ITS4 - SELMA Standard Enrolment Form

Standard Enrolment Form

Enrol into one of our exciting courses
By sending this form and clicking the option "Start Application”, I, as the Data Subject, hereby consent to the processing of my provided personal data for the purpose of application and enrolment into our advertised programme and courses.
Select your Programme / Course*

Standard Enrolment Form

Enrol into one of our exciting courses
By sending this form and clicking the option "Start Application”, I, as the Data Subject, hereby consent to the processing of my provided personal data for the purpose of application and enrolment into our advertised programme and courses.
Select an available Intake*
Select an available Intake*
Select an available Intake*
Select an available Intake*
Select an available Intake*
Select an available Intake*
Select an available Intake*
Select an available Intake*
Select an available Intake*
Select an available Intake*
Selected Programme (hidden)
Total
0
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Contact Continued

Please provide us with your contact details
Your Address*

Street Address

Street Address Line 2

CityRegion

Post Code
Do you live with the effects of significant injury, long term illness, or disability?*

YesNo
Do you access a disability service?*
Please provide details about your injury, long term illness, or disability
Bank Account Holder
Bank Account Number
Drivers License Number

Emergency Contact

In case of an emergency, who shall we contact?
Emergency Contact Relation*
Emergency Contact Name*

First NameLast Name
Phone Number*

Pre-FixPhone Number
Email
example@example.com
Study in New Zealand

The NZ Government wants to know a few more things about you
What is your Country of Birth?*
What is your Country of Citizenship?
What is your NZ residency status?*
What is your current NZ visa?
NSN Number
This is the New Zealand Student Number
You can identify with up to three ethnicities, please select at least one below
Ethnicity 1*
Ethnicity 2
Ethnicity 3
If you have selected Maori at least once in above selection, you can affiliate with up to three IWI's
IWI 1*
IWI 2
IWI 3
What is your main activity prior to starting these studies?*
What is the name of the last secondary school you attended?
What was your last year at secondary school?
What is the highest qualification you hold from a secondary school?
When did you gain this qualification?
What is your highest post-school qualification?
Will your enrolment be the first year you have ever enrolled in tertiary studies?*

YesNo
Since you answered 'No' above, what was your first year?*

Your Documents

Please upload an identity document and proof of your achievements
Please select an identity document
How would you like to submit your identity document

Upload a copy of my identity documentTake a picture of my identity document
Upload your identity document

Please upload all transcripts and diplomas of previous achievements
Cancelof
Capture the identity page of your Passport
Capture your Birth Certificate
Picture side of Drivers License
Back side of Drivers License

Payment

How to pay
How would you like to pay?*

I pay now onlineBank transfer
Invoice and payment information will be sent to you via email.

If you require further information or support regarding this order, please feel free to call us on 0800 464 487 or send an email to bookings@its.ac.nz.

View Terms and Conditions for this order.
_full name
Selected Programme / Course Price

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Standard Enrolment Form