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Potential Agent Application Form

This is only an application for consideration to be appointed as a VERIFIED AGENT of AINiT. Completion of this application does not suggest that you will automatically receive an agreement.

The application process could take up to 8 weeks. The management of AINiT will get back to you if required any further information from you.

In order to assist AINiT in the selection of Agents to represent them, please complete this form as comprehensively as possible and return it to this office by email on agents@ainit.net

Personal Information

Company Name:Key Contact (Ms/Mr/Dr)
Current Job TitleOffice Address
CityMobile Number
Email Address

Company Details

When was your compnay establishedDescription of your core business
Have you refeered any student overseas in last 12 months? (Yes/No), If Yes, please details:
Do you have experience in Career Counselling, If Yes, please provide details

Description of Potential Market

Projected number of students to be refered to AINiT in next 2 years for the following countries
Number of students for AustraliaNumber of students for New Zealand
Number of students for CanadaNumber of students for US
Number of students for UKNumber of students for Malaysia
Number of students for TurkeyNumber of students for Germany
Number of students for China

Existing number of staff

Details and backgrounds of key staff in your organization

Key Staff no. 1

TitleFamily Name
First NamePosition
Phone No.E-mail
Number of years with companyBackground, qualification and previous experience:

Key Staff no. 2

TitleFamily Name
First NamePosition
Phone No.E-mail
Number of years with companyBackground, qualification and previous experience:

Key Staff no. 3

TitleFamily Name
First NamePosition
Phone No.E-mail
Number of years with companyBackground, qualification and previous experience:

Business Experience and Financials Details

Is the company in a sound financial position? (Yes/No)
Are there any judgements or orders against the company or its principals, or
Applications for its winding up, dissolution, liquidation or cessation of business? (Yes/No)
If yes, in relation to any of these, please supply details
(please attach a separate sheet if you require more space and quote this relevant section
Have you ever been involved in a business, if yes, please provide details
Have you ever been involved in a representative business, if yes, please provide details
Sales experience (if any, years)
What is your gross income (investments included)

Why do you want to become an AINiT VERIFIED AGENT?

References

Please provide two references before your application will be considered
NameCompany
PositionAddress
TelephoneE-mail
Website
Please provide two references before your application will be considered
NameCompany
PositionAddress
TelephoneE-mail
Website