Agency Application Form

ACTB is CRICOS registered and welcomes students from all over the world.

Agency Application Form

COMPANY DETAILS:

Primary Office Street Address:

Address

Primary Office Postal Address:

Address
Max. file size: 128 MB.

BANK ACCOUNT DETAILS (For transfer of commission payments):

Please enter details below

YOUR COMPANY PROFILE: (Please attach details)

Please attach your ‘Company Profile’ in English. The Company Profile must include the history of the company, number of employees, other organisations that your company represents and an overview of the company’s main activities.
Max. file size: 128 MB.

PLEASE COMPLETE THE FOLLOWING QUESTIONS:

REFEREES

List two (2) other Australian institutions who would act as a referee in support of your application. One institution MUST be an SVP provider
PLEASE SEND YOUR COMPLETED FORM AND TWO COMPLETED ‘AGENT REFERENCE CHECKS’ BY EMAIL TO applynow@actb.com.au

SIGNATURE OF AUTHORISED PERSON (COMPANY DIRECTOR/ PROPRIETOR OR AUTHORISED DELEGATE):

Name
DD dash MM dash YYYY
Please ask TWO referees to complete the ‘Agent Reference Check’ below. Your referee can send us the completed form directly by email to us or through you. TO applynow@actb.com.au
Please note: Your application may not be approved unless all required information is received
AUSTRALIAN COLLEGE OF TECHNOLOGY AND BUSINESS P/L

AGENT REFERENCE CHECK

(This form should be completed by an educational institution that uses the agent’s services)
I declare that all of the information given is correct.
Max. file size: 128 MB.
DD dash MM dash YYYY
Thank you for your assistance!
Please email the completed form to applynow@actb.com.au