Change/Nomination of Agent Form
Applicant Details
Full Name
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HIT Student ID
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Date of Birth
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Month
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Day
Year
Date
Address
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Mobile
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Format: (000) 000-0000.
Email
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example@example.com
Select the option that applies to you
Read the options that are listed below and select the option that suites you the best
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I received an offer, acceptance of letter of offer and currently studying at HIT from an Agent, but want to change to another HIT agent.
I applied with an Agent and received an offer, but I want to change to another HIT Agent.
Please read and tick the below box
Heaton Institute of Technology enforces a strict no-change-of-agent policy. Should an applicant engage the assistance of a Heaton Institute of Technology agent in acquiring an offer letter, they are required to proceed with their acceptance process through the same agent. Exceptions to this policy may be entertained under extraordinary circumstances, provided that the applicant furnishes compelling evidence to support their request. Additionally, applicants may be permitted one instance of agent change if they have completed their studies with Heaton Institute of Technology and intend to apply for a new course within the institution.
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I understand the above policy; however, I wish to change to another agent and I have attached supporting evidence.
Upload the supporting documents
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Please provide reason for change
Complete this section if you require assistance from HIT marketing officer
Agent Company Name
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Agent Address
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Agent Email Address
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example@example.com
Declaration
Please read the declaration conditions below:
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By signing this form, I understand my request is subject to HIT staff approval.
I understand that I may be contacted by HIT staff for further verification.
APPLICANT SIGNATURE
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Date
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Month
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Year
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