RTO Agent Application Form

Please provide staff details:*

PART C. AGENT DETAILS:
How long has your business operating?*
Key Business Activities:
Services provided to students:*
Number of offices:*
Number of staff:*
Number of students sent to Australia per year:*
No. of staff who are involved in the educational counselling for admission(s):*
How do you promote Australian International education and how will you promote our Institute?*
The countries/regions covered by your agency:*
What is your projected number of students you plan to send in the next six months?*
List of three institute you are currently representing in Australia:*
How did you heard about HIC?*
Please provide name of Marketing Officer:*
Please Specify:
Is your company registered for Goods & Services Tax (GST)?:*

PART D. REFERENCES:

Please list two (2) references that are familiar with your work life (Must be Australian Education Provider)
Reference 1:
Organization Name:*
Contact Officer Name:*
Position:*
Contact Number:*
Email Address:*
Number of years known:*
Reference 2:
Organization Name:*
Contact Officer Name:*
Position:*
Contact Number:*
Email Address:*
Number of years known:*
PART E. DECLARATION:
I am interested in representing HIC (Harward International College) as an education agent and I agree to do so in an honest and professional manner. I agree to:
- Regularly monitor policies and changes to the policies as reported on the DHA website.
- Regularly monitor policies and regulations and changes to these policies and regulations as
  reported on the Department of Education website.
- Have read the National Code of Practice for Registration Authorities and Providers of Education
  and Training to Overseas Students and agree to adhere to the relevant Standards.
Signature:*

Clear
Date:*

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Please attached Company Registration Certificate and Company Profile:*

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PART A: COMPANY DETAILS