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    I am making this application as:
    A student on my ownAn agent on behalf of the student

    Student Information

    Student name

    Email address

    Telephone

    Nationality

    Which country or region are you in now?

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    Level of study

    Preferred university

    Subject of interest

    Intake
    JanuaryMarchSeptember

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    Do you have currently have a university level qualification?

    Do you have proof of English language proficiency?

    Agent Information

    Agent's name

    Agency organisation name

    Agency address

    Agent's email

    Agent's telephone

    Student Information

    Student name

    Student email address

    Student telephone

    Student nationality

    Student currently living in

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    Level of study

    Preferred university

    Subject of interest

    Intake
    JanuaryMarchSeptember

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    Does the student currently have a university level qualification?

    Does the student have proof of English language proficiency?

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    Declaration

    Please type in the following statement into the box below, filling in the information where necessary:

    I [agent name] of [agency name], have permission from [student name] to act on their behalf and submit this application to TCL Global.

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