International Student Registration Form 2015 - Nzse printable pdf download

International Student Registration Form 2015 - Nzse

International Student Registration Form 2015

New Zealand School of Education

Office use only

P.O. Box 151-293, New Lynn

Auckland, NEW ZEALAND

Phone: (+64 9) 827 6100

Facsimile: (+64 9 827 2660

Please read the form and student declaration carefully before you sign the application form.

If you apply through an approved NZSE Agent, all correspondence regarding your application will be forwarded to that agent and to

parents/legal guardian for students under 18.

If you were a student at NZSE before, please write your student ID here:

PERSONAL DETAILS (As in passport)

Last Name/Family Name:

First Name/Given Name(s):

 Male

 Female

Gender:

Title:  Mr.  Mrs.  Ms. Other ______________

Age:

Date of Birth:

Parent/Guardian Full Name (for under 18’s only):

PASSPORT INFORMATION

Passport Number:

Citizenship:

CONTACT DETAILS

Address in New Zealand

Address in Home Country

Landline/Mobile

Facsimile

Landline/Mobile

Facsimile

EMERGENCY CONTACT

Name:

Relationship:

Address:

Telephone:

Email:

International Student Registration Form 2015– Ref. NZSE/INTERNATIONAL ADMIN/2015 Forms Rev. 07

International Student Registration Form 2015 - Nzse