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

Father






Mother






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.