Your Business Contact Details

(Please note that if your application is approved, your contract will be sent to this address)

Business Address
Postal Address

(If different from above)

Business Contact Details

Business Telephone Number:*

Business Fax Number*:

Your Contact Details
Title:
Branch Office 1

(Note that email will be the main tool for communicating with your agency about important developments at UTS:INSEARCH)

Contact:
Branch Office 2
Contact:
Branch Office 3
Contact:
Your Business Details
Are you a representative of UTS?*required

(Please note that an agreement with UTS:INSEARCH is not an agreement with UTS)

Have you previously had an agreement with UTS:INSEARCH?*required
Do you have an AEI Agent Training Qualification?*required
Are you an authorised e-Visa agent?*required

References

Please provide references for other Australian institutions you currently work with

Institution 1
Institution 2
Institution 3

Note: Please also send your Business Registration Certificate along with this application form to Newagentapplication@insearch.edu.au.

Postal Address
Marketing - INSEARCH
PO Box K1085 Haymarket NSW 1240 Australia

Street Address
HEAD OFFICE Level 9, 187 Thomas Street Sydney NSW 2000
[T] 
+61 2 9218 8600 [F]  +61 2 9514 2109 [E] marketing@insearch.edu.au

www.insearch.edu.au CRICOS provider code: 00859D
INSEARCH Limited is a controlled entity of the University of Technology, Sydney

Mandatory field(s) marked with *