Client Company Name
Select Client APN News Bp Oil Centre Port Wellington CERA Christchurch Chevron Contact Energy Damwatch Datacom Dow Chemical Downer Construction Dulux Fisher & Paykel Foodstuffs Fragomen Greymouth Petroleum Healthcare of New Zealand Heidrick & Struggles ICC – International Consultants Centre (Melbourne) Laerdal Maritime New Zealand MBIE – Ministry of Business Innovation and Employment McConnell Dowell Merial Methanex Ministry of Economic Development Ministry of Social Development New Zealand Van Lines OMV Orica Private Clients Qantas Shell Todd Oil Services The Moving Company Todd Energy Transpower Victoria University Wellington City Council Westpac Bank World Moving Wridgways (Australia) Xero Test Working In KPMG
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Consultant name
... Helen Carter Andrew & Willy Martin Sue Mason Tarryn du Toit Sandy Pardon Sue Burrell Randi Westphal Raewyn Guilford Michelle Bent Marina Fontein Judy Meyers Josie Robinson Diana Doyle Bridget Romanes Eve Casagranda
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PERSONAL DETAILS
First Name *
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Last Name *
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E-mail
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Home phone
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Mobile phone
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Transfering from *
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Transfering to *
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Nationality *
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Are you relocating with your current company?
Yes No
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If yes - Your Company's Name
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Position
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FAMILY DETAILS
Partner's Name
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Number of children
0 1 2 3 4 5 6
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1st child's name
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Gender
Male Female
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Date of Birth
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What level of education does this child require?
Day care Pre-school Primary school (Year 1-6, age 5-10) Intermediate school (Year 7-8, age 11-12) High school (Year 9-13, age 13-17) Polytechnic University
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What attributes should the school have?
Private Public Co-ed Single sex Religious
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Does your child have any special requirements?
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2nd child's name
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Gender
Male Female
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Date of Birth
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What level of education does this child require?
Day care Pre-school Primary school (Year 1-6, age 5-10) Intermediate school (Year 7-8, age 11-12) High school (Year 9-13, age 13-17) Polytechnic University
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What attributes should the school have?
Private Public Co-ed Single sex Religious
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Does your child have any special requirements?
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3rd child's name
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Gender
Male Female
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Date of Birth
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What level of education does this child require?
Day care Pre-school Primary school (Year 1-6, age 5-10) Intermediate school (Year 7-8, age 11-12) High school (Year 9-13, age 13-17) Polytechnic University
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What attributes should the school have?
Private Public Co-ed Single sex Religious
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Does your child have any special requirements?
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4th child's name
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Gender
Male Female
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Date of Birth
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What level of education does this child require?
Day care Pre-school Primary school (Year 1-6, age 5-10) Intermediate school (Year 7-8, age 11-12) High school (Year 9-13, age 13-17) Polytechnic University
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What attributes should the school have?
Private Public Co-ed Single sex Religious
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Does your child have any special requirements?
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5th child's name
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Gender
Male Female
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Date of Birth
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What level of education does this child require?
Day care Pre-school Primary school (Year 1-6, age 5-10) Intermediate school (Year 7-8, age 11-12) High school (Year 9-13, age 13-17) Polytechnic University
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What attributes should the school have?
Private Public Co-ed Single sex Religious
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Does your child have any special requirements?
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6th child's name
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Gender
Male Female
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Date of Birth
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What level of education does this child require?
Day care Pre-school Primary school (Year 1-6, age 5-10) Intermediate school (Year 7-8, age 11-12) High school (Year 9-13, age 13-17) Polytechnic University
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What attributes should the school have?
Private Public Co-ed Single sex Religious
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Does your child have any special requirements?
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ACCOMPANYING PETS
Dog/s
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How many?
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Cat/s
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How many?
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Other Pets
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Please state
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GENERAL INFORMATION
Is this your first relocation? *
Yes No
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Have you previously visited your NEW location? *
Yes No
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Do you plan on making a pre-move visit? *
Yes No
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Will your family arrive at the same time? *
Yes No
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ACCOMMODATION DETAILS
Do you, or anyone in your family have any special accommodation requirements that we need to be aware of, such as allergies to pet hair, or any other health considerations that may have an impact on our Accommodation Search criteria? Please be as detailed as possible.
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SHORT TERM ACCOMMODATION
Budget per week (NZ$)
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How many bedrooms are required?
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Is there anything else you require with your short term accommodation?
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LONG TERM ACCOMMODATION
Please let us know if you plan on renting or buying accommodation, or both, so we can assist you with finding suitable properties.
RENTAL INFORMATION REQUIREMENTS
Do you plan on renting accomodation?
Yes No
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What type of accomodation do you prefer?
Apartment Townhouse House
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Number of bedrooms
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What is your planned term of lease?
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What is your rental budget per week?
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Do you require the rental property to be furnished?
Yes No
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Do you smoke?
Yes No
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PURCHASE INFORMATION REQUIREMENTS
Do you plan on purchasing accommodation?
Yes No
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What is your budgeted purchase price?
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Do you need mortgage financing?
Yes No
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If yes, would you like us to arrange a mortgage broker for you?
Yes No
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Have you previously contacted a Real Estate Company?
Yes No
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If yes, please let us know which company:
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Please tell us some more about the type of property you're interested in...
Accomodation Attributes:
Apartment Town-House Duplex Single Family Home Character Older Modern In the city In the suburbs Close to schools Close to work Close to transport Close to shopping Close to a beach Separate family room Separate dining room Separate study Internal garaging Carpeted Drapes/Blinds Fireplace Gas Heating Whiteware Security/Alarm Garden
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Number of bedrooms
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Number of bathrooms
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Do you currently have any preferred suburbs?
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Number of car parks
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SPECIAL INTERESTS
Please tell us about you and your partner’s special interests…
Sports
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Leisure
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Entertainment
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Hobbies
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Clubs
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Please tell us about your children’s special interests...
Sports
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Leisure
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Entertainment
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Hobbies
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Groups
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On Arrival like to provide our clients with a New Zealand themed Gift/Food basket for your first day. Please let us know if there are any dietary requirements we should be made aware of:
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