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ACS |Agent Authorisation FormV1March 2015 Page 1 AGENT AUTHORISATION FORM – ICT SKILLS ASSESSMENT FOR MIGRATION PURPOSES By appointing an agent you authorise the ACS to: discuss your application with your migration agent (and any other agents in that firm/agency) and seek information from them. send the skill assessment result to your migration agent. If you choose to use an agent in Australia, we recommend contacting MARA to view the list of registered agents (www.mara.com.au). Please complete this form in BLOCK capital letters Title: Mr Mrs Miss Ms Other ApplicaŶt’s Faŵily Naŵe ;SurŶaŵeͿ ApplicaŶt’s GiveŶ Naŵe/s Date of Birth I,_____________________________________________________, would like to appoint the following agent to act on my behalf in matters relating to my ACS skill assessment for migration purposes: Agent Name Email Company Name (If Applicable) MARA No (If Applicable) Applicant Signature Authorised Agent Signature Date Date I, ____________________________________________________, would like to remove authorisation from the appointed agent to act on my behalf in any matters relating to my ACS skill assessment for migration purposes. I understand that I will be acting on my own behalf from this point onwards. Applicant Signature Date Section B – Please complete the following section if you are ending the appointment of your migration agent Section A – Please complete the following section if you are appointing or changing your migration agent Skills Assessment Application ID. ACS Agent ID. (If you don’t have an ACS agent ID please register with the ACS before submitting this form New Agents Register) Once completed please email this form and a CERTIFIED copy of the applicant’s passport to [email protected] Please write the email address you wish to receive all ACS correspondence kongara chaitanya 23/07/1990 5 8 5 2 2 4 kongara chaitanya [email protected] 15/05/2015
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ACS |Agent Authorisation FormV1March 2015 Page 1
AGENT AUTHORISATION FORM ICT SKILLS ASSESSMENT FOR MIGRATION PURPOSES
By appointing an agent you authorise the ACS to: discuss your application with your migration agent (and any other agents in that firm/agency) and seek information from them. send the skill assessment result to your migration agent.
If you choose to use an agent in Australia, we recommend contacting MARA to view the list of registered agents
(www.mara.com.au).
Please complete this form in BLOCK capital letters
Title: Mr Mrs Miss Ms Other
Applicats Faily Nae Surae
Applicats Give Nae/s
Date of Birth
I,_____________________________________________________, would like to appoint the following agent to act on my behalf
in matters relating to my ACS skill assessment for migration purposes:
Agent Name
Email
Company Name (If Applicable)
MARA No (If Applicable)
Applicant Signature Authorised Agent Signature
Date Date
I, ____________________________________________________, would like to remove authorisation from the appointed agent
to act on my behalf in any matters relating to my ACS skill assessment for migration purposes. I understand that I will be acting on
my own behalf from this point onwards.
Applicant Signature
Date
Section B Please complete the following section if you are ending the appointment of your migration agent
Section A Please complete the following section if you are appointing or changing your migration agent
Skills Assessment Application ID.
ACS Agent ID.
(If you dont have an ACS agent ID please register with the ACS before
submitting this form New Agents
Register)
Once completed please email this form and a CERTIFIED copy of the
applicants passport to [email protected]
Please write the email address you wish to receive all ACS correspondence
kongarachaitanya
23/07/1990
5 8 5 2 24
kongara chaitanya
15/05/2015
