Admission Going On, Hurry To
Application must be accompanied by
Copy of business registrationEvidence of EATC
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Company Legal Name
Date of Registration
Trading as
Business Address
ABN
Year of registration
Owner's Name
Contact details
Manager's Name
Phone
Mobile No
Website
Number of staff
Number of students referred to Australian education institutions over the past year -
High School
ELICOS
TAFE
Undergraduate
Post Graduate
Please list any other institutes you represent in Australia -
Is your company involved in any other activities?
YesNo
If yes, please explain?
Are you accredited to act as an education agent in your country?
(applicant from the People’s republic of china must provide evidence that they hold a license to act as a registered agent, or have a contract with a registered license holder)
If yes, please provide details
What is the most suitable time of the year to conduct a marketing trip to your region or a visit to your office to recruit students?
Do you assist students while in Australia?
If Yes, Please select:
through an office in Australiathrough an office overseas
Referee 1
Company Name
Contact Person
Position
Address
Email
Referee 2
Please complete your bank account details below into which you wish the commission payments to be made. If there is any change in Bank Account details, please advise us in advance.
Financial Institution Name
Bank Address
Name of Bank Account
Swift Code
BSB Code
Account Number
Please sign the declaration below-
I understand that Institute of Business and Management (Victoria) is not under any obligation to accept my application to act as an agent to recruit students on their behalf. understand that if my application to become an agent of Institute of Business and Management (Victoria) is successful, I will be required to enter into and abide by a formal agency agreement.
I confirm that I have all the necessary registrations, accreditations and permissions to act as an education agent in all the territories which I have nominated, and understand that I must notify the institute if any changes occur in the registration status of my agency.
I have read, understand and agree to abide by the terms and conditions of the institute’s privacy policy.
I consent to Institute of Business and Management (Victoria) to contact any of the referees I have nominated.
I undertake that the above information provided in this application is a true and accurate record as to the operation of the educational agency I represent.
By returning this application to Institute of Business and Management (Victoria), I agree to abide by the terms and conditions in the mentioned declaration.
Personal information disclosed to NCVER may be used or disclosed for the following purposes-
Address & Contact for notices-
60 Belfast Street, Broadmeadows, VIC, 3047.
Phone - +61 3 94783163
Email - info@ibm.vic.edu.au
Name of Officer / Agent
Signature of Officer/Agent
Date
Submit
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