Designated Caregiver living with student in New Zealand Relationship to student: Family name: First Name: Preferred Name: Is the designated caregiver a New Zealand citizen or resident? □ □ Yes (keep answering from below) No (if no, please complete details below) “email” Nationality Date of birth: (as shown in passport): (date/month/year) Passport expiry: Passport Number: Visa type/status: Date of first entry into New Zealand: Address (in home country): Cell phone: Home phone (in home country): Email: Address (in New Zealand): This is the address where the designated caregiver and the student will be living. Cell phone: Home phone (in New Zealand): About the Student:
Designated Caregiver living with student in New Zealand Relationship to student: Family name: First Name: Preferred Name: Is the designated caregiver a New Zealand citizen or resident? □ Yes (keep answering from “email” below) □ No (if no, please complete details below) Date of birth: (date/month/year) Nationality (as shown in passport): Passport Number: Passport expiry: Visa type/status: Date of first entry into New Zealand: Address (in home country): Home phone (in home country): Cell phone: Email: Address (in New Zealand): This is the address where the designated caregiver and the student will be living. Home phone (in New Zealand): Cell phone: About the Student:
International-Student-Brochure.docx