2017 NZCSA Membership Registration Form
Membership Fee: $5.00
English Name
Your answer
Chinese Name
Your answer
Date of Birth
Email Address
Your answer
Phone Number
Your answer
学校 University/College/School
院系 Faculty
可多选 Can choose more than one faculty
专业 Major/Specialisation
Your answer
年级 Year of Study
Consent of Membership
I have read and understand the regulation and constitution of NZCSA. I have had the opportunity to ask questions and have them answered to my satisfaction:

 I agree to take part in this students' association.

 I understand that I am free to discontinue participating at any time, and to withdraw my data any time without giving a reason, no membership will be refund.

 I understand that all information provided to the NZCSA: (1) will remain confidential, (2) will be used only for the internal uses within the NZCSA.

 I understand that personal information will be stored for a period of three years, after which they will be securely destroyed.

This form will be held for a period of 3 years.
奥克兰大学学生ID UoA ID (If applicable)
Your answer
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