Partnership Request Form (ARYA Group Australiad)

1. Company name:
2. Registration date and place:
3. Type of company (Sole Trader, Shareholder…):
4. Name of CEO:
5. Have you got any license for your student recruitment business? (Yes/No, Give details if the answer is Yes)

6. How long have you been working in education sector?
7. Are you involved in any business other than student recruitment? (Yes/No, Give details if the answer is Yes)

8. From which countries do you recruit students?
9. How many students have you recruited to Australian institutions during the last 12 months?
(Please specify in below categories)
ELICOS: High School: Foundation: VET: Undergraduate: Postgraduate (Coursework): Postgraduate (Research):
10. Are you in agreement with any Australian institution? If yes, please list them below.

11. Do you have any sub agents? Please specify.

12. Your head office contact details:
Address: Phone: Fax: Email: