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When filling in this form, please print clearly using CAPITAL LETTERS. Section H 申请人声明 Declaration by applicant 所有包括在本次申请中的申请人必须完整填写此项内容。All of the people included in this application must complete this section. 关于此申请表的所有问题，我所提供的信息都是真实和正确的。I have provided true and correct answers to the questions in this form. 如果某些相关事实或情况变化会影响到我的 (1) 签证申请结果，或 (2) 我基于该签证申请获批新西兰入境许可，我将及时通 知新西兰移民局。 I will inform Immigration New Zealand of any relevant fact or change of circumstances that may (i) affect the decision on my application for a visa, or (ii) affect the decision to grant entry permission based on the visa for which I am applying. 我同意在我的签证过期之前离开新西兰。否则我可能被新西兰移民局递解出境。I agree to leave New Zealand before my visa expires. If I remain in New Zealand after my visa has expired, I may be deported by Immigration New Zealand. 我知道我没有资格享有新西兰的免费医疗，我将支付我在新西兰所接受的任何医疗服务和协助的费用。I understand that I am not entitled to free health care in New Zealand, and I will pay for any health care or medical assistance I may require in New Zealand. 我知道为我提供移民建议的移民顾问应该依照《2007移民顾问执照法》取得执照。如果没有，新西兰移民局将退还我的申 请材料，并不予审理。 I understand that if I have received immigration advice from an immigration adviser and if that immigration adviser is not licensed under the Immigration Advisers Licensing Act 2007 when they should be, Immigration New Zealand will return my application. 我授权新西兰移民局将本人健康情况及移民身份提供给任何相关的医疗机构。我授权任何相关的医疗机构可将本人健康 情况告知新西兰移民局。I authorise Immigration New Zealand to provide information about my health and my immigration status to any health service agency. I authorise any health service agency to provide information about my health to Immigration New Zealand. 我授权新西兰移民局对申请表中所含的内容做任何必要的询问以便： ? 审理决定我的申请； ? 在对我的申请作出决定后，回复有关我的移民身份的询问。 I authorise Immigration New Zealand to make any necessary enquiries about information on this form so that they can: ? make a decision on this application ? answer enqu