EXISTING STUDENTS – SPCNM Enrolment

Language
Nationality
See further information in our Terms and Conditions Documentation section at the end of this form
Citizenship (If changed)
Residential Status (If changed)
- NZ Permanent Resident (excludes NZ & Australian Citizens)
- Not a Permanent Resident (includes all NZ & Australian Citizens)

Disability
I understand that the completion of this question is not compulsory and that any information I supply is confidential.*
- Yes
Do you live with the effects of significant injury, long term illness, or disability?
If yes, how would you describe your disability?
International Students Only
Passport Number
Passport Expiry Date (DD/MM/YYYY)
Passport Country
Visa Number
Visa Type
Visa Expiry Date (DD/MM/YYYY)
DD slash MM slash YYYY
Nationality
Overseas Address
Street Number
Street Name
Suburb Town
City/Region
Postcode
Country

Personal Details