Education Agent Nomination and Authorisation

You must complete this form if you have appointed a University of Melbourne education agent to assist you with your application to the University of Melbourne.

The form MUST BE COMPLETED BY THE APPLICANT and not the education agent.

By completing this form you are:

Authorising the education agent nominated in SECTION B to act on your behalf for this eApplication; and
Agreeing to information relevant to your application, visa and admission being released to the education agent. Your education agent will be included in all correspondence regarding the progress of your application.

Before completing this form, review and note the information and any restrictions outlined at:
https://study.unimelb.edu.au/how-to-apply/find-an-overseas-representative

If you have already authorised an education agent to manage your application and are changing to another education agent, you will be required to provide further information including the reasons for changing agents in SECTION C.

- 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 #84

UoM Student ID Number (if known):

SECTION A: STUDENT DETAILS

Title

Miss.

Mr.

Mrs.

Ms.

Mx.

Other

Given Names

Middle Name (if Applicable)

Family Name

Country of Passport

Phone Number

SECTION B: AGENT DETAILS

The University of Melbourne Education Agent you are authorising to act on your behalf.

AGENT DETAILSAgent Company Name:

Agent Office (City):

Agent Office (Country):

Counsellor’s Name and Email:

Please tick one of the following options that best describes your circumstance:

I am living, working and/or studying in the country where the education agent is located.

Other (please explain):

Note: You can only use a University of Melbourne education agent listed in your country.

See the education agents listed for your country at:
https://study.unimelb.edu.au/how-to-apply/find-an-overseas-representative

SECTION C: CHANGE OF AGENT

If you have already authorised an education agent to manage your application and are changing to another
education agent:

You must complete this section, and
Provide details of the University of Melbourne Education Agent you previously authorised.

Provide details of the University of Melbourne Education Agent you previously authorised.Previous Agent Company Name:

Previous Agent Office (City):

Previous Agent Office (Country):

Date you first authorised this agent:

Why are you changing agents? Do any of the following apply?

I have moved and the new agent is in a more convenient location. Please provide your new address:

I am not satisfied with the service provided by my previous agent. Please specify:

Other (please explain):

Confirmation that you are withdrawing your authorisation for the previous agent to act on your behalf.

I confirm withdrawal of my authorisation for the agent shown in SECTION C to act on my behalf.

Please note:

Please note:

This change of agent is subject to approval.
If approved, the agent shown in SECTION C will be notified in writing that you have withdrawn your authorisation. They will not be included in any further correspondence about the progress of your application.
Once the change of agent is approved, your login and password for eApplication will be reset, and a new password will be sent to your personal email address provided in SECTION A.

SECTION D: CHANGE OF AGENT

I have completed the Education Agent Nomination and Authorisation Form myself.
I authorise the education agent shown in SECTION B to represent me in all dealings with the University of Melbourne regarding my application.
I acknowledge that the University of Melbourne reserves the right to reject this request for the education agent to act on my behalf.

HOW TO SUBMIT THIS FORM

Upload this form to your course application in the eApplication system under the Requirement – Appointment of authorised representative.
If you have trouble uploading the document, you can email this form to your nominated agent.

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.

Solicitar mais informações

A Universidade de Melbourne (UniMelb)

CRICOS CODE 00116K

Título da Instituição:

A Universidade de Melbourne (UniMelb)
The University of Melbourne (UniMelb)

Também negociando como:

Universidade de Melbourne
The University of Melbourne (UniMelb)

Código Cricos da Instituição:

00116K

Tipo de instituição:

Governo

Localização:

Victoria 3010

Local na rede Internet:

https://www.unimelb.edu.au/

Número total de alunos:

40500

HOW TO SUBMIT THIS FORM

This Page In Other Language

Compartilhe esta página com sua rede

Solicitar mais informações

A Universidade de Melbourne (UniMelb)

CRICOS CODE 00116K

Título da Instituição: A Universidade de Melbourne (UniMelb)The University of Melbourne (UniMelb)

Também negociando como: Universidade de MelbourneThe University of Melbourne (UniMelb)

Código Cricos da Instituição: 00116K

Tipo de instituição: Governo

Localização: Victoria 3010

Local na rede Internet: https://www.unimelb.edu.au/

Número total de alunos: 40500

Education Agent Nomination and Authorisation

HOW TO SUBMIT THIS FORM

This Page In Other Language

Compartilhe esta página com sua rede

Título da Instituição:

A Universidade de Melbourne (UniMelb)
The University of Melbourne (UniMelb)

Também negociando como:

Universidade de Melbourne
The University of Melbourne (UniMelb)

Código Cricos da Instituição:

00116K

Tipo de instituição:

Governo

Localização:

Victoria 3010

Local na rede Internet:

https://www.unimelb.edu.au/

Número total de alunos:

40500