Rutherford College Community Education Centre

Tutor/Kaiako(s):	Jagan (Jay) Boda
Price:	$50.00 incl. gst

To enrol to this class, please select or enter the Ākonga/learner details below.

Title

First Name

Last Name

Email Address

Mobile

Landline

Postal Address

Address

Suburb

City

Postcode

State

Country

Gender

Age in Years

Ethnicity

Are you a permanent resident / citizen of New Zealand / hold a Partnership Visa of a New Zealand resident or citizen?

Do you have work/working holiday visa?

Are you a Community Service/Gold Card holder?

Community/Gold card number

English language status
Native English speaker
Non-native English speaker

Level of achievement

Are you a migrant?

Are you a refugee?

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