Lead College Agent Application Form

Agent Application Form
Company Legal Name*
Company Trading Name*
Company Registration Number*
Business Registration Number
Australian Business Number
(for Australian-based companies only)
Business Address
Unit Details
Street Number*
Street Name*
PO Box Details
City/Suburb*
Post Code*
Country
Postal Address
Building Name
Unit Details
Street Number*
Street Name*
PO Box Details
City/Suburb*
Post Code*
Email*
Phone*
Format: (000) 000-0000.
Fax
Format: (000) 000-0000.
Year Established*
Website
Number of Staff/Counsellors*
Migration Agent Authority Number (MARN)
Description of Business/Brief Summary*
Staff Information (Director / CEO / Managers / Counsellors)
Name*

PrefixFirst NameMiddle NameLast Name
Gender*

MaleFemaleOther
Position Held*
Email*
Qualifications*
Name

PrefixFirst NameMiddle NameLast Name
Position Held
Email Validator
Qualifications
Name

PrefixFirst NameMiddle NameLast Name
Position Held
Email Validator
Qualifications
Number of Staff*
Number of Students Recruited (annually)*
Target Market (regions.countries of client base & courses of interest to your clients)*
Optional: Details of other Institutions/Universities you currently represent in Australia & other Countries

Please list
Name of Institution*
Name of Institution*
Name of Institution*
Name of Institution*
Name of Institution*
Performance
The number of students referred to Australian education institutions over the past 2 years.
High School & ELICOS Courses*
Vocational Courses*
Undergraduate Courses*
Post Graduate Courses*
Compliance
Please tick Yes or No and Complete All Sections
1. Do you understand that students coming to Australia on a student visa must have a primary purpose of studying and must study full time?*

YesNo
2. Do you understand that students coming to Australia on a student Visa must be a Genuine Temporary Entrant (GTE) approved candidate?*

YesNo
3. Do you understand that you must not make any guarantees about achieving residential status in Australia, but you can refer students to the relevant website?*

YesNo
4. Do you understand that you must not make any guarantees about completing the courses without achieving the requisite to completion of the courses?*

YesNo
5. Do you have the knowledge of the requirements of the Education Services for Overseas Students (ESOS) Act 2000 and National Code 2018 as an Education Agent?*

YesNo
6. Please list the main responsibilities of Education Agents under the National Code 2018. How do you comply with these obligations?*
7. Do you regularly monitor the Australian Department of Home Affairs website?*

YesNo
8. Are you prepared to comply with the requirements of Lead College regarding advertising, course material and application procedures, and provide accurate information to students to make informed decisions.*

YesNo
Do you have a representative in Australia? If so, please provide the details below.*

YesNo
Company Name
Business Address (If marked Yes)
Building Name
Unit Details
Street Number
Street Name
PO Box Details
City/Suburb*
Post Code*
Company Business Reg No.
Company Website
Phone
Format: (000) 000-0000.
Fax
Format: (000) 000-0000.
Description of Potential Markets
What do you believe is the most effective marketing strategy to employ in your region or market?*
From which geographical area will your potential market come? Please describe any strengths you have in these regions to justify your choice.*
Please describe the characteristics of your potential market (age, income, educational background, university networks, etc.). *
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?*
Student Services
Please outline the support services you offer to students.*
Do you charge students any service fees? If yes, please provide details.*
Academic References
Please list the names and contact details of three (3) professional referees you represent:
Referee 1
Institute Name*
Contact Name*
Email*
example@example.com
Phone*
Format: (000) 000-0000.
Referee 2
Institute Name*
Contact Name*
Email*
example@example.com
Phone*
Format: (000) 000-0000.
Referee 3
Institute Name
Contact Name*
Email*
example@example.com
Phone*
Format: (000) 000-0000.
Document Checklist
Evidence of business registration*

Upload

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Company/Business profile (Photo of premises and staff)*

Upload

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Documents that you believe will support your application, particularly describing the student services you provide

Upload

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Evidence of professional memberships, if any

Upload

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Supporting promotional materials/information provided to international students

Upload

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Declaration
I (Full Name), *
confirm that the information provided is true and accurate to the best of my knowledge and I authorise Lead College to approach referees to collect any information/details as you may request from time to time.
Signature*
Date*

DayMonthYear
Agent Application Form | V2.0 - Reviewed January 2026

ABN: 63 604 422 853
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Agent Application Form

Optional: Details of other Institutions/Universities you currently represent in Australia & other Countries

Performance

Compliance

Description of Potential Markets

Student Services

Academic References

Document Checklist

Declaration