Enrolment
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YOUR DETAILS
Family name:
Given name(s):
Nickname / English name :
Sex: Male Female
Date of birth:
Address in your own country:
Phone: (your country)
Fax:
Email:
Profession:
Nationality:
Passport No.:
 
COURSE LENGTH
Please choose from the options listed below:

12-week Language Course (NZ$4,830)
6-week Language Course (NZ$2,490)

If you wish to take the Seminars only, please write "Seminars only" in the box for "Special Requests".

 
CITY AND COURSES
There are ARC New Zealand Job-Finding Centres in two cities: Auckland and Rotorua. However, often one Centre is more suitable than the others, possibly because of the option you have chosen, a language course you wish to take, or the work you do. Therefore, we usually choose the Centre which we believe is best for you, but if you strongly wish to go to one particular city, please make your choice below.
Either city Auckland Rotorua  
 
STARTING DATE
Where possible, your starting date in 2006 should be one of the following:
January 30 March 13 May 1 June 12
July 24 September 4 October 16 November 27
 
LANGUAGE COURSE
If you would like to join an examination programme, please tell us which examination you are interested in:
Cambridge First Certificate Cambridge Advanced Cambridge Proficiency Pre-IELTS IELTS TOEIC TOEFL
 
ACCOMMODATION, HEALTH AND INSURANCE
Your ARC centre will contact you later to ask you about these areas.
 
SPECIAL REQUESTS
Please add any special requests here.
DECLARATION
Declaration: I have seen the Conditions of Enrolment, especially the information about fee protection, privacy and insurance, and accept these.