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Agents
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CIT Agent Representative Form
Please fill out as many of the fields as possible.
Name of organisation
Registered company name
Trading name
Name of company owner
First Name
Last Name
Name of chief executive
First Name
Last Name
Name of contact person
First Name
Last Name
Email of contact person
Head office address
Street Address
Address Line 2
City
State / Province / Region
Zip / Post Code
Antigua and Barbuda
Bahamas
Barbados
Belize
Canada
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Nicaragua
Panama
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Columbia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Guinea
Guinea-Bissau
Côte d\'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country
Head office telephone number
Head office fax number
Website
Details of Education Agent accreditations held by your organisation
Year Education Agent/Representative operations commenced
Details of other activities/lines of business of your organisation, for example, language school/educational establishment/student loans.
Number of staff engaged as education consultants
Estimated number of students enrolled through your organisation per annum
Number of students enrolled through your organisation in (a) Ireland (b) UK and (c) Europe in the last 12 months
Which levels of International education do you primarily recruit for? e.g. high school/graduate/postgraduate/English language
Please provide details of all your branch offices here - Name, address and key contact person
Please provide details of all sub-contractors/sub-agencies/non full-time represetative. Include business name, address and key contact person.
Please provide details of all student/applicant fees charged by your organisation. Describe the nature of the service provided and the level of the associated fee.
List the nature and location of all promotional events hosted by your organisation in the past 12 months. List the key participants in these events.
List the promotional events in which your organisation has participated in the last 3 months
Briefly describe your primary recruitment processes, for example, radio advertising/newspaper promotion/education fairs.
Please describe any linkages that you maintain with colleges in your regions of activity.
Please describe the extent of your current and past involvement with Irish university-level institutions.
Please provide the names, addresses, telephone numbers and email addresses of 2 university-level institutions that you currently represent and who may be contacted as referees for your business.
I declare that all of the information presented in this application is accurate and truthul. I confirm that I have all of the necessary registrations, accrediations and permissions to act as an education representative in all of the territories in which my organisation conducts its business. I commmit to notifying the International Office in MTU/CIT in the event that any change to my organisation's status occurs in this context.
First Name
Last Name
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