AGENT APPLICATION FORM -

AGENT APPLICATION FORM

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Company Details

Legal / Entity Name(Required)

ABN if Applicable

Trading Name(Required)

Website

Head Office Address(Required)

Street Address State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Company Profile

Year Established(Required)

Number of Staffs(Required)

Number of Students Recruited Each Year(Required)

Main Student Nationalities Recruited(Required)

Main Australian RTOs Represented(Required)

Branch Office Locations (List Cities)(Required)

Industry Associations (optional)

Which Countries Do You Recruit Students

List of countries and years recruiting students(Required)

country

Numbers of Years recruiting from this country

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Principal / Owner

Name(Required)

Prefix First Last

Job Title(Required)

Email(Required)

Office Phone(Required)

Mobile Phone(Required)

Key Contact Person

Key Contact Same as Principal Owner?(Required)

Key Contact Name(Required)

Prefix First Last

Job Title(Required)

Email(Required)

Office Phone(Required)

Mobile Phone(Required)

Marketing

What strengths do you believe AIC has that will allow you to promote it as a choice of educational institution for overseas students?

How many students do you believe you will be able to recruit for AIC in the first year of representation?

what do you need from AIC to help you promote it as a choice of educational institution for overseas students?

Have you and key agency staff read the National Code of Practice for Registration Authorities and Providers of Overseas Education and Training to Overseas Students 2007?(Required)

Do you and key agency staff have a sound knowledge of DIPB regulations and Genuine Temporary Entrant criteria?(Required)

Have you and/or key agency staff done PIER’s Education Agent Training Course (EATC)?(Required)

Are you and/or key agency staff Qualified Education Agent Counsellors (QEAC)? Yes No(Required)

Are you and/or key agency staff registered migration agents?(Required)

Please specify if you have completed any other industry training

Referees

Please provide two referees including at least one Australian education provider:

Referee 1

1st Referee Name(Required)

Prefix First Last

Job Title(Required)

Email(Required)

Office Phone(Required)

Mobile Phone(Required)

Referee 2

2nd Referee Name(Required)

Prefix First Last

Job Title(Required)

Email(Required)

Office Phone(Required)

Mobile Phone(Required)

Supporting Documents

SUPPORTING DOCUMENTS

Please attach the following documents in support of your application:

Business registration certificate (offshore agencies only)
Company Profile
Evidence of staff training and knowledge (ETAC and ASVP preferred)
Registered migration agent certificate/s, if applicable
Referee letters if available
List of branch offices with contact details, if applicable

Supporting documents files upload(Required)

Drop files here or

Max. file size: 64 MB.

Declaration

DECLARATION 1(Required)

I/we declare that all information provided in this application are complete and accurate and that all information pertaining to this application has been fully disclosed, irrespective of whether or not such information was specifically requested. I/we authorize Australian International College to collect additional information on my agency if required.(Required)

DECLARATION 2(Required)

I/We declare that I/we understand all relevant laws and regulations of Australia and of the countries where we recruit students, in particular those laws pertaining to Australian consumer protection, the ESOS Act and the National Code 2007. Also agree to regularly view the DIBP website to monitor policies and any changes to the policies.(Required)

DECLARATION 3(Required)

I/We confirm my/our obligation to comply with such laws and regulations at all times, including any amendments.(Required)

Signature(Required)

Name(Required)

Position(Required)

Date(Required)

DD slash MM slash YYYY