ONLINE ENROLMENT

Enrolment Form

Please fill in all sections of the Enrolment Form. If you have any questions, please email to admin@kiwienglish.co.nz

Student's Name

Gender

Date of Birth

Passport number

Nationality

Email

Phone number

Address (in your home country)

Emergency Contact (MUST be completed for all students) Name/Address/Phone No./Email

Junior Course

Senior Course

Starting date

Number of weeks

Why are you taking this course?

How did you hear about Kiwi English Academy?

Have you studied in New Zealand before?

Do you require accommodation?

Is airport pickup required?

If yes, please provide your flight details.

Insurance (all international students are required by law to have appropriate medical and travel insurance)

Are there any medical, physical or psychological conditions we should be aware of?

Have you completed the form on behalf of the student? Please write your name, your relationship to the student, and email address

Declaration

Address

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