Agents Form | Platinum Education

Company Details and Background

Company/Business Name

Trading name (if different from Company name)

Company/Business Registration Number

Years Established

Name of Director/CEO

Town and Country of Company/Business Registration

Address Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Phone Number

Website

Please describe your business activities

Number of staff

Number of International offices

Locations of International Offices (if any):

Director and Employee Details Person 1

First Name

Last Name

Position

Qualification and previous experience

Membership of education agent professional bodies

Person 2

First Name

Last Name

Position

Qualification and previous experience

Membership of education agent professional bodies

Potential Markets and Services to be Provided

What are your target markets?

What marketing strategies will you use to promote our courses?

Please outline any support services that you offer perspective students.

Do you charge students any fees for your service? If YES, please provide details of the services and relevant fee for each.

Agency Performance and Compliance

How many Australian education institutions are you currently representing?

How many students have you referred to Australian educational institutions in the past 2 years?

Please briefly outline how you and your organisation will fulfil your responsibilities as an education agent as required by the National Code 2017. Please attach additional information such as company flyers etc. if required.

Have you or any of your staff completed the Education Agents Training Course (EATC) available through www.pieronline.org?

Yes

If YES, please list who has completed the course.

Do you have a comprehensive understanding of the requirements of the ESOS Act and National Code?

Yes

Do you regularly monitor the Australian Department of Immigration and Citizenship (DIAC) website (www.immi.gov.au) and the Depart-ment of Education

Yes

Are you willing to comply with the requirements of Platinum Education regarding advertising, course materials and application procedures, and provide accurate information to students?

Yes

Are you prepared to use the marketing materials provided by Platinum Education to promote our courses?

Yes

Additional Information

Please provide any other information that you think will support your application.

References

Please provide details of at least two Australian educational institutes that we can contact for a reference.

Institution 1

Name of Institution

Contact Person

Position

Phone Number

Dates when you worked with them

Institution 2

Name of Institution

Contact Person

Position

Phone Number

Dates when you worked with them

Declaration

In signing this agreement, you declare that

You have read and understood the extract from the ESOS Act 2000 Obligations of Agents.
The answers and details provided in this application are true, accurate and complete.
Platinum Education is authorised to contact the referees listed to collect information about my conduct and services.
You acknowledge and agree to the privacy statement provided below.

Privacy Statement: All information collected, used or disclosed by Platinum Education is confidential and is protected by the Privacy Act 1988 and other relevant legislation. Platinum Education policy is outlined in the Information Privacy Policy available from our website. Information about Agents or students may be made available to Commonwealth and State agencies if required to provide the information by law.

First Name

Last Name

Date

Documents Upload:

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Checklist(Documents Attacahed):

Business Regsitration Certificate

MARN or Education Agent Certificate

Business Profile

Public Liability or Indeminity Certificate

Education Agents Application Form