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Edith Cowan University

CRICOS CODE 00279B

Agent Nomination Form


This form is to be used to nominate an approved Edith Cowan University education agent to assist an applicant with a course application, acceptance and student visa application processes.

A confirmation email will be sent to the agent upon approval.

Please ensure all sections below are completed by the applicant.


- Por favor insira informações em inglês

Se a sua idade for inferior a 18 anos, é imprescindível que este formulário seja preenchido pelos seus pais.

Form #229

Step 1: Complete Section A – Student Details (To be filled by the Applicant)

Fill in the following personal information accurately:

  • Student ID: Your ECU-issued student identification number.

  • Student Given Name(s): Your first name(s) exactly as per your passport.

  • Student Family Name: Your surname exactly as per your passport.

  • Date of Birth: In the format DD/MM/YYYY.

  • Student Address: Your current residential address.

  • Previous Agency Name: Name of the previous education agency (if any).

  • Reason for Change of Agent: Clearly state why you are changing your agent.


Step 2: Complete Section B – New Agent Details (To be filled by the New Agent)

Your new education agent must fill in this section:

  • Agency Name: Official name of the new agency.

  • Branch Office: Specify the branch if the application is not managed by the main office.

  • Agent Portal ID Number: If known, provide the agent’s ECU Portal ID.


Step 3: Complete Section C – Student Declaration (To be signed by the Applicant)

Read each point carefully and acknowledge that you:

  1. Authorise the nominated agent to communicate on your behalf regarding your ECU application.

  2. Understand ECU may verify the information you provide.

  3. Are aware that providing false or misleading information is an offence.

  4. Confirm you have:
    a. Made your own enquiries about the course suitability.
    b. Taken sole responsibility for compliance with ECU’s admission rules.

  5. Agree your information may be shared with government agencies if required.

  6. Will comply with ECU’s Statutes, By-laws, Rules, and Regulations.

  7. Have reviewed ECU’s official governance documents at ECU Legislation.

  8. Understand that ECU communicates officially via electronic means unless otherwise arranged.

  9. Agree to notify ECU about any changes to your address or contact details.

  • Student Signature & Date: Sign and date the declaration where indicated.


Important Notes:

  • If you have already accepted an offer or are enrolled at ECU, the new agent is not eligible for commission unless you are transferring to a new course after completing your current one (e.g., Bachelor to Master).

  • ECU does not notify your previous agent about this change; you must handle that independently.


Step 4: Submit the Completed Form

For further assistance, you can contact ECU Admissions at +61 8 6304 5377 or via the email above.

SECTION A: Student details

SECTION B: New agent details (To be completed by AGENT)

SECTION C: Student declaration

  1. I authorise the above to communication on my behalf in regards to my application to ECU.
  2. I acknowledge that Edith Cowan University reserves the right to make such enquiries as may be reasonably necessary to verify the information provided by me in this application including, with regard to my educational qualifications.
  3. I understand that providing false and misleading information to obtain admission and/or credit into a course is an offence.
  4. I confirm
    1. I have made my own enquiries as to the suitability of the course that I am seeking to be enrolled; and
    2. that it is my sole responsibility to ensure that my enrolment is in accordance with the Admissions Enrolment and Academic Progress Rules of Edith Cowan University.
  5. I acknowledge and agree that the information provided by me to Edith Cowan University may be provided to Commonwealth and State agencies when required by law.
  6. If I am admitted into a course with Edith Cowan University I agree to comply with the Statutes, By-laws, Rules ...
  1. I acknowledge I have had the opportunity to peruse the Statutes, By-laws, Rules and Regulations of Edith Cowan University at: www.ecu.edu.au/GPPS/governance_services/legislation.
  2. I acknowledge that official communication by Edith Cowan University to me will be by electronic means unless alternative communication arrangements have been agreed by ECU.
  3. I agree to notify ECU of any changes to my residential addresses whether in Australia or another country and to any change in the contact information in the event of an emergency.
If you have concerns about any of the above items please contact ECU Admissions on (61 8) 6304 5377 or email to admissions@ecu.edu.au.
Disclaimer
  • If the student has already accepted their offer or is enrolled at ECU, the new agent is not eligible for commission with the exception of a current ECU student intending to move to a new course of study after the completion of their current course (example Bachelor to Master).
  • It is not ECU’s responsibility to inform the previous agent of this change
PLEASE FORWARD THE COMPLETED FORM TO ADMISSIONS@ECU.EDU.AU

Isenção de responsabilidade:
Não somos o provedor de educação oficial. Como Agentes Educacionais independentes, auxiliamos com dúvidas e fornecemos orientação sobre oportunidades educacionais. Alguns agentes da nossa rede podem ter parcerias formais com provedores de educação específicos e representá-los diretamente. No entanto, quaisquer decisões finais, ofertas ou acordos são feitos exclusivamente pelo respectivo Provedor de Educação. Todas as informações compartilhadas são apenas para fins consultivos.