Education Agent Application

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Which form?

Agency Company Profile

Legal Name of Agent Company(Required)

Trading name (if any)

Place of Registration

Registration Number

Date of Registration

Expiry Date

Head Office Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Company Phone(Required)

Company Email(Required)

Website(Required)

Main Contact

Contact Name(Required)

Prefix First Last

Contact Position / Title(Required)

Contact Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Phone(Required)

Contact Email(Required)

Market Research and Capacity

Please realistically estimate the number of students you could recruit for AIE Institute in next three years:(Required)

What political and economic factors are prevalent in your region of operation which will contribute to the attractiveness of Australian Education?(Required)

Briefly outline your marketing strategy to recruit students for AIE Institute(Required)

Do you charge service fees to students?(Required)

Yes

No

Please provide details of your fees(Required)

Name of Service

Fee Amount (local currency)

Referees

Please nominate two education provider references in support of your submission (Please note you cannot nominate an AIE Institute employee as a referee). Referees will be directly contacted by the AIE Institute. References must be current and provided by referees with whom you currently have an active working relationship.

Name of Referee 1(Required)

Prefix First Last

Institution Name Referee 1(Required)

Phone Referee 1(Required)

Email Referee 1(Required)

Name of Referee 2(Required)

Prefix First Last

Institution Name Referee 2(Required)

Phone Referee 2(Required)

Email Referee 2(Required)

Upload documentation(Required)

Max. file size: 10 MB.

Please upload the following documentation to support your application. Please ensure all copies of documents are certified and translated if not in English.

Business registration certificate for each country proposed as a territory.
Evidence of professional certification in an agent training course.
A statement expressing the companies understanding of the international education industry and relevant legislations such as ESOS, The National Code and the Migration ACT.

Any other information you wish to provide to support your application

Agency Company Profile

Main Contact

Company Background

Business Services

Market Research and Capacity

Referees

Declaration

1300 709 019