Tibbs House Boarding Application
ID:0 | 25/06/2022 |
Recipient: Guest
Originator: Guest
1 1. General Student Information
1
2 2. Particulars of Caregivers
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3 3. Address Information
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4 4. Emergency Contact Details
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5 5. Proof of Identity
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6 6. Other Particulars
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7 7. Personal Profile
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8 8. Privacy of Information
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9 9. Communications
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10 10. Please Note:
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* Mandatory fields | 
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1
Recipient Details

Full Name of person completing this application *

Email Address of person completing this application *
1
General Information

Please select the year you are applying for *

Select the Form Level for which you are applying: *


1
Please Note:

Complete all fields in lower case with a Capital for the first letter e.g John Smith not JOHN SMITH
1
Particulars of Student





Student Surname *

Student Legal Surname *

Student Legal First Name *

Student Legal Middle Name

Student Legal First and Middle Initials (e.g. A.B.) *

Date of Birth *

Country of Birth *

Home Phone

Student Mobile
Student Email Address

Residential Address *

Suburb *

City / Town *

Post Code *

All students arriving from overseas, Date of Arrival in NZ
Eligibility *

Current School (or last attended) If Last School was not in NZ please select Overseas *

Primary Ethnicity *

Iwi (if NZ Maori)
If more than one Ethnicity please select all that apply

First Language *

Nationality *

Name of brother/s currently or previously at AGS & Class









1
Interests and Achievements

Sporting interests

Musical, Culturalor Dramatic pursuits:

Other Activities: (hobbies, personal and community interests)
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Particulars of Caregiver 1

Relationship to Student *

First Name *

Surname *

Title *

Occupation

Email Address *

Home Phone

Work Phone

Mobile Phone *

Currently Living with Student *

Legal Access to Student

Eligibility

If you live at a different address from the student, do you wish to receive copies of the School report