Agent-Apply

Education Agent Application Form

Please complete all sections of this Application Form and provide all supporting documentation requested with this application.

Company Name

Company Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone/Mobile

Contact Officers (Company Director / Principal)

First Name

Second Name

Position

Phone/Mobile

Organisation User ImmiAccount

Business Profile

Business Registration (ABN) No. (if located in Australia)

Provide a copy of your Business Registration Certificate (if located offshore)

Choose File

Details of registering country and authority

Has the company or any individual within the company every been involved in past, pending, threatened or potential litigation, arbitration, administrative actions, liquidation or any other disputes

Yes

Details

Business Profile/Strategic Plan

Choose File

Key Business Activities (List)

Which year was the business founded

How many year/s you have operated as an education agent?

Number of staff employed in your agency

Number of education counsellors employed in your agency

Education Agent Training Course (https://www.eatc.com/)

Yes

Please attach the QEAC Certification

Choose File

Number of offices (locations)

Sub-agencies (Please list)

Associations/ affiliations with other professional organisations (Please list)

Associations with any local authorities / governments / councils/etc. (Please list)

China Approval (only for agents located in China)

Yes

Please Provide More Details

Marketing

Please indicate the geographical territory you intend to service.

Provide a description of your target market, trends, demands etc.

Provide a summary of your proposal for promotion and marketing in the territories.

Performance

Number of students you send abroad each year.

Number of students you send to Australia each year.

Proposed number of students you envisage sending to the Australian Data Institute in the next year.

Service Fees and Charges

Outline all services that you provide for applicants and students.

Please provide details of all fees you charge students

Referees

Education Referees (1)

First Name

Last Name

Position

Organisation

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone

Education Referees (2)

First Name

Last Name

Position

Organisation

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone

Declaration

I/We, (the education agency making this application) makes this application to represent The Australian Data Institute (ADI) Pty Ltd as an approved education agent. In doing so I/we agree:

• The information provided above is true and accurate;
• This application is not an approval and that written approval is required from ADIprior to making any reference to representing ADI as an approved educationagent.

First Name

Last Name

Organisation

Date / Time

Position

Agent-Apply

Please complete all sections of this Application Form and provide all supporting documentation requested with this application.

Contact Officers (Company Director / Principal)

Business Profile

Marketing

Performance

Service Fees and Charges

Referees

Education Referees (1)

Education Referees (2)

Declaration

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