Education Agents Application Form
Company Details and Background
Business Address
Director and Employee Details
Person 1
Person 2
Agency Performance and Compliance
References:
Please provide details of at least 3 Australian educational institutes that we can contact for a reference.
Institution 1
Institution 2
Declaration
By 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.
• ICEG is authorized 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 ICEG is confidential and is protected by the Privacy Act 1988 and other relevant legislation. ICEG 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.
Please return this form along with supporting evidence to [email protected]
Education Agents Application Form
Company Details and Background
Business Address
Director and Employee Details
Person 1
Person 2
Agency Performance and Compliance
References:
Please provide details of at least 3 Australian educational institutes that we can contact for a reference.
Institution 1
Institution 2
Declaration
By 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.
• ICEG is authorized 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 ICEG is confidential and is protected by the Privacy Act 1988 and other relevant legislation. ICEG 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.
Please return this form along with supporting evidence to [email protected]
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