Authorization Form

This form verifies that the student below has authorized IDP India Pvt.
Ltd. to assist him/her for partial assistance for the enrolment at UK University
(Please tick one)

This form is for

A ) Change of Existing Agent to IDP

B ) Assigning IDP as the agent (Post student contact with Institution)

Student Details :

Name of the student :

Date of Birth :

Passport Number :

Name of Institution :

Course Name :

Student Ref. No. :

CAS No. (if applicable) : _______________________________

Previous Agent Details ( If applicable)

Name of previous agency : _________________________________

Reason for change of service: __________________________________

Student Declaration:

I ________would like to authorize IDP Education India Pvt. Ltd. to assist me for
further processing of my Visa application to your University.

Signature of Student

Phone Number & Email ID