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Preferred First Name
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?Help: The preferred first name you would like to be known as. |
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Legal First Name*
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?Help: As on birth certificate or passport. |
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Legal Last Name*
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?Help: As on birth certificate or passport. |
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Select a Password*
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?Help: This is the password you will use to log in to the system. Choose a combination of only letters and numbers between 6-15 characters. |
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Choose a combination of letters and numbers between 6-15 characters.
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Verify Password*
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?Help: Please re-enter your password here to confirm that you entered it correctly. |
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Gender*
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Date of Birth*
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What is Your Ethnicity*
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You can check up to three ethnicity codes.
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Residency Status*
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Email
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No Email Address?Help: We use your email address to keep in touch with you, and send confirmations and reminders. If you do not have an email address then we strongly recommend that you sign up for an email account with one of the free service providers such as Gmail or Hotmail. |
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Home Address 1*
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Address 2
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Town*
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Post Code*
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Address & Postcode Finder
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Please ensure you enter a valid address as this is where your Certificate will be sent to.
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(include area code)
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Day Phone
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?Help: Please include area codes without spaces or brackets. |
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Evening Phone
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?Help: Please include area codes without spaces or brackets. |
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Mobile Phone
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?Help: Please include area codes without spaces or brackets. |
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Please ensure you enter at least one valid phone number.
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| Are you currently employed? |
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| Are you a school student?* |
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| How did you hear about us? |
?Help: Please let us know how you heard about our courses or programme. |
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What was your Main activity on 1 October last year*
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Have You Previously Enrolled at a Tertiary Institution in New Zealand*
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First year of Formal Tertiary Education in New Zealand*
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?Help: If you have not previousley attended a Tertiary Institution in New Zealand this will default to the current year (and you wont be able to change it). |
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Last Secondary School Attended*
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Last Year at Secondary School*
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Highest Secondary School Qualification*
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Do you have a Disability*
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Do you expect to complete a qualification this year?*
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National Student Number (If Known)
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Iwi Affiliations (You Must Select At Least One)*
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Privacy Statement
Personal information collected, held and exchanged by Wintec is required to enable
it to comply with the Education Act 1989 and its role as an educational provider.
The collection, use, storage, exchange and update of personal information will be
in accordance with the Privacy Act 1993.
Key points include:
i) Students have the right to access and correct any information held about them.
ii) Within Wintec, relevant personal information will be available to staff responsible
for enrolment, for establishing and maintaining records, providing tuition, programmes
and academic support, providing student services (including Students Association),
loans and allowances support, and for maintaining discipline and order.
iii) Wintec is also required to collect and store information from this form to
comply with the requirements of the Ministry of Education (student statistical returns),
New Zealand Qualifications Authority (Record of Learning registration and Unit Standard
outcomes), Ministry of Social Development (confirmation of enrolment and academic
outcomes), Inland Revenue Department (student loan interest rebate), Department
of Immigration (if you are not a New Zealand citizen or permanent resident) and
other educational organisations and agencies supporting students through scholarships
and awards. In addition, when required by statute, Wintec releases information to
Government agencies such as the New Zealand Police, Department of Justice, Ministry
of Social Development, and the Accident Compensation Corporation (ACC).
iv) Wintec and StudyLink (formerly Work and Income New Zealand, WINZ, Student Services)
may exchange enrolment status and relevant supporting information to support student
loan or allowance applications.
I have provided the information to Wintec in good faith in order to enable Wintec to register and contact me for CCA.
I authorise Wintec to use the personal information I have provided in accordance with the provisions outlined above and accept the terms of the Declaration above.
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I Agree: I Disagree:
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