Agent Application Form

AGENT APPLICATION FORM

Company Details

Company Name: * Company/Business Reg. No: * Business Address: * Postal Address: * Phone: * Fax: Email: * Website: Business Activities: * Years in Existence: * Number of Staff/Counsellors: Migration Agent Registration Authority Number (MARA): Company Name: * Business Address: * Company/Business Reg. No: * Phone: * Fax:

KEY DIRECTORS & EMPLOYERS

Person 1

Title: * Name: * Position: * Qualifications and Previous Experience: *

Person 2

Title: Name: Position: Qualifications and Previous Experience:

Perfomance

The total number of students referred to Australian education institutions over the past 2 years: * High School & ELICOS Courses: Vocational Course: Undergraduate Course: Post Graduate Course: Please list other education institutions or Universities you have represented or currently represent in Australia or another country: *

COMPLIANCE PLEASE TICK ✓ YES OR NO AND COMPLETE ALL SECTIONS

DESCRIPTION OF POTENTIAL MARKETS

What do you believe is the most effective marketing strategy to employ in your particular region or market? * From which geographical area will your potential market come? Please describe any strengths you have in these regions to justify your choice. * Please describe the characteristics of your potential market (age, income, educational background, University networks, etc). Please use separate sheets, if necessary * What is the most suitable time of the year to conduct a marketing trip to your region or a visit to our office to recruit students? *

STUDENT SERVICES

Please outline the support services you offer to students: *

ACADEMIC REFERENCES 1

Contact Name: * Phone: * Name of Institute: * Email: *

ACADEMIC REFERENCES 2

Contact Name: * Phone: * Name of Institute: * Email: *

ACADEMIC REFERENCES 3

Contact Name: Phone: Name of Institute: Email:

DECLARATION

Name of Contact Person: * Position: * Date: *