Application Form

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AQualification

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If applicable, provide programme configuration ("Part-time"; "AMIF603 - Introduction to Finance paper only"; "Digital Arts Major" etc.)

Have you studied at NorthTec before?

During your time studying in this qualification will you be resident in New Zealand or overseas?

Do you expect to complete the academic requirements in order to complete your programme of study in this year of enrolment?

BPersonal Details
Citizenship/Residency




What ethnic group(s) do you belong to? You may choose up to three different ethnic groups; Your first choice is the group you most identify with.

You are required to provide documents to verify your identity and citizenship. Your enrolment cannot be confirmed until we have sighted complete documentary evidence of your full legal name, date of birth and citizenship. Acceptable documents include

  • Birth Certificate, Passport or Certificate of Citizenship (with place of birth stated as New Zealand, Cook Islands, Tokelau, Niue, or Australia).
  • Overseas Passport with residency stamp, work permit or student permit for international students.
  • Certificate of Identity (from the New Zealand Immigration Service).
  • Marriage Certificate or Deed Poll declaration (for change of legal name only).
  • Statement of Whakapapa: A verified copy of a whakapapa statement is acceptable only when a birth certificate cannot be obtained. Both the learner and a kaumatua must sign the whakapapa as evidence of identity and citizenship.

Please upload documents in these formats: pdf, doc, docx, jpg, gif, png. Images should be cropped and/or on a plain background (e.g. no furniture in the background)

This information is confidential to NorthTec, but it could be used by the Student Advisors to obtain further resources and support that will assist you in your studies.

Do you live with the effects of significant health injury, long-term illness or disability?

CContact Information

Please enter your details so we can get in touch with you.

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    Please enter your details of your next of kin, close friend, who we can contact in case of emergency

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      DAcademic Record

      What is the highest level of achievement you hold from a secondary school?







      Where did you last attend secondary school?

       
       
      Have you ever enrolled in a tertiary education institution either in New Zealand or overseas since leaving school?

      EAdditional Information

      How do you intend to pay for your study?




      Are you currently (this year) a NorthTec staff member

      FDeclaration

      Privacy - NorthTec collects and stores information from this form to comply with the requirements of the Ministry of Education and other Government agencies. The information is also used for internal processes such as student selection, surveys, marketing and administration. Information about students may be supplied to, and sought from, other educational organisations for the purpose of verifying academic records and providing information on student progress. When required by law, NorthTec releases information to Government agencies. You will find details of the agencies that may be supplied with information in the NorthTec Registration guide. In submitting this Application Form, you authorise such disclosure on the understanding that NorthTec will observe the general conditions governing the release of information, as set out in the Privacy Act 1993, the Education Act 1989 and other relevant legislation. You may see any information held about you and amend any errors in that information. To do so, contact the Registry. Please note that your name, date of birth and residency as entered on this Registration Form will be included in the National Student Index, and will be used in an Authorised Information Matching programme with the New Zealand Birth Register. For further information, please see http://www.nsi.govt.nz

      Declaration

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