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Application Form 

 

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Application Form

All fields are mandatory

First Name*

Last Name*

Date of Birth*

Gender

Male Female

Email Address*

Course Applying for

Advanced Diploma
Bachelor Degree
Postgraduate Diploma
English Language

Preferred Intake Date

This year January
This year April
This year July
This year September
Next year January
Next year April

Full Address*

Country of Residence*

Postal or Zip code*

Are you a

NZ citizen
NZ Maori
NZ Permanent Residen
International Student

Additional comments

International Students Only:

Passport Number

Country of Issue

Please enter the phrase as it is shown in the box above.   

 

 

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