Enrolment Through Agent

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Step 1: Your details

Family Name:

First Name:

Preferred Name:

Gender: Male Female

Address:

Nationality:

Date of Birth:

DD/MM/YY

Email:

Phone:

Fax:

Please upload a scanned passport photo:

Step 2: Course Detail

Full or Part Time: Full Time Part Time

Courses

Course Start Date:

DD/MM/YY

Course End Date:

DD/MM/YY

Step 3: Information for us

How did you hear about us? Agent Publication Website Education Fair

Other - please specify:

Step 4: Accommodation

Do you require a homestay: No Yes

Do you require an airport pickup: No Yes

Step 5: Medical and Health Insurance

As an International student, you must have appropriate and current medical and travel insurance while studying in New Zealand. This is a requirement by law. For further information please contact us.

Do you require English Language Matters to arrange insurance for you: No Yes

Step 6:Code of Practice for the Pastoral Care of International Students

English Language Matters Ltd is a signatory to the Code of Practice forthe Pastoral Care of International Students.We have agreed to observe and be bound by the Code of Practice for Pastoral Care of International Students published by the Minister of Education.
Copies of the Code are available on request from this institution or from the New Zealand Ministry of Education website at http://www.minedu.govt.nz/goto/international

Step 7:New Zealand Immigration Service

If you would like to study for three months or less, you need to apply for a Visitor Visa. If you are planning to study for longer than three months you will need to apply for a Student Visa.
Full details of visa and permit requirements, advice on rights to employment in New Zealand while studying, and reporting requirements are available through the New Zealand Immigration Service, and can be viewed on their website at http://www.immigration.govt.nz

Step 8: Parent/Guardian Details

Parents Name:

Email Address:

Address:

Country:

Where do they live?

Fax:

I am the parent of the student named on this application form. I declare that...
- The information supplied is true and accurate.
- I understand the intention of the NZ Ministry of Education's
- Code of Practice for the Pastoral Care of International Students.
- I have read English Language Matters Ltd's Conditions of Enrolment (260 KB PDF)
- understand the terms and conditions relating to enrolment
- I have been informed of all costs involved with enrolment, the school's policies regarding Fee Protection (250 KB PDF) and Refunds (260 KB PDF) and the Grievance Procedures (120 KB PDF)

Please check this box to agree to the above statements:

Step 9: Any Questions or Comments?

Step 10: Agent Details to be completed by agent ONLY if applicable

Agent Name:

Email Address:

Agent Address:

Agent Telephone

Agent Fax:

Contact Info

Physical Location:

Level 2
Evan Parry House
43 Princes Street
Dunedin 9016
New Zealand

Postal Address:

PO Box 800
Dunedin 9054
New Zealand

Phone: +64 3 471 7257
FAX: +64 3 471 7256
Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it.
Fackebook: Link