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Agent Expression of Interest Application Form
Agent Expression of Interest Application Form
Name of the Company
Business Trading Name (if different to name of company)
Business Registration Number (if applicable)
Street Address
Postal Address
Telephone
Website
Years in Business
Branch Office Locations
Director's Name
Email
Mobile
Telephone
Key person's contact name
Email
No. of staff at the agency
Is training provided to staff on the ESOS Act & National Code?
Qualified Education Agent Counsellors Name
Qualification Number/s
Date
Qualified Education Agent Counsellors Name
Qualification Number/s
Date
Does your company conduct other business in addition to student recruitment?
If Yes, Please provide Details
Is the focus of your business education / international student recruitment?
If no, What is the focus of your Business
What marketing activities do you undertake?
Number of students recruited for Australian institutions in the past 12 months
Number of students recruited for Australian institutions in the past 12 months
Number of students recruited for Australian institutions in the past 12 months
Name of Institution
Referee’s Name
Job Title
Telephone
Email
Name of the Institution
Referee's Name
Job Title
Telephone
Email
Agree, I am interested in representing Federation Academy and I agree to do so in an honest and professional manner, while abiding with all the required laws, legislations and regulations governing Australian international student recruitment services
Date
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