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Personal Details

Please write the company name who is dealing directly with the student, not the master agent.

 

Please upload a scan of the full photo page of your current passport, or verified birth certificate.

 

 

Emergency Contact

Emergency Contact Name 

 

Intended programme of study in New Zealand

Please choose the beginning of the month if no specific date was given on the institution's website.

 

Please choose the beginning of the month if no specific date was given on the institution's website.

 

Please choose the beginning of the month if no specific date was given on the institution's website.

 

 

English Proficiency

 

Education and Work Experience

Please provide the complete high school name in English, NOT generic description such as "overseas high school".

 

 

Tertiary/Higher Education

 

Work and Relevant Experience

 

3rd work experience

 

Declaration