EDUCATION AGENT APPLICATION FORM

RTO No: 45754 | CRICOS Code: 03949M

Section A: Company Details & Background

Step 1 of 4

Instructions

This form should be completed by an education agent or its representative who wish to engage with and represent the Riverdale Institute.
Please ensure that you have read and understood Riverdale Institute's Education Agent Policy and Procedure available on our website: www.riverdaleinstitute.edu.au.
For any queries regarding this matter, please email info@riverdaleinstitute.edu.au or call on 1800 902 480.

Company Name*

Trading Name*

Are you based in Australia or offshore?*

Office Address*

Email*

Work Phone*

Mobile*

Representative Full Name*

Representative Position*

Migration Agent Registration Authority Number (MARN) / QEAC (mandatory if based in Australia)

Number of years the business has been providing its services as an Education Agent*

Number of International Students recruited for study in Australia in last 3 years*

List of the institution you are currently representing in Australia*

List the courses you usually promote*

List of Countries you operate in*

What services do you provide to the international students?*

Do you charge students additional fees for the above services?*

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