StudyNZ Student Registration Form

Students Details
Student's Name*
First Last
Father's Name*
First Last
Mother's Name*
First Last
Student's Gender*
- Male
- Female
English level*
- Beginner
- Intermediate
- Excellent
Student's Date of Birth*
DD slash MM slash YYYY
Student's Email Address*
Parent's Email Address*
Student's Mobile Number
Parent's Mobile Number
Student's Nationality*
Student's Religion
Student's Present School*
Student's Present Year Level*

What level are you in at your current school?
First Language*
First Language*
Passport Number*
Password Expiry Date
MM slash DD slash YYYY
Family Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Coming to New Zealand
Preferred School in New Zealand*
Second choice of School
If your preferred school is not available then please choose your next preferred option.
Start Date in NZ*
MM slash DD slash YYYY
Do you have any Hobbies, Sports or Special Interests
Do you have a contact person at StudyNZ?*
If you have a contact already at StudyNZ please tell us who it is.
Comments
This field is for validation purposes and should be left unchanged.

Save and Continue Later

Student Registration Form