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New Zealand Study Tour Application Form - Study in china

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					       Registration Form For Study Tour in China


A‧ Student’s Personal Information:

    First Name: ______________________          Surname: ____________________

    Date of birth:_________________________      Gender:_____________________

    Address:                                                                ___

                                                                      ___

    Telephone: (Home)            _______ (Office)

               (Mobile)               ___ (Fax)

    Email:

    Present School:                                      Year:              ____

    Company Name:___________________________________________________

    Passport name:                       Passport No.:

    Nationality:_________________           Expiry date:_______________________



B‧Emergency contact details:

    Contact person:                                                         ____

    Relationship:

    Address:

    Telephone: (Home)            _______ (Office)

               (Mobile)               ___     (Fax)

    Email:



    Signature:____________________

    Date:    _______________________

				
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