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First Name (required)

Surname (required)

Your Address

Your Email(required)

Mobile(required)

Gender

Date of Birth

Are you a New Zealand resident?

Highest qualification gained?

Name of Institution

Year completed

Is English your first language?(required)

If no, please provide copy of your IELTS certificate

Do you have a medical condition that the Institute should we aware?

In signing this application form you undertake to comply with the Institute’s Academic Statute and other rules and regulations published from time to time. You must attend all classes, except in the case of illness and be punctual and work diligently in class and on homework assignments. Should the Institute receive insufficient enrolments for the programme to run, you accept that the Institute will be obliged to cancel the programme and will not be liable for any costs incurred by you. The Institute will refund fees in accordance with the Payment and Refund Policies

I accept the above terms and conditions

Upload completed "Statement of Purpose"form (found in rear of prospectus)

Upload completed "Referee's Form" (found in rear of prospectus)

Upload copy of your passport

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