Education Agent Authorisation

Use this form to:

Authorise a registered ANU education agency branch to act on your behalf for admission activities, such as submitting further applications and accepting offers. If this agency has already submitted your application for you, you don’t need to use this form.
Change from one registered ANU education agency branch to another to act on your behalf.
De-authorise an education agency branch from acting on your behalf for admission activities so that they no longer act on your behalf.

To find a registered ANU education agency, please refer to: www.anu.edu.au/study/contacts

Access the full PDF file in this link

Download File

- कृपया अंग्रेजीमा जानकारी प्रविष्ट गर्नुहोस्

यदि तपाइँको उमेर 18 वर्ष भन्दा कम छ भने, यो फारम तपाइँको आमाबाबुले भर्नु अनिवार्य छ।

Form #191

Submitting this form

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

Student Details

Title

Miss.

Mr.

Mrs.

Ms.

Mx.

Other

Given Names

Middle Name (if Applicable)

Family Name

Country of Passport

Phone Number

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

अस्वीकरण:
हामी आधिकारिक शिक्षा प्रदायक होइनौं। स्वतन्त्र शिक्षा एजेन्टको रूपमा, हामी सोधपुछमा सहयोग गर्छौं र शिक्षा अवसरहरूको बारेमा मार्गदर्शन प्रदान गर्दछौं। हाम्रो नेटवर्क भित्रका केही एजेन्टहरूसँग विशिष्ट शिक्षा प्रदायकहरूसँग औपचारिक साझेदारी हुन सक्छ र उनीहरूलाई प्रत्यक्ष रूपमा प्रतिनिधित्व गर्न सक्छन्। यद्यपि, कुनै पनि अन्तिम निर्णयहरू, प्रस्तावहरू, वा सम्झौताहरू सम्बन्धित शिक्षा प्रदायकद्वारा मात्र गरिन्छ। साझेदारी गरिएको सबै जानकारी सल्लाहकार उद्देश्यका लागि मात्र हो।

थप जानकारीको लागि अनुरोध गर्नुहोस्

अष्ट्रेलियन नेशनल युनिभर्सिटी

CRICOS CODE 00120C

संस्था शीर्षक:

अष्ट्रेलियन नेशनल युनिभर्सिटी
Australian National University

को रूपमा व्यापार पनि:

अस्ट्रेलियाली राष्ट्रिय विश्वविद्यालय
Australian National University

संस्था Cricos कोड:

00120C

संस्थाको प्रकार:

सरकारको

स्थान:

अष्ट्रेलियाली राजधानी क्षेत्र 2601

वेबसाइट:

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

विद्यार्थीहरूको कुल संख्या:

10000

- कृपया अंग्रेजीमा जानकारी प्रविष्ट गर्नुहोस्

यदि तपाइँको उमेर 18 वर्ष भन्दा कम छ भने, यो फारम तपाइँको आमाबाबुले भर्नु अनिवार्य छ।

This Page In Other Language

तपाईंको नेटवर्कको साथ यो पृष्ठ साझा गर्नुहोस्

थप जानकारीको लागि अनुरोध गर्नुहोस्

अष्ट्रेलियन नेशनल युनिभर्सिटी

CRICOS CODE 00120C

संस्था शीर्षक: अष्ट्रेलियन नेशनल युनिभर्सिटीAustralian National University

को रूपमा व्यापार पनि: अस्ट्रेलियाली राष्ट्रिय विश्वविद्यालयAustralian National University

संस्था Cricos कोड: 00120C

संस्थाको प्रकार: सरकारको

स्थान: अष्ट्रेलियाली राजधानी क्षेत्र 2601

वेबसाइट: https://www.anu.edu.au/

विद्यार्थीहरूको कुल संख्या: 10000

Education Agent Authorisation

- कृपया अंग्रेजीमा जानकारी प्रविष्ट गर्नुहोस्

यदि तपाइँको उमेर 18 वर्ष भन्दा कम छ भने, यो फारम तपाइँको आमाबाबुले भर्नु अनिवार्य छ।

This Page In Other Language

तपाईंको नेटवर्कको साथ यो पृष्ठ साझा गर्नुहोस्

संस्था शीर्षक:

अष्ट्रेलियन नेशनल युनिभर्सिटी
Australian National University

को रूपमा व्यापार पनि:

अस्ट्रेलियाली राष्ट्रिय विश्वविद्यालय
Australian National University

संस्था Cricos कोड:

00120C

संस्थाको प्रकार:

सरकारको

स्थान:

अष्ट्रेलियाली राजधानी क्षेत्र 2601

वेबसाइट:

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

विद्यार्थीहरूको कुल संख्या:

10000