Student Membership Application

Personal details

Find out how the process works.

Title

First Name

Last name

Date of birth

Phone

Only one required

Phone1Type

Phone1Num

Phone2Type

Phone2Num

Address

Minimum one line required

Address 1

Address 2

Address 3

Address 4

City

Region

Postal Code

Country

Nationality

Number of years residence in NZ

Education

Please ensure you have discussed this Application with your Head of Department prior to completing this section of this form.

Without the confirmation of the department head your application will not be processed, so please ensure these details are correct. Contact us for help.

Education Institute at which you’re presently enrolled

Full title of final qualification

Do you study

Full time Part time Distance learning

Year you expect to take your final examination

Department/School/Faculty

Head of Department/School/Faculty

Phone

Proof of Enrolment

Upload

Please attach a scan of your Student ID.

Qualifications

Please inform us of any qualifications you have previously attained. If your current study will be your first qualification you may skip this section.

Qualification

Date attained

Upload

Qualification

Date attained

Upload

Qualification

Date attained

Upload

Qualification

Date attained

Upload

Qualification

Date attained

Upload

Qualification

Date attained

Upload

Qualification

Date attained

Upload

Qualification

Date attained

Upload

Qualification

Date attained

Upload

Declaration

I certify that the statements made by me herein are correct.
View declaration

I have read and agreed to NZIOB’s constitution and will abide by all its rules.
View constitution

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