Intensive Literacy and Numeracy

First name

Last name

Email address

Username

Password

Middle Name

Preferred Name

Date of Birth

Gender

Ethnicity

Nationality

Mother Language

Mobile Number

Personal Email Address

National Student Number (leave blank if unknown or write: N/A))

NZ Residency Status

Address (street, city/town, postal code)

Emergency Contact Name

Relationship to Emergency Contact Person

Emergency Contact Person's Number

Current English Level

Have you pre purchased english language tuition? PELT (PR holders Only)

Do you suffer from any chronic health conditions?

If you do suffer from any chronic health conditions please write what they are

How did you hear about us?

Class Start Date

I confirm that I am enrolling as an ILN student for the year 2023

I confirm that I am enrolling as an ILN student for the year 2024

Witness (cannot be Focus Futures tutor/staff)

I agree to abide by the Learner Declaration

Did you provide a valid copy of passport and resident visa

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Elite Management School Enrolment Site