Kingston International Business College - Student Application Form 2024

Kingston International Business College - Student Application Form

Welcome to Kingston International Business College (KIBC). Please read the instructions below carefully beforeyou complete this Application Form. You only need to apply once either from Jotform or filled up PDF.
Application Instruction

The purpose of this enrolment form is to obtain from you the information we need to enrol you into a programme at KIBC. We also need to collect information from you which is required by the Ministry of Education and other Government agencies for statistical and registration reasons. Please fill in the form properly by: 1. Completing all sections of the form. 2. Signing and dating the form. 3. Attaching to the form any additional information required. A description of the required documentation is provided below.
Have you previously enrolled at this education provider before?*

YesNo
Please select which campus you’d like to study at*

Auckland
What was your main activity before you start you study?*
Personal/Contact Details
Title*

MrMrsMsMiss
Name*

First NameMiddle NameLast Name
Preferred Name
If you have one
Date of Birth*

DayMonthYear
Gender*

MaleFemale
If you know your NSN (National Student Number), please write it here
Country of Citizenship*
Ethnicity*
Prior Activity – What was your MAIN activity or occupation at 1 November last year? (Write “Overseas” if you were not in New Zealand)
Disability - Do you live with the effects of significant injury, long term illness or disability?The information you supply is confidential.

YesNo
If Yes, how would you describe your impairment, disability or long term medical condition?We require this information so that we can provide any assistance you may require to study at KIBC.
Passport Number*
Passport Expiry Date*

DayMonthYear
Date
Current Visa Type
Visa Expiry Date

DayMonthYear
Date
Upload a Soft Copy of your Passport*

Cancelof
Upload a Soft Copy of your Visa

Cancelof
Contact Details

in your home country
Email*
example@example.com
Phone*
Address in Home Country*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Name (Next of kin)*

First NameLast Name
Relationship to you*
Emergency Email Address*
example@example.com
Emergency Phone Number*

Area CodePhone Number
Emergency Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If known, New Zealand Emergency Contact
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
If know, Student address and contact details in New Zealand
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Programme Information
Reason for Choosing the Programme*
Programme & Campus Selection
Please choose the intake date for the course you wish to study.
Graduate Diploma in Business (GD) (Level 7)

27 January 202510 February 202524 February 202510 March 202524 March 20257 April 202528 April 20259 June 202523 June 20257 July 202521 July 20254 August 202525 August 20256 October 202520 October 20253 November 202517 November 20251 December 202515 December 2025
Graduate Certificate in Business (GC) (Level 7)

27 January 202510 February 202524 February 202510 March 202524 March 20257 April 202528 April 20259 June 202523 June 20257 July 202521 July 20254 August 202525 August 20256 October 202520 October 20253 November 202517 November 20251 December 202515 December 2025
English Level

To study at KIBC you MUST be proficient in English. Please provide evidence of the following:
The latest IELTS test date

DayMonthYear
Date
What is your academic IELTS overall Score?
What is your IELTS individual Score?
Listening:
Reading:
Writing:
Speaking:
OR you have taken another English language proficiency test (e.g. TOEFL, NZCEL, University of Cambridge or CAE examination, Pearson Test of English or City & Guilds IESOL).

DayMonthYear
Date
English test name
Result of English Language Ability (IELTS, TOFEL, etc)
Academic Information
What was the name of the last High School you attended? State “Overseas”, if applicable.
What was your last year at High School?
What is the highest level of achievement you hold from a High School?
Will this be the first year you have ever enrolled in a University, Polytechnic, College of Education, Private Training Establishment or Wananga either in New Zealand or overseas since leaving school?

YesNo
If you answered ‘No’, please enter the name of the institution you studied at and the year of your first enrolment:
Please provide verified documentation of academic transcripts for all qualifications and study (including any study previously undertaken within New Zealand).*

Cancelof
Name of Tertiary School
Graduation year
Do you wish to have previous study assessed for recognition of credit? Your application must include an official outline and course descriptions of all study.

YesNo
Health and Welfare

INSURANCE - It is a condition of enrolment that you have medical and travel insurance. As your educational provider, we can arrange this insurance at your cost with one of our preferred insurance providers as part of your enrolment procedure.
Please choose an insurance option:

If you would like us to arrange your insurance through Orbit or Southern Cross
please tick the first box

If you choose to organise your own medical and travel insurance coverage send a copy of the insurance policy (in English) to admin@kibc.ac.nz no later than 2-weeks
prior to commencing your study. Your policy must include the guidelines as outlined
on Page 8 of the Code of Practice for International Students https://www2.nzqa.govt.nz/assets/Tertiary/The-Code/pastoral-care-code-of-practice-2021-english.pdf
Please pick one

Orbit or Southern CrossInsurance (arranged by NZIBT)Other (arranged by student)
Additional Services
Would you like the education provider to arrange homestay for you?

YesNo
Would you like the education provider to arrange Airport pick-up for you?

YesNo
Do you have any health related issues which may impact on your ability to undertake study?

YesNo
If you have any health related issues, please specify
Are you on any medication for a health issue at this time?

YesNo

Please choose the date of the programme you wish to enrol
Education Provider
Agent name*
Email*
example@example.com
Phone Number*

Area CodePhone Number
Authorised Agency Code:*

Declaration
Student's Name*

First NameLast Name
Student's signature*
Date*

DayMonthYear
Date
Email*
example@example.com
Should be Empty:

Kingston International Business College - Student Application Form

Application Instruction

Personal/Contact Details

Contact Details

If known, New Zealand Emergency Contact

If know, Student address and contact details in New Zealand

Programme Information

Programme & Campus Selection

English Level

Academic Information

Health and Welfare

Additional Services

Education Provider

Declaration