Recruitment Agent Application Form

Company Detail
company name
Telephone
Website
Physical Address
Country
Email
Yes
No
If Yes, please provide your GST Registration Number:
Director of the Company
Name
Title
Email
Mobile
Primary contact for all correspondence (Marketing Staff)
Name
Title
Email
Mobile

Company Overview
When did your business start?

English Language School
Primary/
Intermediate/
High School

Private Training Establishment


Polytechnic


University
Yes
No
Name
Certification Number
Yes
No
Name
Registration Number
Name
Title
Email
Telephone
Website
Mobile
Please choose a default group for yourself
Referee 1
School Name
Name of Person
Position/Job Title
Email
Telephone/Mobile
Referee 2
School Name
Name of Person
Position/Job Title
Email
Telephone/Mobile

Name
Signature