Agent Application - JPIC Academy

Business Registration

Registered company name(Required)

Trading name (if different)

Is it Australian company?(Required)

Yes

ABN

ACN

Upload a copy of business registration certificate(Required)

Accepted file types: jpeg, jpg, png, pdf, doc, docx, xlsx, xls, csv, txt, Max. file size: 512 MB.

Please upload your company profile(Required)

Drop files here or

Accepted file types: jpeg, jpg, png, pdf, doc, docx, xlsx, xls, csv, txt, Max. file size: 512 MB, Max. files: 6.

Key Contacts

Agency Director

Title

Name(Required)

First Last

Applicant Email(Required)

Phone(Required)

Contact for contracts / confidental matters

Title

Name(Required)

First Last

Email(Required)

Phone(Required)

Head Office Business Address

Street Address(Required)

City / State / Region(Required)

Country(Required)

Postcode

Phone(Required)

Fax number

Email(Required)

Website(Required)

Sub-branches

Do you have multiple office locations(Required)

Yes

If yes, please upload a list of your offices and include relevant contact details (name, email and phone).

Please upload your office list

Accepted file types: jpeg, jpg, png, pdf, doc, docx, xlsx, xls, csv, txt, Max. file size: 512 MB.

Business Services

Please include the services provided to students:(Required)

Student counselling

Assistance with application process

Pre-departure briefing

Post admission services

Have you had any student visa applications refused?(Required)

Yes

Experience and Performance

Has the business previously operated under a different trading name?(Required)

Yes

Please provide business name:

Are you accredited to act as an education agent in your country?(Required)

Yes

Number of international students the primary business has recruited to Australian education institutions in the past three years.(Required)

Please enter a number from 1 to 5000.

Primary/Secondary School:

ELICOS (English):

Foundation Studies:

University/TAFE:

Education agents are strongly encouraged to complete industry-recommended training courses. Have your counsellors/staff responsible for the Australian Schools sector completed the Professional International Education Resources (PIER) training, or equivalent online Education Agent Training Course?(Required)

Yes

What training and educational qualifications do you or your staff have in relation to the role of an education agent?(Required)

Qualified Education Agent Counsellor

Certificate of accrediting body membership

Qualified Migration Agent

Others

None

Please provide details

Please upload copies of relevant training certificates(Required)

Drop files here or

Accepted file types: jpeg, jpg, png, pdf, doc, docx, xlsx, xls, csv, txt, Max. file size: 512 MB, Max. files: 6.

Referees

Please provide two referees from the education (school) sector in Australia / New Zealand with whom you have an active working relationship and where you have enrolled students in the last two years (include full name, name of the institution and email address).

Referee 1

Name of referee 1(Required)

Position of referee 1(Required)

Email of referee 1

Institution name of referee 1

Referee 2

Name of referee 2(Required)

Position of referee 2(Required)

Email of referee 2

Institution name of referee 2

Declaration

I/we declare that:

the answers and information provided in this application are complete and accurate and that all information pertinent to this application has been fully disclosed;
I/we have read and understand all relevant laws and regulations of Australia pertaining to consumer protection and have a knowledge and understanding of the requirements and obligations under the Education Services for Overseas (ESOS) Act 2000 and the National Code of Practice for Registration Authorities and Providers of Education and Training to Overseas Students 2018;
I/we confirm that I/we have all the necessary registrations, accreditations and permissions to act as an education agent in all the territories that I/we have nominated and understand that I/we must notify the College if any changes occur in the registration status of my/our agency;
I am/we are aware that the College will conduct a due diligence check and is under no obligation to approve my/our application;
I/we authorise the College to contact referees to collect any information or details as required;
if accredited, I/we agree to abide by the provisions of the National Code 2018;
any conflict of interest or perceived conflict of interest will be handled in an appropriate manner in accordance with ESOS requirements;
I/we agree to comply with the requirements of the College regarding advertising, course materials and application procedures, and provide accurate information to students.

Application Name(Required)

First Last

Applicant’s title:(Required)

Please provide applicant's position

Signature(Required)

Phone

This field is for validation purposes and should be left unchanged.

Application to become a JPC agent

Business Registration

Key Contacts

Agency Director

Contact for contracts / confidental matters

Head Office Business Address

Sub-branches

Business Services

Experience and Performance

Referees

Declaration