Registration Form - Feb 2027
Opens September 15, 2026, 10:00 am

All Fields (*) must be completed for acceptance.

NB: You will receive email confirmation of this application form.

*Surname :

*Firstname :

Preferred Name :

*Mobile / Phone :

*Email :

NB: Microsoft (@msn.com, @outlook.com, @hotmail.com, @live.com) & Yahoo addresses get blocked by their email server - so please use an alternate email.
GMail, University and all known Hospital emails are OK.

Hospital :

*State / NZ :

Emergency Contact :

Contact Mbl/Ph :

Written Exam :

*Sitting Exam :

PLEASE NOTE:

• Registration does not guarantee a position on the course.
• Applicants will receive an offer by email if successful.
• Acceptance and payment by the due date (9th Oct 2026) are required, or the position will be offered to another candidate.
  (Payment details will be included with the email offer)
• The Registration confirmation eMail may go to your SPAM folder - please check!
• If you do not receive a confirmaion email shortly, please contact:   IT Support