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admin@kiwienglish.co.nz+64 9 524-4711

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

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Gender

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Date of Birth

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Passport number

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Nationality

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Email

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Phone number

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Address (in your home country)

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

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Junior Course

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Senior Course

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Starting date

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Number of weeks

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Why are you taking this course?

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How did you hear about Kiwi English Academy?

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Have you studied in New Zealand before?

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Do you require accommodation?

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Is airport pickup required?

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If yes, please provide your flight details.

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

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

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

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Declaration

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Address

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