Online Enrolment Form for International Students

Each section of this enrolment form is on a separate page and you will be able to Save and Continue Later by entering in your email address.

If you do this, you will be sent an email from the website with a special link for you to use to continue your enrolment form to complete it. If you do not receive an email within 10 minutes, please check your Spam folder in your webmail.

Items marked with an asterisk are mandatory questions. You will need to upload copies of your documents to this form to complete the enrolment process. Please have the documents below ready to upload before you start this form.

Required Documents

Guardian’s Requirements

Guardian’s ID (Drivers Licence, etc)
Proof of Address Current Utility Bill (Power, Gas)
Proof of Immigration Status (Certificate of Citizenship copy or Passport copy with Visa/Photo Pages)

Child’s requirements

Birth Certificate
Proof of Immigration Status (Citizenship Certificate/NZ Birth Certificate or Current Visa/Photo pages from Passport)
Recent School Report
Recent Exam Results
Testimonial in support of your application

For a New Zealand born child you can upload a Birth Certificate in both the Birth Certificate Section and Proof of Immigration Status section.

Once you have submitted the form, you will receive a copy of it via email for your records. The email will also include sections that will need to be signed by the student’s parent or designated caregiver.

If you have any questions, please contact Shamina Khan on shaminak@al-madinah.school.nz

Step 1 of 7 - Student Details

Details of Person completing this Application
Must be a parent or Designated Caregiver
First Name*
Last Name*
Your normal residential address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your Email Address*
Enter Email Confirm Email
Please explain why you chose Al-Madinah School for your application to study in New Zealand*
Eg. family ties, location, seen on the website, agent or friend referral, directory information, etc

Parents Contact Details
Father's Last Name*
Father's First Name*
Father's Home Address*
Street Address Suburb City State / Province / Region ZIP / Postal Code Country
Father's Home Number*
Father's Work Number*
Father's Fax Number
Father's Email Address*
Enter Email Confirm Email
Father's Employer*
Mother's Last Name*
Mother's First Name*
Mother's Home Address*
Street Address Suburb City State / Province / Region ZIP / Postal Code Country
Mother's Home Number*
Mother's Work Number*
Mother's Fax Number
Mother's Email Address*
Enter Email Confirm Email
Mother's Employer*

Online Enrolment Form for International Students

Required Documents

Guardian’s Requirements

Child’s requirements

Step 1 of 7 - Student Details

Details of Person completing this Application

Student's Details

Emergency and Medical Details

Details of Parent/Guardian's Representative in NZ

Parents Contact Details

Guardian's Documents

Child's Documents

Declaration