12. DECLARATION AND COMPLIANCE WITH THE PRIVACY ACT - Please read carefully.
I consent to my personal information being held by the Eastern Institute of Technology Ltd (EIT), including by its staff, and being used for purposes related to the matters with which I am involved in my capacity as a student and as required by protocols between external agencies and EIT as listed be lo w. I understand without this consent my enrolment cannot proceed. I understand that I have the right to see and correct if necessary, my personal information held by EIT.
Compliance with the Privacy Act:
I understand that EIT must collect, store, use and disclose my personal information only in accordance with the Privacy Act 1993. Specifically, I consent to EIT collecting, using, storing and disclosing my personal information for statistical and reporting purposes (anonymously), to help EIT meet its health and safety obligations, to provide me with appropriate support, and to determine whether my health may impact on my ability to fully participate in my studies, and, if so, how EIT manages that impact. EIT can also collect and store my information from this form to comply with the requirements of the Ministry of Education (statistical returns), New Zealand Qualifications Authority (Record of Learning registration and academic outcomes), Tertiary Education Commission (funding and statistical returns), Industry Training Organisations (funding and academic outcomes), Ministry of Social Development (confirmation of enrolment and academic outcomes ), Inland Revenue Department (student loan interest rebate), Department of Immigration (if you are not a New Zealand citizen or permanent resident) previous Secondary School (graduation statistics) and Agencies who support particular students through scholarship s and prizes, payment of fees or other awards (if you are a recipient of these awards).
This information is also used to select students for qualifications, to manage internal administrative processes, and for internal reporting and statistical purposes, for health and safety purposes, for providing me with appropriate support, and for determining and managing my ability to fully participate in my studies .
I agree to the publication of my name upon graduation in graduation material.
In addition, when required by statute, the Institute releases information to Government agencies such as the New Zealand Police, Department of Justice, Ministry of Social Development , and the Accident Compensation Corporation (ACC).
In signing this enrolment form I authorise EIT to collect, use, store and disclose my personal information on the understanding EIT will observe the relevant requirements of the Privacy Act 1993 and the Education Act 1989 .
Fees - In signing this enrolment form I undertake to pay all fees as they become due, and to meet any late fees and collection charges associated with deb t recovery. The institute’s policy on withdrawal and refund of fees is found in the Student Hand book *.
Rules - In agreeing to the enrolment process, I undertake to comply with, and agree to be governed by, the EIT rules and regulations and responsibilities.
The information given on this form is true and correct in every particular and no information which would have a material bearing on my enrolment has been withheld. I understand that books, journals and other teaching materials made available to me by or at EIT are for use for my own studies and that copying or use of them for other purposes is an infringement of copyright.
I also accept the student rules, regulations and responsibilities as outlined in the EIT Student Handbook* and the Computer Usage Policy.
Failure to Supply Information - Students are advised that failure to supply the information requested by EIT, or the supply of incomplete or false information may result in EIT declining or cancelling the application.
* The EIT Student Handbook and computer usage policy can be found on the EIT website www.eit.a c.nz. Printed copies of the handbook are available at all EIT centres.
Declaration - I declare that to the best of my know ledge all the information supplied on, and with, this enrolment form is true and complete, I agree to abide by the conditions described above, and I consent to the disclosure of personal information as described above. I understand that if I have supplied false information or do not comply with the rules and regulations of EIT, my enrolment may be cancelled by the Chie f Executive.
I acknowledge that if I am liable for all fees and will undertake to pay these.
Only required if payment is not made at time of enrolment
I/We am/are the parent(s)/guardian(s) of the student (Student) who has filled out this enrolment form. I/We hereby jointly and severally indemnify EIT against all loss that it suffers as a result of the Student not paying any amount that he or she agree s to pay by signing this enrolment form. Such loss includes any amount which is not or may not be recoverable or recovered from the Student for any reason (whether or not within the EIT's knowledge) including the Student's obligations being or becoming unenforceable.
Disclaimer: The Eastern Institute of Technology Ltd (EIT) reserves the right to cancel or postpone any course for any reason and shall not be liable for any claim other than that proportion of the course fee which the cancelled or postponed portion bears. Programmes are dependent upon Ministry of Education funding allocation. No refunds will be issued for no shows.
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