Request for Change of Agent Form ‘The Southern Institute of Technology values our agency partnerships and appreciates the hard work agents undertake to counsel a student for study abroad opportunities. However we also understand that in some instances students may wish to change agencies. In order to be fair to all parties concerned, we request that students requesting to change agents after an initial application has been lodged with SIT, to fill n the form below and have this sent back to the International department by email at applications @sit.ac.nz Step One— Student declaration student name: _ANDREW EURNIA TEavit Date of birth: 24-(2-199> I confirm that | wish to end the agency agreement with my current agent, OT [MA EDUCATION mt nye sparypesgerint with SuN EDUCATION ‘Student signature: ‘Step Two - Existing agent declaration ‘Company name: We confirm that we have ended the agency agreement with the above student. Agent signature: Signatory name: Date: Company stamp: Step Three - New agent declaration Company name: We confirm that we have entered in to an agency agreement with the above student and will be representing this student from here on. ‘Agent signature: Signatory name: Date: Company stamp: