Agent Application Form

Business Name

Legal Name *

Trading Name

Is this business an Australian business? *
YesNo

ABN

ACN

1. Office address

Street Number and Name *

Suburb / City *

State / Region *

Country *

Postcode *

2. Contact name

Title

Surname *

Given Name *

Phone No. *

Email *

Website

3. Business background

How many years have you been in business as an educational agent? *

Do you use sub-agents or other people not employed directly by you to perform such recruitment activities? *
YesNo

If yes, are you aware that you are fully responsible for the actions of any such sub-agent or individual to KCBT if an agent agreement is executed? *
YesNo

Which services will you provide for students? (Select all that apply)
Pre-enrolment counsellingStudent admissionsCollecting feesArranging travelProviding accommodationAssistance with visa applications

4. Understanding and complying with ESOS requirements

Are you required to regularly monitor the performance of your staff or sub-agents to ensure they are complying with the Australian Department of Education and Training? *
YesNo

Have you read the National Code of Practice for Registration Authorities and Providers of Education and Training to Overseas Students 2018? *
YesNo

Are you aware that if a student changes to your institution from another provider, they must have a valid release letter if they haven't completed 6 months of their principal course? *
YesNo

Do you understand that you must not make any guarantees about possible migration outcomes or a student’s successful completion of a course, and must not mislead them about their educational program? *
YesNo

Do you confirm that you must comply with all requirements set by KCBT, including providing up-to-date marketing materials, application procedures, and accurate information to students? *
YesNo

Are you prepared to only use marketing material supplied by KCBT to describe agent roles and courses? *
YesNo

5. Description of potential markets

Is this the best suitable time of the year to conduct a marketing trip? You can also add office info for inquiries. *

Please use the space provided below to include any other information you consider to be relevant. *

Please indicate how you advertise the services you offer & what medium? (print, web, etc.) *

From which geographical area will your potential market come? Please justify your choice. *

6. Bank Details

Bank Name *

Account Name / IBAN *

Bank BSB / Branch Code *

Bank Account No / IBAN *

Bank Swift Code / IBAN / Sort Code

Does this bank accept Australian dollars? *
YesNo

Bank Street Address

Bank Suburb / City

Country *