Core Japan Intl

Company Profile

Company Name *

Local Trading Name

Operational / Street Address

Town / City

State

Post / Zip Code

Country

Website

Phone

Skype

If different from street address

Postal Address

Town / City

State

Post / Zip code

Company Director Main Contact (If different from Company Director)

Position / Job Title

Title

Mr Miss Mrs Other

First Name

Family Name

Telephone

Email address

Alternative Representative

Position / Job title

Title

Mr Miss Mrs Other

First Name

Family Name

Telephone

Email address

Company Details

Year founded

Years as an education / migration agent

Number of staff

Business profile / Strategic plan

Yes No

Organisational Chart

Yes No

Number of offices / Locations (List)

Sub-agencies (List)

Partnerships with other agencies (List)

Associations / affiliations / training certificates with any other relevant organisations (List)

Associations / registrations with any local authorities / governments / councils / etc. (List)

Please advise names of three (3) other institutions you represent:

Has your company, or any individual within your company, ever been involved in past, pending, threatened or potential litigation, arbitration, administrative actions or other disputes?

Marketing Details

Please indicate the geographical territories you will recruit students from (List)

Please indicate the geographical territories you recruit students to (List)

Please advise if you plan on recruiting students to any other geographical territories

Where do you source your students?

Local school relationships (%)

Please enter a percentage of students recruited from each source

Online advertising campaigns (%)

Hosting expos, fairs and / or seminars (%)

Operating or supporting an international foundation (%)

Operating or supporting university test preparation programs (%)

Word of mouth (%)

Other (%)

Provide a description of your target market, trends, demands etc.

Provide a description of your promotion and marketing activities

What media do you use for advertising?

Do you produce your own Student Handbook / Guide?

Yes No

Please enter a percentage of students sent to each program

Language (%)

High School (%)

University - Undergraduate (%)

University Postgraduate (%)

University Pathways programs (%)

Internships (%)

Other (%)

Visa success rate (Please enter student visa success rate as a percentage)

What services do you provide to students?

Please provide details of any fees you charge students

How many counselors do you employ?

Please advise if you, or any of your staff, have studied in Australia, Canada, New Zealand, Singapore, USA or the UK

Please advise if you, or any of your staff, have visited a CoreJapan campus

Bank details (for commission/marketing fee payments)

Note: You are required to provide all bank details for your agency. Include additional bank details as an attachment.

Bank Name

Branch Name

Bank Address

SWIFT Code

IBAN Number

BSB / IFS / Sort code

Account Number

Account Name

Account Holder Address

Payment currency - tick all that may apply (Note: Payments for Canada can only be made in Canadian Dollars)

AUD USD GBP HKD CNY IND JPY CAD Other

Intermediary bank details (if applicable)

Intermediary bank SWIFT code

Intermediary bank sort code

Intermediary bank account number

Intermediary bank name

Intermediary IBAN number

Final beneficiary account name

Final beneficiary account number

Other general financial details

Email address for remittance advice

If registered for VAT in the UK, please provide VAT number

Any Countries Business registration (ACBN) number

Australian Business registration (ABN) number

If an Australian company, are you registered for GST?

Yes No

Referees

Please provide the name and contact details of three (3) referees from professional institutions. Ideally, these referees will be from educational institutions. This section must be completed.

First referee Institution

Institution

Contact Name

Position

Fax

Second referee Institution

Institution

Contact Name

Position

Fax

Third referee Institution

Institution

Contact Name

Position

Fax

Other Information

We expect our representatives to provide accurate advice about visa requirements, study options as well as assistance with applications, travel arrangements and pre-departure information. Please provide any additional information in support of your application. Please also use this section to provide details of any other branch offices you may have.

(We expect our representatives to provide accurate advice about visa requirements, study options as well as assistance with applications, travel arrangements and pre-departure information. Please provide any additional information in support of your application. Please also use this section to provide details of any other branch offices you may have._Row_1)

Declaration

I am interested in representing Core Japan as an educational representative and I agree to do so in an honest and professional manner. I agree that the information I have provided is true and correct and am fully aware that any false or misleading statements may result in an automatic denial of my application or subsequent cancellation of my Core Japan contract.

Signed

Name

Position

Organisation

Date