AGENT APPLICATION FORM - AIC - Australian International College, Study in Sydney Australia INTERVENTION SUPPORT PLAN FOR COURSE PROGRESS

AIC Online form

AGENT APPLICATION FORM

Step 1 of 3

Company Details

Legal / Entity Name(Required)

ABN if Applicable

Trading Name(Required)

Website

Head Office Address(Required)

Street Address State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Company Profile

Year Established(Required)

Number of Staffs(Required)

Number of Students Recruited Each Year(Required)

Main Student Nationalities Recruited(Required)

Main Australian RTOs Represented(Required)

Branch Office Locations (List Cities)(Required)

Industry Associations (optional)

Which Countries Do You Recruit Students

List of countries and years recruiting students(Required)

country

Numbers of Years recruiting from this country

Click the + to add more rows

Referees

Please provide two referees including at least one Australian education provider:

Referee 1

1st Referee Name(Required)

Prefix First Last

Job Title(Required)

Email(Required)

Office Phone(Required)

Mobile Phone(Required)

Referee 2

2nd Referee Name(Required)

Prefix First Last

Job Title(Required)

Email(Required)

Office Phone(Required)

Mobile Phone(Required)

Supporting Documents

SUPPORTING DOCUMENTS

Please attach the following documents in support of your application:

Business registration certificate (offshore agencies only)
Company Profile
Evidence of staff training and knowledge (ETAC and ASVP preferred)
Registered migration agent certificate/s, if applicable
Referee letters if available
List of branch offices with contact details, if applicable

Supporting documents files upload(Required)

Drop files here or

Max. file size: 200 MB.

Declaration

Signature(Required)

Name(Required)

Position(Required)

Date(Required)

Name

This field is for validation purposes and should be left unchanged.

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