Student Registration Form 2025

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The aim of this form is to:

1. Cross-check your information and verify your study status.

2. Confirm permission for AVPRC to use your data to support your listing.

3. Ensure permission is granted for communication between your education provider and AVPRC on your study progress.

Once you have submitted this form, your application will be reviewed. We will be in touch if we need more information or if your application is rejected. We will not contact you if you have been accepted to the list.

To meet obligations of the Privacy Act 2020, the AVPRC is collecting your personal information to be used for the purposes of verifying your eligibility for the list and then transfer to the register once qualified.
Information on registration and maintaining your registration on the public list can be found on the AVPRC website.

If you have any questions, want to amend your contact information or wish to withdraw from the student list, contact us at any time on register@avprc.org.nz.
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Question One: Email Address* This field is required.List your permanent email address below so that we can contact you if we require more information to process your application (We recommend using your permanent email address, not a work email, so that we can contact you about your registration if you change jobs in the future). By listing your email below, you are consenting to the AVPRC contacting you if required.
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Question Two: Email NewsletterThe AVPRC occasionally sends out email newsletters related to registration and regulation. If you wish to be included, select 'yes'. If you do NOT wish to be added to this email list, please indicate 'no' below.
Yes
No
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Question Three: Full Legal Name* This field is required.List your full name, including your middle name (if applicable). Use your legal name as it appears in your identification. If your name differs from that on your proof of study, you will need to supply proof of your name change (file upload below).
First Name
Middle Name
Last Name
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Question Three: Photo ID File Upload* This field is required.You will need to supply proof of your ID by uploading the proof below. Suitable ID is a photo of your passport or driver's licence. This information will be used only to verify your identity and eligibility for registration.
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Select files to upload
Max. file size: 10.6MB
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Question Four: Alternate NamesList any alternate names (if applicable) If your name/surname differs from that on your proof of study, or you have practiced under a different name/surname (including a married or maiden name), you must list this below and supply proof of your name change. If you don't have any alternate names, leave this field blank.
First Name
Middle Name
Last Name
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Question Four: Photo ID File UploadIf your name differs from that on your proof of study, you will need to supply proof of your name change by uploading proof below. This information will be used only to verify your identity and eligibility for registration.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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Question Five: Preferred Name* This field is required.List your name as you would like it to appear on the list register. If you have a preferred name/nickname to include on the list register, add this in parentheses after your legal name. Example: Margaret (Meg) Your middle name or initial must appear on the register to avoid confusion between people with the same first and last names. If you have changed your surname and would like your alternative surname to be listed on the list register, indicate this by writing out your preferred surname followed by your secondary name in parentheses. Example: Jones (Martin)
First Name
Middle Name
Last Name
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Question Six: Proof of Address* This field is required.Please provide proof of your address, such as a bank statement or utility bill. This is to verify that you are residing in New Zealand.
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Select files to upload
Max. file size: 10.6MB
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Question Seven: Contact Phone Number* This field is required.Please list your contact phone number. This number will only be used if we need information to process your application or maintain your registration, and we cannot reach you by email.
Contact phone number
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Question Eight: Proof of Study* This field is required.Please provide a letter of enrolment or proof of study from your provider showing clearly the qualification you are studying. This must be an approved qualification for eligibility onto the register. See the list of approved qualifications here on the AVPRC website: https://www.avprc.org.nz/list-of-education-providers
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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Public register and information sharing

By submitting this application, you are agreeing to the AVPRC using your information for the purposes of establishing and maintaining your identity on the student list, registration once qualified and voluntary regulation. You are consenting to contact between AVPRC and your education provider to discuss your study progress.
You also consenting to your name, registration number, qualification, and year that you qualified being included in the AVPRC register and published on the AVPRC website once your study has been completed and your qualification awarded.

Your information including email address will not be used for marketing or shared with any other entity or person.

You can withdraw from the register and have your information removed by emailing register@avprc.org.nz. This information complies with the New Zealand Privacy Act 2020.
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Signature* This field is required.Sign below to verify completion of this form.
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