This is an application for consideration to be appointed as an Approved Education Agent of AUSTRA
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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Australian Company Number (ACN )
Years in Business
Reference Name
Please indicate two (2) referees that we can contact. Please include one from an AU/NZ institution you represent.
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