Agent Application Form

Company Details

Company Name/Legal Name *

Trading Name (If Any) *

Type of Legal Entity *

If Registered in Australia, ABN

ACN (If Any)

Overseas Entity Registration Number

Phone *

Fax

Head Office Address *

Branch Office Address

Other Address

Business Activities

Years in Existence

Number of Staff/Counsellors

Email *

Website

Upload Required Documents

Company Registration Evidence

ABN or Business Registration Evidence

Business Profiles or Business Plan

Agent Certificates

Agents Profile

Qualified Agent Details (Principal Agent)

Agent Name *

Agent Email *

Address *

Agent QEAC# *

Qualified Agent Details (Company Representative) 1

Agent Name

Agent Email

Address

Agent QEAC#

Qualified Agent Details (Company Representative) 2

Agent Name

Agent Email

Address

Agent QEAC#

Section 1: Company Description

Section 2: Compliance and Requirements

Please provide an overview of the key personnel within your company: (Attach additional pages as required)

Are you familiar with the current legislation and Education Agent responsibilities under ESOS Act (2000) and National Code (2018), please explain?

Key points to inform and encourage international students

Do you inform / encourage students to ensure their student visa obligations and avoid below false and unethical marketing in relation to student visa and wrong promises? Please comment below.

Student must update their contact details to RTO and immigration (if required)
Student Primary purpose is to study in full time course for at least 20 hours per week
Student must maintain his/her course progress and pay course fee in time.
No guarantees of permanent residency in Australia
No guarantees of job/ full time offer.

Section 3: Target Market and Expertise

What are countries that you are active and operating?

What services do you provide or intend to provide to prospective students?

Which are the potential countries of future student market and why?

What are your / company's expertise in relation recruit international students?

References (Please Provide 2 References)

Reference 1

Name

Phone

Address

Fax

Website

Reference 2

Name

Phone

Address

Fax

Website

CityCollege Admin Use

Submitted documents and CityCollege form – Reviewed

Yes

Reference Check 1

Successfully Completed

Not Completed

Reference Check 2

Successfully Completed

Not Completed

Signed

Print Name

Date Of Reference Check 1

Date Of Reference Check 2

Comments

Position

Date Process

Authorization

Action To Be Taken

Approved

Denied

Date Effective

Comments

Signed

Print Name

Position

Date Process

Agent Application Form