Student enrolment termination form

Pre–termination form questions

The pre-termination questions will identify whether you need to advise us of any changes.

Has the student completed their current enrolment in line with the course end date noted in their offer of place — no more than one month earlier than the original course end date?

Form

*Required field

General details

Date enrolment terminated*

Student performance and attendance

Course of study*

Intended course dates*

Attendance during the last course of study

Performance and progress*

Reason for termination*

Provide any relevant comments*

Student details

Student category*

First names*

Surname*

Date of birth*

Nationality

Passport number*

Your reference number — if known

Note

Your reference number for this student will display in the subject line of the email that you receive from us when this form is submitted. It is important this number can only be identified by you to protect the privacy of the student. This can help you identify your students if you submit multiple forms.

INZ client number — if known

Email address for student

Last known NZ address

Education Provider details

Name of education provider*

Address / campus of education provider*

Contact staff member*

Contact phone number*

Contact email*

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Student enrolment termination form

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Pre–termination form questions

Note

Form

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General details

Student performance and attendance

Student details

Education Provider details

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