UNSW International Change of Agent Form Version 2.0 2012
You must complete this Change of Agent Form to officially advise the University of New South Wales (UNSW) of your intent to nominate a new agent to represent you in your application to study at UNSW. Applicant’s Details Family Name
First Name
Date of Birth
UNSW Student ID
Course Name (eg Bachelor of Commerce)
Course Code (eg 3502)
Student Email Address
Telephone Number
Current Agent
I request that the Nominated Agent below act for and on my behalf, in relation to all aspects of my application to study at the University of New South Wales.
New Agent Details Agency Name
Agency Address
Contact Person
Reason for changing Agent
I lodged the application (Please select)
By myself, directly to UNSW Via the Universities Admissions Centre (UAC) Via another agent
Declaration I declare that I have appointed to act as my official agent for my application to the course listed above and that the information provided is true and accurate to the best of my knowledge. Applicant’s Full Name