Section One: Personal details
 
Student name*
 
 
 
 
Date of birth*
 
 
 
 
Student ID number
 
 
 
 
New Zealand term address*
 
 
 
 
Mobile
 
 
 
 
Contact email*
 
 
 
 
Passport number*
 
 
 
 
Passport expiry date*
 
 
 
 
Section Two: Emergency New Zealand contact
 
Emergency contact name*
 
 
 
 
Relationship*
 
 
 
 
Emergency's mobile number*
 
 
 
 
Emergency's email address
 
 
 
 
Sent E-Visa through to international@wintec.ac.nz