CTC Change Form

TE KUPENGA - CATHOLIC THEOLOGICAL COLLEGE
Edumis Provider Code 8717 registered as Good Shepherd College - Te Hepara Pai
Change Form

Use if you have changed your choice since enrolling.
Please SIGN at end of form.
Student name*

Given NamesFamily Name
Email*
example@example.com
Previously enrolled in:
Enter the name(s)
Change or add to:*
Enter the name(s)
Confirmation of choice
Signature*

Clear
Date

DayMonthYear
Date
PLEASE SIGN AND DATE YOUR CHOICE ON THE LINE ABOVE

*Te Kupenga - Catholic Theological College (CTC), registered as Good Shepherd College - Te Hepara Pai
Should be Empty:

Change Form