Agent Application Form

This is an application for consideration to be appointed as an Approved Education Agent of AUSTRA
COLLEGE.
To assist AUSTRA COLLEGE in the selection of approved Agents, please complete this form as comprehensively as
possible and return it to this office.
Completion of this application does not approve you as an Agent of AUSTRA COLLEGE , but will enable AUSTRA
COLLEGE to consider appointing you as such.

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Name *

First

Last

Australian Company Number (ACN ) *

First

Last

Contact Person

Position

Business Address in Australia (If applicable)

Business Address Overseas (If applicable)

Mailing Address

Telephone

Fax

Mobile

Email *

Website Address

Other Offshore Locations (If applicable)

Years in Business *

First

Last

Main Line of Business

Name of Directors of the Company

Existing number of staff

Is the company of sound financial position

Are there any judgments or orders against it, or proceedings, applications for its winding up, dissolution, liquidation, or cessation of its business

No. of International Students recruited each year

No. of Students recruited at Diploma level

No. of Students recruited at university level

To which Countries do you send Students for studies?

Projected no. of prospective Australian Students (next 6 months)

Most Popular Courses you Promote

NEW VENTURE : From which Country do you wish to recruit students for ASI?

From which Country do you wish to recruit students for ASI? (copy)

How much is your Student Service Fee?

Does the above fee include Visa fee for Australia?YesNo

Which of your offices are fully resourced Student Recruitment Centres? (e.g. computers, reception, promotion etc.)

What Services do you provide to the students? (e.g. counselling, visa, tickets, orientation, assistance etc.)

OVERSEAS STAFF INFORMATION - Number of Staff employed in Student service

Has any Staff member worked in Australia before?

Do these Staff members speak/read/write English well?

Any Staff members affiliated with, or member of, any Australia/New Zealand Institution? If yes, please specify.

DETAILS OF KEY DIRECTORS / EMPLOYEES OR AGENT

DETAILS OF KEY DIRECTORS / EMPLOYEES OR AGENT

DETAILS OF KEY DIRECTORS / EMPLOYEES OR AGENT

DETAILS OF KEY DIRECTORS / EMPLOYEES OR AGENT

Reference Name *

First

Last

Please indicate two (2) referees that we can contact. Please include one from an AU/NZ institution you represent.

Reference Position

Reference Company

Reference Address

Reference Telephone

Reference Mobile

References Email *

Submit