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Student Declaration Form

The Student Declaration Form requires applicants to confirm the authenticity of their information and understand that their application acceptance is at the discretion of the education institution. It emphasizes the importance of notifying MY AGENT of any changes in circumstances and prohibits applicants from having a history of visa refusals or breaches. Additionally, it grants MY AGENT permission to verify the provided information with relevant parties.

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afshanaakterurmi3
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19 views1 page

Student Declaration Form

The Student Declaration Form requires applicants to confirm the authenticity of their information and understand that their application acceptance is at the discretion of the education institution. It emphasizes the importance of notifying MY AGENT of any changes in circumstances and prohibits applicants from having a history of visa refusals or breaches. Additionally, it grants MY AGENT permission to verify the provided information with relevant parties.

Uploaded by

afshanaakterurmi3
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Student Declaration Form

Please respond by ticking the appropriate box.


1. I understand that MY AGENT relies on information provided by me in good faith to match the
characteristics and published entry requirements of education institutions they represent. I also
understand that the final decision to accept my application will be made by the relevant education
institution.

2. I confirm that the information I have given in this application is genuine. I understand giving false
or misleading information may lead to termination of my admission offer and visa if at any time
my information is found to be not genuine.

3. I understand MY AGENT collects my personal information to enable my request for obtaining


information on study opportunities, for applying to study at education institutions via MY AGENT
and for my student visa application to be processed.

4. I am aware that I must immediately advise MY AGENT if I find that any information provided in
this application is incorrect or if there is any change in my circumstances that is relevant to my
application or to my visa or my dependants’ visas including my ability to support myself and my
dependants financially.

5. I declare that neither I nor my dependants including spouse (if any) have been refused a visa or
are currently awaiting a decision on: A migration visa for any country List, if any: Any other visa
(including study visa) for any country List, if any:

6. I declare that neither I nor my dependants including spouse accompanying me (if any) have
breached the conditions of any visa held at any time to enter any other country.

7.I authorise MY AGENT to contact any person, institution or organisation named in my application
or supportingdocuments and authorise MY AGENT and those persons, institutions and
organisations to disclose any relevantinformation they may hold about me and my dependants (if
any) for verification of my application and supportingdocuments.

Full Name/ Shirina Akther Faima


Signature/
Date/ 19-03-2023
To be signed by Applicant or Parent/Guardian if Applicant under 18 years of age.

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