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Agent Application Form

Please complete the form below and return it to CCEL at study@ccel.co.nz with your company profile. Once we receive it, your application will be carefully assessed by our management team and you will hear back from us shortly. If your application is approved, you will receive a CCEL Retailer Agreement signed. Please contact us should you have any questions.
Official Name(Required.)
Type of business:(Required.)
If you are a Registered Company, please send a copy of the company incorporation certificate. This document must be in English or translated.
No file chosen
Trading Name (if different from above)
Company details:(Required.)
Main Contact:(Required.)
Alternative Contact:
Year Established(Required.)
Please tell us about your company (or attach company profile)(Required.)
Which types of NZ institution do you already represent? (e.g. High School, Language School etc)(Required.)
Which countries do you recruit students from?(Required.)
How many students do you send to NZ per year?(Required.)
Which services do you offer your clients? (eg travel agency, accommodation placement, visa and immigration advice...)(Required.)
Have you or your staff ever visited NZ? Please give details.(Required.)
Do you work with sub- agents? Please give details.(Required.)
BANK DETAILS:

If you are a registered company, bank details must be under the company name.(Required.)
REFEREE DETAILS:

Please provide contact details of two referees (preferably in New Zealand).

Referee 1(Required.)
Referee 2(Required.)
DECLARATION:

The information supplied above is true and correct to the best of my knowledge. I am authorised to sign an agreement on behalf of the retailer named above.(Required.)
.(Required.)