Fields marked with an * are required

Enrolment Form

The purpose of this enrolment form is to obtain from you the information that we need to enrol you into a qualification at our organisation. We also need to collect information from you which is required by the Ministry of Education and other Government agencies for statistical and registration purposes. Please fill in the form properly by:

  • Completing all sections of the form
  • Printing all answers clearly in pen, or by ticking the box that applies for multi-choice questions
  • Signing the form
  • Attaching to the form any additional documentation that is required for Ministry of Education funding purposes

SECTION 1 - PERSONAL DETAILS

PLEASE NOTE - Your name, date of birth and residency as entered on this enrolment will be included in the National Student Index, and will be used in an Authorised Information Matching programme with the New Zealand Birth Register


SECTION 2 - STUDENT CONTACT DETAILS


SECTION 3 - EMERGENCY CONTACT DETAILS


SECTION 4 - ENROLMENT DATE FOR CERTIFICATE IN WELDING L4 (PC9282)


SECTION 5 - MARKETING


SECTION 6 - DISABILITY


SECTION 7 - ACADEMIC INFORMATION - SECONDARY


SECTION 8 - ACADEMIC INFORMATION - TERTIARY STUDY


SECTION 9 - PRIOR ACTIVITY


 SECTION 10 - CITIZENSHIP AND ETHNICITY


SECTION 11 - IRD NUMBER COLLECTION FOR STUDENT LOAD INTEREST WRITE-OFF


DOCUMENTATION

DECLARATION