Application For Agents

AGENT APPLICATION FORM

All fields are mandatory. Please tick where applicable.

    Agency Details
    Agency Principal Contact Person

    Agency Contact Person for Finance Matter
    Company Background
    Specialist In:
    Counsellors Details
    References- Please list two institution-contacts that we can contact for reference.
    Reference 1
    Reference 2
    Declaration
    1. Can you ensure that your agency regularly conducts the following actions?
    • Monitor regulations and/or any changes as released on the website of Department of Home Affairs (DHA).
    • Implement, monitor and work in accordance with the National Code of Practice for Providers of Education and Training to Overseas Students 2018 and ESOS Act (Regulations) 2019.
    • Monitor policies and/or any changes as released on the website of Department of Education and Training.
    • Only to use the materials supplied by Melbourne College of Business and Technology in any of the promotion activities.
    YesNo
    2. Has anyone in your agency ever:
    • Been refused any registration under any law of any country?
    YesNo
    • Engaged or been charged with any offence/activity that subject to any statutory penalty or sanction in any country?
    YesNo
    • Engaged in or to have previously been engaged in, dishonest practices, including:
      • Deliberately provide misleading or unfounded information, or bogus document to any student, education provider, government authority or other organisation,
      • Facilitate the enrolment of a student who will not comply with the conditions of their student visa
      • Provide unethical advice to any stakeholders
      • Provided immigration advice when not authorised to do so under the Migration Act 1958?
    YesNo
    • Do you have an internal policy to assess whether the prospective client is a genuine student
    YesNo
    If Yes to any of above statement, please provide details:
    Agent Agreement:
    Signature: