Agent Reference Survey Personal Information Referee Name Referee Position Institute Name Contact Number Email Address Agency Name Agent Contact Name Is the Agent an authorised representative for your institute? Please SelectYesNo Questions How long has your institution been dealing with this Agent? How do you find the quality of applications submitted by this Agent? Please SelectExcellentVery GoodGoodFairPoor Please rate the Agent with respect to payment and administration matters Please SelectExcellentVery GoodGoodFairPoor In general terms, how are the attendance records of the students referred by this Agent? Please SelectExcellentVery GoodGoodFairPoor How cooperative/supportive is this Agent with any post enrolment issues/problems their students may have? Please SelectExcellentVery GoodGoodFairPoor Recommendation Would you recommend this Agent? Please SelectYesNo Comments Please add any additional comments if required