Northern College - Change of International Agent Confirmation Form
__________________________________________
| Type | |
| Size | 111 KB |
Referenced from: International Recruiters & Agents
Document text
Northern College - Change of International Agent Confirmation Form
Student Information
- Full Name:
__________________________________________
- Student ID or Applicant Number (if available):
_________________________________
- Email Address:
________________________________________
New Agent Information
- Agency Name:
_________________________________________
- Agent Name (if applicable):
________________________________
- Email Address:
_________________________________________
- Phone Number (optional):
________________________________
Previous Agent Information
- Agency Name:
_________________________________________
- Agent Name (if applicable):
________________________________
Confirmation Statement
- I, the undersigned, confirm that I have chosen to work with the above-listed new international agent in relation to my application and/or enrolment at Northern College. I authorize Northern College to recognize this agent as my official representative and understand they will be eligible for commission in accordance with college policies.
I further confirm that I have notified my previous agent of this decision and understand that all future communications and support will be managed by my new agent. I will take the responsibility of not informing the previous agent about the change or any dispute/financial obligations caused by this change.
This change of representation is effective as of:
Effective Date: ____ / ____ / ______ (DD/MM/YYYY)
Student Signature: ___________________________________ Date: ____ / ____ / ______ (DD/MM/YYYY)