Agent Reference Form Alliance College Agent Reference CheckYour company was mentioned as a reference. Please fill the fields as below. Thank you so much!* requiredReferee DetailsFirst Name * Last Name * Job Title * Organisation * Email * Phone * Agent DetailsFirst Name * Last Name * Email * Phone * Agent Evaluation1. Is this agent an authorised representative for your institute? *YesNo2. How long has your institute been dealing with this agent? * 3. Would you recommend this agent? * YesNo4. Has this agent sent you students whose student visas have been refused? * YesNo5. If you have had visa refusals, please comment: how many and for what reason? 6. Has this agent sent you students who have withdrawn? * YesNo7. If you have had students withdraw, please comment: how many and for what reason? 8. How do you find the quality of the students submitted by this agent? * ExcellentGoodPoor9. In regards to receiving payments from students submitted by this agent? * ExcellentGoodPoor10. In general terms, what is the attendance record of the students sent by this agent? * ExcellentGoodPoor11. In general terms, how would you rate this agent's students' graduation rates? * ExcellentGoodPoor12. What are the countries of origin of the enrolled students? * 13. How cooperative/supportive is the agent with any post-enrolment issues/problems their students may have? * ExcellentGoodPoor14. Any additional comments Digital SignatureFull Name * Date (DD/MM/YYYY) * Sign with your mouse *
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