Victorian Institute of Technology Pty Ltd

ABN: 41 085 128 525

RTO No: 20829

TEQSA ID: PRV14007

CRICOS Provider Number: 02044E

Education Agent (Agent Recruitment) Application Form

In order to assist VIT (Victorian Institute of Technology) in the selection of its agents, please complete this
form as comprehensively as possible and return it to this office by email to info@vit.edu.au or fax on
(613) 9670 7849 or send it by post to VIT. Please use additional sheets where required for providing the
information as required or where you wish to provide additional information.
Completion of this application will not guarantee the applicant to become an agent of VIT but it will enable VIT
to consider appointments based on information contained herein.
1. Company Background
Company Name

CV.GRACINDO PTY LTD

Company / Business Registration No

(ACN / ABN number for Australian
Registered Businesses)

64 110 240
572

Date of Registration

DD
MM / 2014
YYYY
15/Sep

Place of Registration

MELBOURNE, VICTORIA

Owner / CEO Name

IVAN SITOMPUL

Day to Day Contact Person

IVAN SITOMPUL

Address

5 VINCENT STREET,OAK PARK

Telephone

+61 403 613 820

Fax
E-mail

gracindoeducation@gmail.com

Website

gracindoeducation.com

2. List all Australian education providers your company represents.

1. ALTEC
2. Academia
3. EAA
3. Description of core business and whether recruitment of students is the main component of your
business?

Our main business is in education service sector, so mainly we looking for student
to study in Australia and other country as our objective.

Education Agent Application Form

Version: 15.0
Issue Date: 24 June 2015
Review Date: 01 July 2016
Developed By: Manager Marketing and Admissions
Authorized By: CEO
Page 1 of 4
VIT (Victorian Institute of Technology) Level 14, 123 Queen St, Melbourne, Victoria 3000, Australia
Phone: (613) 9670 7848; Fax: (613) 9670 7849; Email: info@vit.edu.au

Victorian Institute of Technology Pty Ltd

ABN: 41 085 128 525

RTO No: 20829

TEQSA ID: PRV14007

CRICOS Provider Number: 02044E

4. Number of Offices: 2
Attach an organization chart with Office locations, postal addresses, staff details and contact details for
each location and the contact person.

5. Number of years in business as a student Education Agent. List the Countries interested in representing.

2 years. For now we spesialized for Australia only

6. Number of students referred to Australian education Institutions and the type of courses enrolled in over
the last three years.

20 students
7. Existing number of staff and details of staff that are Qualified Education Agent Counsellors (QEAC) for
Australia.

2 staff
8. Are there any judgments or orders against your company or proceedings, application for its winding up,
dissolution, liquidation or cessation or its business?

No
9. If yes, in relation to any of the previous question, please supply details.

10. Please describe your contact history with other Australian education Institutions
1. ALTEC: Anubhav Sharma
2. Academia: Yudi
3. EAA: Neetika
11. If you have more than one office, please attach details of other offices as per the template provided:
Address
Jalan Raya Kelapa Hibrida Blok PE 10/16
021
245 20430
Telephone
021 245 20430
Fax
gracindoeducation@gmail.com
E-mail
Day to Day contact person Ramos

12. Which of the following categories of courses do you want to recruit students for?
Sl. No

Category

Yes

VET Non SVP Courses

VET SVP Courses

Higher Education Courses

(SVP)

No

Education Agent Application Form

Version: 15.0
Issue Date: 24 June 2015
Review Date: 01 July 2016
Developed By: Manager Marketing and Admissions
Authorized By: CEO
Page 2 of 4
VIT (Victorian Institute of Technology) Level 14, 123 Queen St, Melbourne, Victoria 3000, Australia
Phone: (613) 9670 7848; Fax: (613) 9670 7849; Email: info@vit.edu.au

Victorian Institute of Technology Pty Ltd

ABN: 41 085 128 525

RTO No: 20829

TEQSA ID: PRV14007

CRICOS Provider Number: 02044E

Fee Proposal
Please submit your fee proposal, which would form the basis of negotiations with VIT. Example of the fee
structure would be as follows:
The Fee paid by VIT to the Education Agent will be calculated on the following basis - x% of the annual fee per
student per year for the first year students recruited by the Education Agent, and for every student after the
first year successfully recruited by the Education Agent a rate of z% of the annual fee per student per year.
30% commission for every student

Details of Directors and Key Employees of Education Agent

(Attach additional sheets if required).
Name: Ivan Sitompul
Position: Director
Background, qualifications and previous experience
____________________________________________________________________________________
Master of Business Administration
____________________________________________________________________________________

____________________________________________________________________________________

Referees
Please list the names of two (2) relevant and independent referees (preferably SVP approved providers) who
can confirm for your track record and your companys financial standing.
Referee 1
Referee Name Anubhav Sharma
Position

Marketing Manager

Institution Name
Telephone No.
E-mail

ALTEC

+61 426 236 408

anubhav@altec.vic.edu.au

Referee 2
Referee Name
Position

Diana
Account Officer

Institution Name EAA

Telephone No.
E-mail

accounts@eaa.edu.au

Please use the space provided below to include any other information you consider to be of importance to this
application. Information must include a brief business plan outlining proposed student recruitment activities
and target number of students you are planning to recruit for VIT. To support your application, any
supplementary documents should be included with this Application Form.

Education Agent Application Form

Version: 15.0
Issue Date: 24 June 2015
Review Date: 01 July 2016
Developed By: Manager Marketing and Admissions
Authorized By: CEO
Page 3 of 4
VIT (Victorian Institute of Technology) Level 14, 123 Queen St, Melbourne, Victoria 3000, Australia
Phone: (613) 9670 7848; Fax: (613) 9670 7849; Email: info@vit.edu.au