Naturopathic College of New Zealand
Introductory Qualification Enrolment Form
PO Box 749
Taranaki Mail Centre
New Plymouth 4340
New Zealand
Phone:
Fax:
Email:
0800 759 0218 / 06 757 4565
06 757 4560
enrol@ncnz.co.nz
Welcome to the Naturopathic College of New Zealand
Please complete all sections of this enrolment application email your form to enrol@ncnz.co.nz.
Alternatively you can post your form to the address above. Following receipt of your enrolment form and
payment your study materials will be dispatched. If you have any questions please contact us on 0800
759 0218.
Applicants must be 16 years or older to apply for these programmes of study.
A
B
Personal Details
First name:
Click here to enter your first name.
Family name:
Click here to enter your family name.
Title:
Click here to enter your title
Date of birth:
Click here to enter your date of birth.
Contact Details
Address:
Home Address
Street Address: Click here to enter your street address.
Suburb:
Click here to enter your suburb.
Town / City:
Click here to enter your town/city.
Post Code:
Click here to enter your post code.
Postal Address
(Please provide this if it is different from your home address above. We require a
non PO Box address for courier delivery of materials)
Street Address: Click here to enter your street address.
Contact
details:
Suburb:
Click here to enter your suburb.
Town / City:
Click here to enter your town/city.
Post Code:
Click here to enter your post code.
Home Phone:
Click here to enter your home phone.
Mobile Phone:
Click here to enter your cellphone.
Email Address:
Click here to enter your email address.
Next of Kin:
Click here to enter your next of kin name.
Next of Phone:
Click here to enter your next of kin phone no.
C
Qualification
Qualification
Text Books
Required
Programme
of Study Fee
Total Fees
Payable
Introduction to Naturopathy
None
$525.00
$525.00
Introduction to Herbal Medicine
None
$525.00
$525.00
Anatomy & Physiology (A&P)
Human
Anatomy and
Physiology
@ $162.00
$525.00
$687.00
Essentials of
Anatomy and
Physiology
@ $127.00
$525.00
$652.00
-
Planning on going on to enrol in
certificate or diploma study following
the intro qualification.
Anatomy & Physiology (A&P)
-
NOT planning on going on to enrol in
certificate or diploma study following
the intro qualification.
Select the qualification you wish to enrol in: Click here to choose a qualification.
Select your text book using the options provided above: Click here to choose a text book.
D
Payment Options / Authorisation
Payment Option
Select your preferred payment method: Click here to choose a payment method.
Credit Card Payment
For credit card payers, Visas or MasterCards are the only cards accepted. Note that by submitting this
form to the college you give NCNZ persmission to take payment of your fees using the card details
provided. If you prefer, you can call us and provide these details over the phone.
Credit Card Number:
Click here to enter your credit card number.
Expiry Date:
Click here to the expiry date.
Three digit security code:
Click here to enter the security code
Cardholders Name:
Click here to enter the cardholders name.
Online Banking Payment
Please deposit payment in full into the account provided below then return you form to the College.
Account Name: Naturopathic College of NZ Ltd
Account No: 12-3194-0062915-00
Reference: Please quote your name as reference.