Student Online Application Form
                                                                            (*
indicates required field
)


1.
Personal Details
Family
Name
*:
  First
Name
*:
Middle
Name:

Preferred Name:
Date of Birth*:  

Contact Address for correspondence
*:

Home
Country Address (if different from
Correspondence address):

Phone*:

Email
*:
 

Mobile:


Confirm Email
*:
 
Are
you a New Zealand Permanent
Resident/Citizen?

 Yes   No

Passport Issued by 

Passport Number
*:  

2.
Previous Study
How long
have you studied English?
*
 

 years
Highest
level of Education Achieved
*:

Date
of Completion
*

Month: 

Year: 

3.
English Language Proficiency

Have you sat any international
English tests?

 IELTS  TOEFL  OTHER

4. Course
Details

Course Required
*
 
 General
English  
 Enrichment program
 
 IELTS
Preparation 
 Online
IELTS Preparation 

 Course Time
*
 

How long do you want to study?
*
  weeks 

When do you want to start
*
Day  
Month  
Year  

5. Accommodation
& Airport Pick-up

Do you want Angel International education to arrange your homestay ?

 Yes

Is airport pick-up service required?

 Yes

6. Insurance
All
International students are required to have
medical/travel insurance.

 Please
organise it for me

 I
will arrange it myself and provide proof of
insurance  /  I am a domestic student
 

7. Declaration
and Signature
1. I declare that the information set out in this application is correct and complete and I have not withheld any information.
2. I will observe the regulations and rules of conduct while studying at Angel International Education.
3. I have read and understood the School Tuition Fees Refund and Withdrawal Policy.
4. I understand that any personal information provided to the school and my academic performance may be made available to the New Zealand Qualifications Authority or to other government or Ministry of Education Agencies.

With more than 10 year experience in education, we will provide you the most accurate and effective counselling services for your great future!

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