Please bring your original identification document when you come to class for the first time.

The following are the only acceptable documents to prove your identity:

• A New Zealand Passport; or
• A Passport with a New Zealand Permanent Residence permit; or
• An Australian Passport; or
• A Passport with an Australian Permanent Residence permit, or
• A Birth Certificate with place of birth stated as New Zealand; or
• A Statement of Whakapapa, countersigned by a Kaumatua; or
• A Certificate of New Zealand Citizenship or a letter of confirmation; or
• A Birth Certificate with place of birth stated as the Cook Islands, Niue or Tokelau.

Legal First Name*

Legal Family Name*

Password* (Please choose a combination of only letters and numbers between 6-15 characters.)

Verify Password*

Gender* Male Female

Date of Birth*

Ethnicity* You can choose up to three ethnicity groups

NZ Maori   NZ European/European/Pakeha
Samoan   Cook Island Maori   Tongan
Niuean   Tokelauan   Fijian  
Chinese   Other Pacific Island   Indian  
Other Asian   Other   No Response  

Residency Status* -- Select Residency Status -- New Zealand Citizen Citizen of Cook Islands, Niuean or Tokelauan New Zealand Permanent Resident Australian Citizen Resident in New Zealand None of the Above

Email

Home Address 1
     Address 2
        Town*

Day Phone    
Evening Phone
Mobile Phone  

Main activity on 1st Oct last year -- Select Activity -- Secondary School Student Non-employed or beneficiary (excluding retired) Wage or salary worker Self-employed University Student Polytechnic Student College ofEducation Student Houre person or retired Oversees (irrestpective of ocupation) Private Training Establishment Student Wananga Student

Previously Enrolled at a Tertiary Institution in New Zealand* -- Select -- Yes No

First year of Formal Tertiary Education in New Zealand* -- Select -- 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910

Last Secondary School Attended*

Last Year at Secondary School* -- Select -- 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910

Highest Secondary School Qualification* -- Select Qualification -- No formal secondary school qualification / less than 12 credits at level 1 School Certificate / 12 or more credits at level 1 or above / NCEA level 1 Six Form Certificate / 12 or more credits at level 2 or above / NCEA level 2 University Entrance / National Certificate level 2 Higher School Certificate / 12-39 credits at level 3 or above Entrance Qualification from Bursary Exam A or B Bursary / NCEA level 3 Scholarship Overseas qualification Other Not known

Disability* -- Select -- Yes No

Do you expect to complete a qualification this year?* -- Select -- Yes No

Notes

When you have completed all sections of the form,kindly click here: