International Education Agent Application

Please complete this form to apply to become an authorised agent for Ultimate Institute of Australia for the purpose of recruiting students to study at the institute.

Version: 3.2 | Responsibility: International Sales & Marketing Manager | Last Reviewed: February 2021

Your Agency Details

What is type of business is your agency?

A sole proprietor

A partnership

An incorporated company

Registered company name:

Trading name (if applicable):

Number of directors:

Place of registration:

Date of registration:

Australian Business Number (ABN) (or equivalent registration number):

Your Correspondence Details

Agency Address:

Street address
Country

Postal Address:

Street Address
Country

Your Main Contact Details

Name of Chief Executive Officer/ Director:

Title
Given names
Surname

Name of your main contact officer:

Title
Given names
Surname

Your Business Profile

How many offices / representative offices do you have & where are they located?

Are you a member of any agent association or professional industry body (eg QEAC)?

Yes

Name of the industry body and years of membership:

Which courses are your clients most interested in? (Please tick relevant boxes)

Other, please specify:

Which Australian education institutions do you currently represent?

Which education institutions do you represent for countries other than Australia?

Current Business Registration:

Current Company Profile:

If appointed as an Agent for UIA, how many students will you aim to recruit in the first year?

State briefly how you plan to recruit students to the courses offered by UIA:

Do you charge (or intend to charge) students / applicants any fee or commission for processing their application?

How many years experience you have in Australian education Sector?

Are you member of PIER? (Please attach a copy of the certificate)

Are you member of AAERI (India) or ECAN (Nepal)? (Please attach a copy of the certificate)

Certificate Upload:

Document Upload:

Please enter a comprehensive marketing plan including strategies to be employed to ensure students recruited by the agent are genuine and meet entry and financial requirements (or attach supporting documents):

Supporting Documents:

Please provide the name of three referees who may be contacted if your company is selected. At least one referee must be from an Australian education institute.

Referee 1 *

Name:
Company:
Position:
Address:
Phone:
Email:

Referee 2 *

Name:
Company:
Position:
Address:
Phone:
Email:

Referee 3

Name:
Company:
Position:
Address:
Phone:
Email:

If no referees, please share your reason:

Declaration by the Agent

I confirm that the information provided on this application is true and accurate to the best of my knowledge. I also authorise UIA to contact my referees. I acknowledge that approval of my application is conditional on my company signing an Agent Agreement with UIA in accordance with National Code 2018 and VET Quality Framework (VQF) including standards for NVR.

Name of the Officer: *

Authorised Signature: *

Clear