| Contact us about Studying in New Zealand
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| Name |
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| Nationality |
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| Passport Country of Issue |
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| Do you require Visa information? |
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Yes
No
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| Date of Birth (dd/mm/yy) |
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| Gender |
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Male
Female
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| Mailing Address |
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| E-mail |
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| Phone Number (with country code) |
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| Fax Number (with country code) |
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| Course Information Required |
| What is the name of the School are you are enquiring about? |
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| Attend an English Language School |
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| What English courses are you interested in? |
| Tourism or Activity English (Group Only) |
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| General English - Full Time |
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| General English - Part Time |
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| Special Courses: |
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| Attend a University |
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| What courses or degree are you interested in? |
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| Attend a Polytechnic |
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| What courses or degree are you interested in? |
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| Attend a High School |
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Other
(enter below) |
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| |
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| What is your current English Level |
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| Region you wish to study |
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| Name of schools by choice |
| First choice |
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| Second Choice |
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| Third Choice |
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| Length of course you wish to take |
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| Start date when you wish to attend (dd/mm/yy) |
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| Do you require accommodation? |
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Yes
No
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| Check the boxes below if you want to stay in a Home-stay |
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| Special Note (e.g.: if you have any allergies) |
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| Additional Information or questions |
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| Will you require airport Pickup? |
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Yes
No
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| |
| Where did you hear about our Services? |
| Website |
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| What search words did you use to find us? |
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| New Zealand Embassy |
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| Newspaper |
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| Friend |
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| School Referral |
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| What School? |
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| Other |
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| DECLARATION: I understand that the conditions of cancellation and any refund policies from New Zealand Education Global Services Ltd. are dictated by the school for which you enroll. We strictly adhere to their policies. I am responsible to request those polices from the school I enroll into. New Zealand Education Global Services Ltd. is not responsible for any false information given by its clients. We also strongly advise our clients to acquire travel insurance in case of any unexpected circumstance that may arise during their stay in New Zealand. I will not hold NZEGS Ltd. responsible for any such circumstances. I am signing the enrollment form by pushing the "submit" button. |
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