Melbourne College of Business and Technology Online Application Form for Agents

All fields marked with an asterisk (*) are required.

Agency Principal Contact Person Info

Name*

Role in Company*

Email*

Offer letter will be emailed to this email address

Agency Contact Person For Finance Matter

Finance Person Name

Finance Person Email

Main Office Contact Details

Office Contact Name*

Office Phone*

Office Fax

Office Mobile*

Office Email*

Office Website

Agent Details

How long has your business been operating?(eg in format : 1997)*

List of three institution you are currently representing in Australia:

First Institute*

Second Institute*

Third Institute

Fourth Institute

Key Business Activities(List)*

Number of students sent to australia per year*

Number of Staff*

Services Provided to Students*

Have you or your staff completed EATC Training? | https://www.icef.com/academy/courses/education-agent-training-course-eatc/

Yes

Mara/MIA Certificate, PIER Certificate, Company Registration Certificates, Company Profile (You can upload multiple documents here in PDF format)*

Try to upload all related documents.

Step 2

Number of members in association*

Number of Offices*

How do you promote Australian International education and how will you promote our Institute?

(Tick atleast one)

Offshore

Onshore

Others(Please Specify)

Countries region covered*

Projected students next six months*

Provide following information about each of the agent's employees (if any, max:5) who are involved in the admission counselling for admission(s):

Employee name:

Employee email:

Migration Agent Registration Number(if applicable):

References (Minimum 2 to be provided)

Reference 1

Reference contact name:*

Reference position:*

Reference organization:*

Reference Email:*

Reference Phone:*

Reference 2