Responsive Form

Representative Application Form

Business Name *

Website *

Address *

Country *

Full Name (Primary Contact Person) *

Email Address *

Phone *

Employees *

Agency Founded Year *

How many students did you send abroad last year? *

Number of Branches/Offices of Your Agency *

Programs Interested in Pacific Link College *

Which countries do you send students to? *

Estimated number of students you expect to send Pacific Link College in 12 months?*

Is your company registered to operate as an education agency, Business organization? *

YES
NO

Are you a Certified Immigration Consultant *

YES
NO

I acknowledge that we don't hold immigration license, hence we are not allowed to provide any immigration service or advice to the student. Failure to comply with this condition can lead to termination of Contract

Government Issued ID *

Immigration License

Business License

Advisor: *

First Reference Name *

First Reference Phone *

First Reference Email *

First Reference Business/Institution Name

Second Reference Name *

Second Reference Phone *

Second Reference Email *

Second Reference Business/Institution Name

Representative Policy Agreement

I hereby declare and acknowledge that:

All information provided in this application form and supporting documents is true, accurate, and complete to the best of my knowledge.
I understand that I am prohibited from providing immigration advice to students unless I hold a valid Regulated Canadian Immigration Consultant (RCIC) license.
I confirm that I have no criminal record in any jurisdiction.
I acknowledge that any false, misleading, or incomplete information provided in this application will result in:
- Immediate rejection of the application
- Termination of any existing agreement
- Potential legal consequences as permitted by applicable laws
I understand and accept these terms and conditions.

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Work with us – Agency

Representative Application Form

Representative Policy Agreement