Yarra College Australia (YCA)

Company Name :*

Trading Name :*

ABN or ACN : *

Enter Telephone : *

Enter Mobile :*

Enter Email Id :*

Enter Website : *

Company/Business Physical address (PO box NOT ACCEPTED) :*

Company/Business Postal address :* Same above

Names of all Directors : *

Name of Chief Executive Officer (if different) :*

Agent’s MARA/QAEC number : *

Employees who will be involved in Enrolment process with Yarra College

Sr.no.	Name	Email Address	Migration Agent Registration Number (If registered with OMARA)	Action
1

Company information:

How long has your company been in existence?

Branches:

Description of your major business activities:

Services provided to students:

Number of students sent abroad per year:

Countries students are sent from:

Name any 3 Institutions / Colleges currently representing:

What professional associations are you a member of?

Number of students you estimate to recruit for Yarra College Australia over the next 12 months:

Have you ever had a previous education agent agreement cancelled by a RTO?

Yes No

Please provide details:

Service provided to students (Please check the appropriate boxes):

Student Counselling

Pre-departure

Visa Application

Follow-up with Parents

Other

Please attach the following to your application:

Business Registration Certificate

Copy of your company profile

Copy of Register of company

Copy of MARA Certificate

Business Registration Certificate : *

Copy of your company profile : *

Copy of Register of company : *

Copy of MARA Certificate : *

(Provide two provider references -University, College, or RTO). Agent-to-agent references are not accepted.

First Reference

Name: *

Position: *

College/Institution Name: *

Phone: *

Email: *

Second Reference

Name: *

Position: *

College/Institution Name: *

Phone: *

Email: *

PLEASE READ THE FOLLOWING CAREFULLY

I/ We understand that submitting this ‘Agent Application Form’ to Yarra College Australia, does not grant or guarantee registration as an agent for recruiting domestic and / or international students.Yarra College Australiareserves the right to cease all business dealings with me / us if we mislead prospective students or misrepresent Yarra College Australia as authorised agents or representatives of Yarra College Australia.
I/We prepared to enter into an agreement with Yarra College Australia
All the information provided above is true and accurate.
I am interested in representing Yarra College Australiaas an education agent and I agree to do so in an honest and professional manner as per the National Code of Practice for Registration Authorities and Providers of Education and Training to Overseas Students (The National Code) and the ESOS Act 2000 https://internationaleducation.gov.au/Regulatory-Information/Education-Services-for-Overseas-Students-ESOSLegislative-Framework/ESOS-Regulations/Pages/default.aspx

Applicant’s signature:

Applicant’s Name : *

Applicant’s Position: *

Date: *

Declaration

By submitting 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. Yarra College 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 Yarra College is confidential and is protected by the Privacy Act 1988 and other relevant legislation. Yarra College 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.

ONSHORE AGENT APPLICATION FORM

Employees who will be involved in Enrolment process with Yarra College

Company information:

What marketing strategies will you use to promte our courses ?

Please attach the following to your application:

(Provide two provider references -University, College, or RTO). Agent-to-agent references are not accepted.

First Reference

Second Reference

PLEASE READ THE FOLLOWING CAREFULLY

Applicant’s signature:

Yarra College Australia

YCA

COURSES

JOIN OUR MAILING LIST

How can I help?

ONSHORE AGENT APPLICATION FORM

Employees who will be involved in Enrolment process with Yarra College

Company information:

What marketing strategies will you use to promte our courses ?

Please attach the following to your application:

(Provide two provider references -University, College, or RTO). Agent-to-agent references are not accepted.

First Reference

Second Reference

PLEASE READ THE FOLLOWING CAREFULLY

Applicant’s signature:

Yarra College Australia

YCA

COURSES

JOIN OUR MAILING LIST