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Course Registration Form  
First Name:  
Family name:  
Gender:  Male  Female
Address:  
Postal Address: (if different)  
Contact Phone Number:  
Secondary Contact Number:  
Email:  
Background Information  
Are you Currently:  
Employed
Self Employed
Receiving WINZ support
Do you have NZ Citizenship, Residency or a Long Term  Business Visa?  Yes  No
Business Status  
Are you:  
Brief description of your business or business concept.  
Please give details of your previous industry experience relating to you proposed venture.  
Please give detail of any businesses you have managed in the past.  
Research & planing that you have completed.   
   
Courses  
Which Course/Courses are you interested in:  
Business Start-up seminar 
A one off workshop held every Friday 10am-12noon
           
Please indicate preferred Friday
by clicking on the icon to the right of the date field.

              
Day Course
Tuesday 9.15am-2.3pm over 4 weeks
Evening Course
Tues & Wed & Thur evenings for 2 weeks
7pm - 9.30pm
 
Migrant Course
A two week course Monday to Friday 9am  - 4pm.
Next course starts Monday 25 July 2011.
 Migrants ONLY:
Are you a permanent resident with LESS THAN 2 YEARS RESIDENCE.
     Yes         No
   
Once form is completed please click the submit registration form button.  

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