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  • Education Agent Application Form

  • Please Note: if Agency have more than one Branch/Locality, please complete one form for every Branch/Locality

  • A-AGENCY DETAILS



  • B-ADDRESS OF PRINCIPAL PLACE OF BUSINESS

  • C-POSTAL ADDRESS (Only if different from the principal place of business)

  • D-if Agency is body Corporate (Company), ADDRESS OF THE BODY CORPORATE/COMPANY'S REGISTERED OFFICE.

  • E- Associated Persons

  • Please provide the following information about
    • Each of the body corporate Director
    • Agency's each employee who is involved in facilitating the enrolment
    • Branch /State/ Locality Head
    • Proprietor, Partner, Owner, Shareholder (15% or more)
  • If such person is registered with office of Migration Agents Registration Authority, then Migration Agents Registration Number (MARN) is also required. If they have an Overseas Education Agent ID provided by the Department of Home affairs, please provide the same.
  • PERSON-1

  • Type a question*
  • PERSON-2

  • Type a question*
  • PERSON-3

  • Other Role of the Person in Agency
  • PERSON-4

  • Other Role of the Person in Agency
  • PERSON-5

  • Other Role of the Person in Agency
  • Note: Please copy the required details and provide as separate sheet for each remaining persons.
  • F-ACADEMIC REFERENCES

  • PLEASE ENSURE THAT YOU PROVIDE THE NAMES, CONTACT NUMBERS AND E-MAIL ADDRESSES OF TWO REFEREES FROM INTERNATIONAL OFFICES OF OTHER EDUCATION INSTITUTIONS THAT YOU CURRENTLY REPRESENT THAT WE MAY CONTACT.
  • Academic Reference-1

  • Academic Reference-2

  • Academic Reference-3

  • G-PERFORMACE

  • H-SERVICES

  • What services do you provide to students? (Please tick all appropriate responses*
  • I-COMPLIANCE WITH ESOS REQUIREMENTS

  • I-COMPLIANCE WITH ESOS REQUIREMENTS*
    Rows
  • J-CONFLICTS OF INTEREST

  • Registered providers must ensure the education agents they engage with act ethically, honestly and in the best interest of overseas students. This means that registered providers must ensure its education agents declare and take all reasonable steps to avoid conflicts of interest with its duties as an education agent of the registered provider. This provision is to ensure transparency in the education agent's activities. Examples of conflicts of interest include, but are not limited to:
    • when the agent charges services fees to both overseas students and registered providers for the same service or
    • where an education agent has a financial interest in a private education provider or
    • where an employee of an education agent has a personal relationship with an employee of the education provider
  • Do you have Conflicts of Interest?
  • K-OWNERSHIP AND CONTROL

  • whether the Griffin College, or an associate of the Griffin College, has any ownership or control (whether direct or indirect) of an education agent, "associate" meaning as per section 6 of the Education Services for Overseas Students Act 2000?
  • whether the Education Agent or an associate of the Education Agent, has any ownership or control (whether direct or indirect) of Griffin College, and if so, the value or extent of the ownership or control. "associate" meaning as per section 6 of the Education Services for Overseas Students Act 2000?
  • L-PRIVACY STATEMENT

  • As an appointed education agent of Griffin College, you agree to your personal information being.
    • Recorded in PRISMS. This may include your name, business name, email address, phone number, and address, and any other information as required by law.
    • Accessed by the Australian Government Department of Education and Training, Department of Home Affairs and other Commonwealth agencies that access PRISMS.
    • used to administer or monitor compliance with the Commonwealth legislation e.g. Education Services for Overseas Students Act 2000,
    • disclosed by the Australian Government Department of Education and Training to other Australian Government entities (including, but not limited to ASQA and TEQSA), education institutions and publicly. The Australian Government Department of Education and Training will share individual agents' performance publicly as aggregated data (but will not identify agent – provider relationships). Agent-provider relationships will only be identified when data is shared with education providers and other Australian Government entities.
    • The ESOS Act and ESOS Regulations require registered providers to provide certain information about their education agents, including commissions paid to those education agents when requested by the Secretary
    • There are a number of changes relating to education agents and agent commission payments under the Education Services for Overseas Students Act 2000 (the ESOS Act), including improving transparency of education agent information for education providers. More information about education agents will be made available to providers through PRISMS, in addition to the existing education agent data that is available. Providers will be able to access information about all agents used by all providers, not just the education agents they currently work with. This includes education agent information on:
      • the number of transfers of accepted students from one provider to another
      • the number of transfers of accepted students from one course to a different course, and
      • information about education agent commissions. Providers will be notified through PRISMS when this information becomes available
  • M-COVID-19 QUARANTINE/ SIMILAR FUTURE SITUATION SUPPORT

  • Biosecurity measures and travel restrictions may be in place to help prevent the spread of COVID-19 or similar situations. Read about what measures are in place when travelling in or out of Australia Australian Government Department of health website www.health.gov.au. Student must make own arrangements to make sure Students are meeting all the requirements of Australian and state Government at their own cost. Griffin College will help/support Students to meet their obligation at their cost.
  • Do you provide Students additional support to meet their obligations in COVID-19 like circumstances?*
  • N-ADDITIONAL INFORMATION

  • O-DECLARATION

  • I declare that I am an authorised person to sign this form on behalf of the Agency and have obtained the required consent from employees/staff/directors etc (Each Person) to provide their business and personal information to Griffin College.
    I declare that I have read and understood the ESOS Act 2000 and the National code, and aware about the obligations of agents.
    I confirm and declare that the information provided is true and accurate to the best of my knowledge.
    I authorise Griffin College to approach referees to collect any information/details as it may request from time to time.
    I understand that Griffin College reserves the right not to proceed with providing an International Education Agreement for any reason it considers appropriate.
  • Date*
     - -
    2 digit day, 2 digit month, 4 digit year
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