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Application form (MS word file korean for download)
   
Student Information

Date of Birth

Nationality Passport No.

Health: Do you have any allergies or health problems?

Yes No

(if yes, please provide details )

Address (Street, city, postcode, country)

Telephone:

Fax:         

E-mail:     

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Parents Father's full name  

Mother's full name

Agent's Name         & Phone

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Home-stay Preferences I require a home-stay arranged by RAA

(within walking distance      within bus zone )

Do you like children? Yes     No

Do you like pets?       Yes     No

Do you smoke?          Yes     No

Are there any food you do not like?  Yes     No

(if yes please name them )

To help us with matching you to a host family, please list your hobbies, interests, sports etc.

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Course Details My English level now is         

Full Time Courses (20 weeks)

Part Time Courses (12 weeks)

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Enrolment Enrolment Option (Note: International Students must enroll for a minimum of 20 hours per week in order to gain a New Zealand Student Visa.)

Options

I am enrolling for course for weeks

My tuition start date (dd/mm/yy): finish date

My total tuition fee is calculated as follows:

NZ$ per week, weeks, + $100 Enrolment fee  = NZ$

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Insurance Medical and Travel Insurance: International students must have appropriate and current medical and travel insurance while studying in New Zealand. The Academy can provide cover at the following rates:

Note: Insurance cover is subject to acceptance by the insurance company and costs are subject to change.

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Enrolment Procedure and Student Visa Fill in this Enrolment form and submit. We will then send you a 'Letter of Acceptance' and a fees invoice. Obtain an 'Approval in Principle' for your visa application from the New Zealand Immigration Service by presenting the 'Letter of Acceptance'. Pay your fees by band telegraphic transfer to our bank: Rewi Alley Academy Trust Account, Westpac Trust Bank, Riccarton, Christchurch, New Zealand, Account 03-0823-0980062-00

When we received the fees for your chosen course we will send a receipt and an "Offer of a Place" form to both yourself and your nearest New Zealand Immigration Service. The New Zealand Immigration Service will send your Student Visa to you.

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Enrolment Conditions I/We have read and accept the Condition of Enrolment and I am /we are aware of the Code of Practice (can be viewed at website: http://www.minedu.govt.nz/goto/international) .

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©Rewi Alley Language Academy (RALA) 2004, 32 Matipo Street, Riccarton, Christchurch, New Zealand , Ph: 0064 3 341 7108, Fax: 0064 3 348 6987, Email