The University of Manchester Authorization Form

First Name
Last Name
Date of Birth:
Country of Nationality:
University of Manchester
application reference
Number/UCAS ID
Course Applied
Date Application Submitted
Your Agency SI-UK

Through SI-UK I have been able to obtain

expert information on The University of
Reason(s) for taking assistance: Manchester courses, degree requirements,
application procedure, funding, visas and
accommodation.

Upon receipt of my completed form, I authorize SI-UK as my representative and

based on my previous Privacy Declaration, (as applicable) all future correspondence
will be sent to SI-UK.

Signature: Date: