APPLICATION FORM

Representative Agent of Holmes Education Group

COMPANY PROFILE

Company Name

Trading name:

Street address:

City

Post Code

Country

User Name (E-Mail ID)

Web Site

Mobile No

Skype

Postal address:

COMPANY DIRECTOR

Position / Job title

Title

Mr Mrs Miss Other

First Name

Family Name

Telephone

Finance Contact Email

Bank Account Details for Commission Payments
Please provide your bank account details for commission payments

Select where your bank is located

United Kingdom Overseas

Beneficiary Name

Beneficiary Bank Name

Beneficiary Bank Address

Beneficiary Bank Country

Account Number

Sort Code

Swift Code

Beneficiary IBAN

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?

Please enter a percentage of students recruited from each source

Provide a description of your target market, trends, demands

Provide a description of your annual promotion and marketing activities

What media do you use for advertising?

Do you produce your own Student Handbook / Guide?

Yes No

What type of programmes do you send your students to? (Please enter a percentage of students sent to each programme)

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

What services do you provide to students?

How many counselors do you employ?

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

Please advise if you, or any of your staff have visited the campuses of SMULIC/St Mary’s University London, UCAIC/ University of Creative Arts, UBIC/University of Bedfordshire or UWIC/University of Worcester (UK) or any other campus of the

Do you wish to represent SMULIC, UWIC, UCAIC or UBIC? (Please tick all that apply)

SMULIC UWIC UCAIC UBIC

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