Student Registration

Please complete all fields. Use N/A if not applicable.

Your Information

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Home Address

Contact Information

Your trip to New Zealand

Yes No

Family Information



Emergency Contact Person (New Zealand)

Personal Information

With young children
With older children
Young, with no children
Older, children left home

Yes No

Never Sometimes Often

Yes No

Yes No

Yes No Don't Mind

By submitting this form, you agree to the conditions for homestay accommodation for International Students.