STUDENT CONNECT PVT.LTD. |

Become A Partner

Education Agent - Application Form

Company Details
Agency Specifics
Company Profile
Submission

COMPANY DETAILS

Name of company/ organisation *

Official business registration number/ license * If an Australian Company, please provide your ACN (Australian Company Number)

Company web address

HEAD OFFICE ADDRESS

City *

State/ Province/ Region *

Postal/ Zip Code *

Country: *

COMPANY PRIMARY CONTACT

Please provide the primary contact for the agreement signing.

First Name *

Last Name *

Gender

Mr.

Ms.

Email *

Telephone

Mobile

AGENCY PROFILE

Have you completed the Australian Education Agent Training Course (EATC) through PIER?

Yes No

How did you find out about us? *

Which country are the majority of your students applying from? *

Which institution country are the majority of your students applying to?

Top destination

Country 1:*

Top destination

Country 2:*

AGENCY REFERENCE

Reference 1

Name *

Organisation *

Telephone *

Email *

Reference 2

Name *

Organisation *

Telephone *

Email *

BUSINESS REGISTRATION NUMBER/ LICENSE

Please upload your business certificate.*

Note: Uploads pdf File must be 1MB

COMPANY PROFILE

File must include the number of offices, type of offices (fully owned, franchised, partnered, sub agent, etc.) either actual or in the case of a startup, proposed.

Note: Uploads pdf File must be 1MB

SUBMISSION

Thank you for your Application!

Please note that this is just an initial application and a GSP representative will be in touch with you soon. Please refer to the email we sent you for more details.

I agree to the Terms, Conditions and Privacy Policy.

Become A Partner

Thank you for your Application!

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