CHANGE OF AGENT CONSENT FORM

To……………………………………………………………. (name of the College),

This is to confirm that I,…………………………………………….. (student’s name), DOB……………………… applied

to study at……………………………. ….through………………………………………… (name of the original agent) and
I would like to inform you that this agent will no longer be my representative.

Therefore, I authorise………………………………………. (name of the new agent) to act on my behalf

regarding my application for admission at…………………………………….. I understand that all
communications relating to my application will be sent to my nominated agent’s email address.

This authorisation will be valid throughout the admissions process. I understand that any request to
cancel this authorisation must be submitted in writing.

Full name:

Date:

Signature: