Complete all fields
   
   
   

Select gender
 

Choose all groups that you identify with

 
RadDatePicker
RadDatePicker
Open the calendar popup.

eg 14 Jan 1997

 

Provide an email that you'll use after you finish studying, not your academic institution email

 

Enter NZ mobile 021 1234567 or Intl mobile 00 1 832 5552002

 

My Branch

Select Branch
 
Complete all fields
 
 
2017

First year of study

eg Nov 2021

 

Declaration

Please read the following declaration statement and tick the box if you agree:

I certify that all information in this application is true and accurate.  

I agree to be bound by the IPENZ Code of Ethics.