Agent Registration Download Form Agency Details Company Legal Name Company Trading Name Agency Senior Contact Position Direct No Direct Email Main No Website ABN (domestic agents only) ACN (domestic agents only) MARA registration number (domestic agents only) Agency Address Mailing Address (if different from above) Survey Questions How many staff does your company employ? What are the nationalities of students that you recruit? Is your main business direct overseas student or local internationals? Do you have offices or sub agents overseas? If yes, please specify the countries How many students do you recruit annually? Please indicate below the percentage of your business to the respective sectors. Private Higher Education Universities Vocational Education and Training High Schools English Schools Others Name the top 4 providers you represent How did you hear about Mid City College? Please Provide 2 references (preferably from higher education providers) Provider 1: Contact Person / Title Tel No Email Provider 2: Contact Person / Title Tel No Email Agency status Agency Name New Application Request Please provide followings details Business Registration Certificate Profile of the company ABN Letter (for domestic agents) Only: gif, png, jpg, jpeg, pdf Declaration I confirm that the information given in this application is true and not misleading
02 8052 3231
info@midcity.edu.au
