operating in Vanuatu of at least 250 000 vatu per month, per person included in the application? (The maximum income you need to show is 1 million vatu per month) Yes No

If yes, please provide a letter from a bank operating in Vanuatu certifying your income.

Now go to Question 32

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32 - Have you previously spent any time in Vanuatu?

Have you previously spent any time in Vanuatu? Yes No

If yes, please give the following details

Period 1

From

Type of Visa held

Period 2

From

Type of Visa held

Period 3

From

Type of Visa held

33 - Have you ever been refused a visa to come to Vanuatu?

19. Have you ever been refused a visa to come to Vanuatu? Yes No

If yes, please give details

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Health and Character

34 - Have you or any person included in this application ever had or currently have tuberculosis? or been in contact with a person who has active tuberculosis?

or currently have tuberculosis? or been in contact with a person who has active tuberculosis?

or been in close contact with a person who has active tuberculosis? Yes No

If yes, please give details

35 - Are you suffering from a contagious disease and/or a mental illness?

Are you suffering from a contagious disease and/or a mental illness? Yes No

If yes, please give details

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36 - Have you or any person included in your application ever

- been convicted of a criminal offence in any country? Yes No

- been charged with an offence that is currently awaiting legal action? Yes No

- been acquitted of any offence on the grounds of mental illness, insanity or unsoundness of mind and as a result been detained in a facility or institution? Yes No

- been removed or are you in the process of removal from any country (including Vanuatu)? Yes No

- left any country to avoid being prosecuted for an offence in that country or to avoid being removed or deported? Yes No

- had, or do you have, an association with another person or with a group or organisation that is or has been involved in criminal conduct? Yes No

- been involved in any activities that would represent a risk to the security and defence of Vanuatu? Yes No

- been involved in any activity relating to the illegal movement of people to any country? Yes No

- served in a military force or militia, undergone any military/paramilitary training, or been trained in weapons/explosives use? Yes No

- Do you have any outstanding debts to the government of Vanuatu? Yes No

If you answered 'Yes' to any of the above questions, you must give ALL the relevant details. If the matter relates to a criminal conviction, please give the nature of the offence, full details of sentence and dates of any period of imprisonment or other detention.

Please give details

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Welfare arrangements for applicants under 18 years of age

37 - Are you under 18 years of age?

Under 18 Yes No

If you are under the age of 18 both your parents or legal guardian(s) must complete Question 28 and Questions 29, 30 and 31 as required. Evidence of their relationship to you must be provided. If your parents or legal guardian(s) have not made adequate arrangements for your accommodation, support and general welfare while in Vanuatu, a visitor visa cannot be granted.

38 - This question, and other questions as indicated, must be completed by the parents or legal guardian(s)of the applicant under 18 years of age.

Parent/ Legal guardian 1

Family Name

Given Names

Date of birth

Relationship to applicant

I am satisfied with the care and support arrangements that have been made, and I consent to the grant of a visitor visa to my child.

Signature

Date

Parent/ Legal guardian 2

Family Name

Given Names

Date of birth

Relationship to applicant

I am satisfied with the care and support arrangements that have been made, and I consent to the grant of a visitor visa to my child.

Signature

Date

Application for a Residence Visa - Page 12 / 14

Declaration

The declaration below must be signed by applicants over the age of 18. Both parents, if living, or legal guardian(s) must complete the declaration on behalf of any child under 18 years of age or any person who lacks the legal capacity to sign on their own behalf.

I am aware that giving false or misleading information is a serious offence and may result in a conviction resulting in a fine or imprisonment, the refusal of this visa application or the cancellation of any associated visa.

I certify the information supplied on and with this form is correct.

If granted a visa I will abide by all laws of Vanuatu and the conditions of the visa (as specified in the Information section on the front page of this form).

I will immediately advise Vanuatu Immigration if I become aware that any information provided in this form is incorrect or if there is a change in my personal or economic circumstances.

39 - Declaration

Signature of main applicant

Date

Signature

Date

Signature

Date

Signature

Date

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40 - Consent to correspond with authorised representative (if applicable)

Through my signature at question 32 above I consent to the Vanuatu Immigration Service corresponding with the following person who is my authorised representative or agent. I understand that this may extend to the provision of personal information about me if relevant to this application.

Name and address of authorised representative

Telephone number

Fax number

E-mail address

Application for a Residence Visa - Page 14 / 14

Download Section

You can upload your files (passport, picture, etc) now or we will ask you to send them by email

Upload your files

You can submit the form and we will contact you for the payment.

human ?

Application for a Residence Visa : Done !

Thanks you,

We will contact you after reviewing your application with questions or agreement normally within the next 36 hours.

Best regards,
The Global Immigration Team

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