Application Form Email - Avonmore Tertiary Institute (Page 2 of 2) in pdf

Application Form Email - Avonmore Tertiary Institute Page 2

Agent Details

Was your application via an agent?

Yes

Agents name:

Agents street address:

Town/City:

Phone:

Email:

Language

Is English your ﬁrst language?

Yes

If ‘no’, how long have you studied in English?

Years:

Months:

Where did you study English?

Secondary school

Language school

University/College/Institute

Have you been tested on your English?

Yes

If ‘yes’ what was your result (i.e. IELTS 5.5):

Declaration

I, [FULLNAME & DATE OF BIRTH]

authorise Avonmore’s International Executive/Administrator to discuss my student visa application for

Avonmore Tertiary Institute with Immigration New Zealand; to obtain information regarding the processing of

the visa application and the decision on the application.

I declare that, to the best of my knowledge all the information supplied on , and with, this application form is true

and complete. In signing this declaration I understand the course content I have chosen and how it outlines with

my future prospects.

I consent to the disclosure of personal information and I agree to abide by the conditions outlined in the Student

Handbook on the Avonmore website.

Signature:

_ _/_ _ /_ _ _ _

Date:

Application Form Email - Avonmore Tertiary Institute Page 2