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Agent Application Form
Is Postal Address same as registered address?
Agent's Principal Executive Officer
Agent's Day to Day Contact

Agent’s nominated recruitment staff involved in ETEA student marketing

About you:

Have you previously worked in conjunction with another education agent?

DECLARATION: I am interested in representing Education Training & Employment Australia as an education agent and I agree to do so in an honest and professional manner.

Signature Of Agents Authorised OfficerI agree to the terms and conditions
(Sign Here)
Clear Signature

If you can't draw signature, please upload your signature below.

Please upload all supporting documents such as Marketing Plan, Agent Profile, MARA Registration, ABN/ACN Registration, Company registration certificate.