Important Note!
To be eligible for this course you must be 16 years old or over, or not be currently attending a secondary school. You must also be a New Zealand citizen or permanent resident, an Australian citizen resident in New Zealand or a citizen of the Cook Islands, Niuean or Tokelauan.

Registration/Enrolment
Please complete the following questions to enrol on the Otago programme
  * indicates a field required by the Ministry of Education.
* will be used to confirm your registration.
? Move the cursor over these question marks for more information.
Preferred First Name ?

Help:
The preferred first name you would like to be known as.

Legal First Name* ?

Help:
As on birth certificate or passport.

Legal Last Name* ?

Help:
As on birth certificate or passport.

Select a Password* ?

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.

  Choose a combination of letters and numbers between 6-15 characters.
Verify Password* ?

Help:
Please re-enter your password here to confirm that you entered it correctly.

Gender*
Date of Birth*
What is Your Ethnicity* You can check up to three ethnicity codes.
 NZ Maori  NZ European/European/Pakeha
 Samoan  Cook Island Maori
 Tongan  Niuean
 Tokelauan  Fijian
 Chinese  Other Pacific Island
 Indian  Other Asian
 Other  No Response
Residency Status*
Email
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.

  Gmail  Hotmail
Home Address 1*
Address 2
Town*
Post Code*
Address & Postcode Finder
Please ensure you enter a valid address as this is where your Certificate will be sent to.
(include area code)
Day Phone ?

Help:
Please include area codes without spaces or brackets.

Evening Phone ?

Help:
Please include area codes without spaces or brackets.

Mobile Phone ?

Help:
Please include area codes without spaces or brackets.

Please ensure you enter at least one valid phone number.
Are you a school student?
How did you hear about us?   ?

Help:
Please let us know how you heard about our courses or programme.

What was your Main activity on 1 October last year*
Have You Previously Enrolled at a Tertiary Institution in New Zealand*
First year of Formal Tertiary Education in New Zealand*  ?

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).

Last Secondary School Attended*
Last Year at Secondary School*
Highest Secondary School Qualification*
Do you have a Disability*
Do you expect to complete a qualification this year?*
National Student Number (If Known)
Iwi Affiliations





Privacy Statement*
I have provided the information to Otago Polytechnic in good faith in order to enable Otago Polytechnic to register and contact me for CCA.
I authorise Otago Polytechnic to use the personal information I have provided in accordance with the provisions outlined above and accept the terms of the Declaration above.
I Agree:   I Disagree:

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