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PERSONAL DETAILS
Family
Name: *
Given Name: *
Gander: *
Male    Female Date of Birth: *
Address: * 
Suburb: *
City:* 
Tel :*
Country: *                   
Nationality: *
Email : *
EMERGENCY CONTACT PERSON
Contact Name : Tel. :
Note: Please fill in only the courses that you are enrolling
ESOL
Course :
Starting Date:
No. of Weeks: Current Level:
CERTIFICATE IN BUSINESS
Course: English Level
Note: You need to show test results as proof. If your English Level is 4.5, 8 weeks ESOL is required.
DIPLOMA COURSES
Course: Starting Date:
INTERNSHIP NZ
Internship: Yes
AIRPORT PICK UP
*
Yes    No Arrival Date:
HOW DID YOU HEAR ABOUT EDENZ
* Other:
HOMESTAY
Yes    No
From:                                                             To
Do you smoke?  ............................................   Yes    No
Do you require any special food? ................... Yes    No
Are you vegetarian?........................................ Yes   No
Food you can not eat: 
Do you have any health problem or allergies? Yes    No
Religion:                                        Occupation:

 
Hobbies and Interests:

Do you want a host family that...
                  .....has children? ......................... Yes    No    Don't Mind
                  .....smokes? ................................. Yes    No   Don't Mind
                  .....has pets? ............................... Yes    No    Don't Mind
What pets do you like?
Is there any religion you prefer? .................... Yes    No
Details:                       
Cancellation Policy: Registration fee is non-refundable. Long Course students ( a course of 3 months or longer) may change their course or withdraw within seven days of the start of the course. Edenz would retain 10% of their course fees or $500 which ever is less. After 7 days there is no refund of course fees. Short Course students (less than 3 month courses) are liable to a cancellation charge of 30%. No refund is possible for a cancellation requested after the start date. Students are liable for additional services requested that were completed prior to cancellation. There is no refund for withdrawal after the start date of the course. Edenz is a member of CRELS (nz). All CRELS (nz) schools are bound by their constitution to warrant that students affected by the closure of a member school will be provided with similar tuition at no extra cost.
 
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