Business Name　:
Business Address:
Contact 　Name:
Telephone　　  :	Fax:
Email　　　　　 :
Web Site　　　 :
Please provide translated certified copies of business registration certificate
BUSINESS BACKGROUND
Years in business as an education agent:
Is your office involved with any other business? If yes, please outline
No. of international students recruited for study each year:
To which countries do you send most students for study?
To which Australian institutions do you refer students?
Which Australian institutions or schools do you represent?? (Attach extra sheet if you need space)
Services provided to students: (Please tick )
1. Student counselling	2. Follow up with parents
3. Collecting Fees	4. English Testing
5. Pre-departure briefing	6. Visa application
7. Homestay/guardianship	8. Others
STAFF BACKGROUND
No. of staff in your company? Counsellors  Administrative staff
What qualifications do they hold?
All the staff are Professionally qualified with Bachelors and Masters Degree in various disciplines and relevant work experience in the Industry?
Have any of these staff studied / worked in Australia:? Please provide details:
Have you or any of your counsellors ever visited Australia ?
Please indicate two referees we can contact from Australian educational institutions where you have enrolled students. The referees will be contacted, if they fail to respond after three attempts, your application will be unsuccessful on this occasion.(please attach extra sheet if you need space)
Please indicate how you advertise the services you offer:
Have you attached a certified translated copy of your business registration and marketing plan?