Auckland APLS Course 4-6 November 2026

Your Registration Info

* Indicates a required field.

Title

First Name *

Last Name *

Hospital *

Position *

Specialty *

Email Address *

Phone (Mobile) *

Phone (Work)

Phone (Home)

Address Line 1 *

Address Line 2

Address Line 3

City *

Postal Code

Country *

Which ethnic group(s) do you belong to? Mark the space or spaces which apply to you. The list that follows is:

Ethnicity *

New Zealand European Maori Samoan Cook Islands Maori Tongan Niuean Chinese Other Decline to answer

Other Ethnicity

Use this field to add your ethnicity if not listed above (e.g. Dutch, Japanese, Tokelauan )

User login