Enrolment Form

1 Personal Details

2 Contact Details

3 Qualification details

4 Payment Information

5 Citizenship and Residency

6 Academic Information

7 Supporting Documents

8 Declaration

Last Name / Tōu Ingoa Whakamutunga*
First Names / Tōu Ingoa Tuatahi*
Preferred first name / Tōu Ingoa hiahia ake
Previous names known by / Tōu Ingoa o mua
Preferred Title / Tōu taitara hiahia ake*
- Ms
- Miss
- Mrs
- Mr
- Dr
Date of birth / Tōu ra whanau*
Date Format: DD slash MM slash YYYY
Gender / Ira tangata*
- Male
- Female
- Diverse
NSN Number (if known)

Home Address while studying / Wāhitau Kaainga i a koe e ako ana*
Address / Tōu Wāhitau Address Line 2 City / Te taone Post Code / Waehere Poutāpeta Country / Te whenua
Day Time Phone / Tōu waea I te ra*
Evening Phone / Tōu waea I te po
Mobile / Tōu waea pūkoro*
Email / Tōu Īmera*
Postal Address (if different from home address – cannot be a PO Box) / Wāhitau poutāpeta (mena ka rerekē ki tōu wāhitau. Kaore he PO Box tēna)
Address / Tōu Wāhitau Address Line 2 City / Te taone Post Code Country / Te whenua
Next of Kin / Tōu whanaunga
Name / Ratou Ingoa*
Phone / Ratou waea*

Please Select your Qualification / Whiriwhiria tōu tohu*
Please select your start date / Whiriwhiria tōu timatanga
Please select your start date / Whiriwhiria tōu timatanga
Please select your start date / Whiriwhiria tōu timatanga
Have you studied with the Naturopathic College before? / I ako koe ki te NCNZ nga tau e mua?*
- Yes
- No
Do you intend to study... / Pehea tōu whiriwhiri ako...*
- Full Time
- Part Time
Have you applied for Recognition of Prior Learning? / I tono koe ki a matou ki te whakamihi nga akoranga o mua?*
- Yes
- No
How did you hear about us? / I pehea koe I ako ai mo matou?
Other / Tetahi atu*
What is your reason for enrolling? / Pehea tōu take I whakauru?*
What is your intended career pathway?*
What is your intended study pathway?*
Please explain:*

If you haven’t provided an NSN number please attach verified ID here
Please attach your Proof of Entry Criteria here
Please provide proof of valid First Aid here (for Level 7 applicants only)
If you have requested a student ID please attach head and shoulders photo here
Accepted file types: jpg, gif, png, pdf.

Privacy – The Naturopathic College collects and stores information from this form to:
- manage the business of the Naturopathic College (including internal reporting, administrative processes and selection of scholarship and prize winners)
- comply with the requirements of the Education Act 1989 and other legislation relating to maintenance of records
- supply information to government agencies and other organisations as set out below.
In submitting this enrollment form you authorise such disclosure on the understanding that the Naturopathic College will observe the conditions governing the release of information, as set out in the Privacy Act 1993, the Education Act 1989 and other relevant legislation. You may see any information held about you and amend any errors in that information. To do so, contact the Enrolments Officer. NB: The Privacy Act came into force on 1 July 1993 with the stated aim of protecting the privacy of natural persons. It requires the Naturopathic College to collect, hold, handle, use and disclose personal information in accordance with the twelve information privacy principles in the Act. http://www.privacy.org.nz/privacy-act Supply of information to government agencies and other organisations The Naturopathic College supplies data collected on this form to government agencies, including:
- the Ministry of Education
- the New Zealand Qualifications Authority
- the Tertiary Education Commission
- the Ministry of Social Development (in relation to student loans and allowances) and Inland Revenue (student loans)
- Immigration New Zealand and the Ministry of Business, Innovation and Employment (for those who are not New Zealand citizens or permanent residents)
- agencies which support particular students through scholarships, payment of fees or other awards (if you are a recipient of one of these awards).
Those agencies use the data collected from tertiary education organisations to:
- administer the tertiary education system, including allocating funding
- develop policy advice for government
- conduct statistical analysis and research.
Your personal details (name, date of birth and residency) as entered on this form will be included in the National Student Index and may be used in an authorised information matching programme with the New Zealand Birth Register. The government agencies above may supply data collected on this form to Statistics New Zealand for the purposes of integrating data with data collected by other government agencies, subject to the provisions of the Statistics Act 1975. Integrated data is used for the production of official statistics, to inform policy advice to government and for research purposes. In handling data supplied by you on this form, the government agencies are required to comply with the provisions of the Privacy Act 1993. When required by law, the Naturopathic College releases information to government agencies such as the New Zealand Police, Department of Justice, Ministry of Social Development, and the Accident Compensation Corporation (ACC). Information collected on this form may be supplied to other educational organisations for the purpose of verifying academic records. Fees – In signing this enrolment form you undertake to pay all fees as they become due and to meet any late fees and collection charges associated with debt recovery. The Naturopathic College’s policy on withdrawal and refund of fees may be obtained from the Enrolments Officer. Rules – In signing this enrolment form you undertake to comply with the published rules and policies of the Naturopathic College with regard to attendance, academic integrity and progress, conduct and use of information systems.
I declare that to the best of my knowledge all the information supplied on, and with, this enrolment form is true and complete, I agree to abide by the conditions described above, and I consent to the disclosure of personal information as described above. By ticking the box I agree to the enrolment and wish to be sent an acknowledgement of my place in the programme.*
- Yes
Click here to view the code of conduct.
Click here to view the NCNZ terms and conditions.

Next of Kin / Tōu whanaunga