Expression of Interest
 

This Form is an Expression of Interest as an Education Agent for Boston Business School.

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Education Agent Information

Name of Organisation
Nature of Business
Number of Years in Operation

Contact Details

Name of Chief Executive Officer/Director
Name of Main Contact Officer
Office Phone No.
Mobile No.
Fax No.
Address
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Which Singapore education institutions do you currently represent?

Institution 1 - Name of Institution
How many years have you recruited for this Institution?
Total number of students recruited for this Institution?
Institution 2 - Name of Institution
How many years have you recruited for this Institution?
Total number of students recruited for this Institution?
Institution 3 - Name of Institution
How many years have you recruited for this Institution?
Total number of students recruited for this Institution?

Which education institutions do you represent outside Singapore?

Institution 1 - Name of Foreign Institution
How many years have you recruited for this Institution?
Total number of students recruited for this Institution?
Institution 2 - Name of Foreign Institution
How many years have you recruited for this Institution?
Total number of students recruited for this Institution?
Institution 3 - Name of Foreign Institution
How many years have you recruited for this Institution?
Total number of students recruited for this Institution?
State briefly how you plan to recruit students
0 /
Do you charge (or intend to charge) students / applicants any fee or commission for processing their application?

Referee 1

Company Name
Name
Position
Phone No.
Address

Referee 2

Company Name
Name
Position
Phone No.
Address


I confirm that the information provided is true and accurate to the best of my knowledge and I authorise Boston Business School to approach my referees.


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