Education Agent Authorisation

Submitting this form

Submitting this form
Submit this form by email to admissions@anu.edu.au

Student Details

Title

Given Names

Middle Name (if Applicable)

Family Name

Country of Passport

Telephone

Email

ANU ID or application number

Your name must be your legal name as entered in your application form.
. Your ANU ID will be in the format 'u7654321'.
. Your application ID may be in one of the following formats: '987654321'; 'W1198765'; or '00654321'. You can find these on your application confirmation email or on your offer letter.

Student Authorisation

Which of the following options below best describes your situation?

I don't currently have an education agency authorised to act on my behalf and I want to authorise one. Provide details of the new agency below.

I want to change the education agency currently authorised to act on my behalf to a different agency. Provide details of both the new agency and your current agency below.

I no longer authorise my current education agency to act on my behalf. Provide details of your current agency below.

Current agency name

Branch/Location

Contact/Counsellor name

New agency details

Branch/Location

Contact/Counsellor name

Declaration

Declaration

The information I have provided on this form is correct and complete.
In the case that I no longer authorise my current education agency to act on my behalf, I have notified them of this change.
In the case that I am authorising a new education agency to act on my behalf, I agree to ANU providing my personal information to this education agency, including information already provided to ANU.
In the case that I am authorising a new education agency to act on my behalf, I understand that my new agency may act on my behalf on all admissions matters and that my new agency will receive communications from ANU on my behalf, including but not limited to: receiving application outcomes and offer letters; changing preference or intake; requesting further information about my application; accepting offers for admission; and receiving Confirmations of Enrolment.
In the case that I am authorising a new education agency to act on my behalf, I agree to forward all enquiries and communication to ANU through that agency for them to contact the University on my behalf.
I understand that ANU is bound by the Privacy Act 1988 of the Commonwealth of Australia, and that ANU collects and uses any personal information provided in accordance with the Act.
I understand that ANU collects, retains, uses and discloses personal information about me to enable ANU to meet its operational requirements to me and its legal obligations, as detailed in the ANU Privacy Policy: https://policies.anu.edu.au/ppl/document/ANUP_010007
I have read the ANU Privacy Policy and consent to the collection, retention, use and disclosure of my personal information as set out in the Policy.
I authorise ANU to collect, receive, store, transfer and use all information in or connected with this form for training and/or research purposes. I give these authorities on the condition that all information provided pursuant to training and/or research purposes is de-identified.

The agency agrees to act on behalf of the above-mentioned applicant.

Enter New Agent name here, they can sign after the form is submitted

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Australian National University

CRICOS CODE 00120C

機構名稱:

Australian National University

還交易為:

澳大利亞國立大學

機構 Cricos 代碼:

00120C

機構類型:

Government

地點:

Australian Capital Territory 2601

網站:

https://www.anu.edu.au/

學生總數:

10000

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索取更多信息

Australian National University

CRICOS CODE 00120C

Education Agent Authorisation

機構名稱: Australian National University

還交易為: 澳大利亞國立大學

機構 Cricos 代碼: 00120C

機構類型: Government

地點: Australian Capital Territory 2601

網站: https://www.anu.edu.au/

學生總數: 10000