University of Exeter Request For Representation Form
University of Exeter Request For Representation Form
University of Exeter Request For Representation Form
To be completed by the applicant, not by the agent/representative. Please read this form carefully before completing and signing it.
Date of birth (DD/MM/YYYY) 12/05/2003 Gender Male / Female / Prefer not to say
FEMALE
Your Exeter ID No: 1598114263
(or UCAS n º)
I am aware of UK data protection legislation. I have read the guidance available at https://ico.org.uk/your-data-matters/. I consent to the
above-named agency/representative sharing my personal data with the University of Exeter in support of my application. I also consent to
the University of Exeter sharing my personal data, application and registration status with this agency/representative. I have read and
understood the University of Exeter’s terms and conditions:
√ Submitted by this agent on my behalf: AGENCY NAME: ATEC YURTDISI EGITIM DANISMANLIGI – ANKARA OFFICE
Whilst we strongly discourage applicants from changing their agent / representative after an application has been submitted, if you
are requesting this, please state your reasons for doing so.
SIGNED: (APPLICANT)
Note: this must be an ink
signature
DATE:
21/01/2022
BLOCK PRINT
or TYPE name clearly: AYDA SELEN BOZKURT
Note to agents – submission of this form does not automatically entitle you to commission.