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Learning Centre Registration

The Provider / Company

Contact Details

Portal Address *
Street Address *

Status

Company Details

i.e.MyCOID/ Business Registration Number
Checkboxes *

Registration Details

Is the company / provider registered for education purposes as an Education Provider or Registered Training Organisation as registered by state and territory training authorities to deliver nationally recognised Higher Education programs/training? *
Does the company / provider plan to gain registration? *
Has the company / provider previously had an Education Provider (EP) License / Registered Training Office (RTO) status that has been revoked or suspended? *

Company Directors

Are any of the registered Directors on additional Boards? If so please list

Do any of the registered Directors have ownership or controlling interests in entities not associated with the entities providing this Due Diligence? If yes, please list the associated entities:

(If appropriate, please provide an organisation chart showing the structure and reporting lines) by uploaded the file below.
If more than one file, kindly please zip and upload.
The Provider promises that it, and its partners, staff and consultants, do not own and are not aware of any actual or potential conflicts of interest that may arise between IEG Campus and the Company / Provider unless otherwise stated. *

Financial Details

Note: For the purposes of this Due Diligence document “associated entity” bears the same meaning as it does in section of your operating country’s Corporations Act.
Are there any significant events, matters or circumstances which have arisen since the end of the last financial year which may affect the operations of the Company / Provider? *
Are there any mergers or acquisitions that can be notified, either within the past 12 months or which are imminent? *
Are there any court proceedings of any kind, actual or threatened against the Provider, its parent or associated entities or any director of the Company/Provider, its parent or associated entities within the past 5 years? *
Are there any insolvency or bankruptcy actions against the Company / Provider, a director of the Company / Provider or its parent or associated entities within the past 5 years? *
Are there actions of insolvency proceedings, actual or threatened (including Voluntary Administration, Application to Wind Up, or other) against the Company / Provider its parent or associated entities within the past 5 years? *
Are there any breaches of or defaults under any agreement, contract, order or award binding on the Company / Provider, or its parent or associated entities? *
Are there any other factors which could impact on the financial ability to successfully perform the contract? *
Is the Company / Provider “trading solvent and able to meet its debts as and when they fall due in the normal course of business”? *

Financial Assessment

IEG Campus may use an independent credit rating agency or other organisation to conduct financial assessments and reports. For this assessment to be completed, a representative from one of these organisations may contact you concerning the financial information that you provide. The financial assessment report is specifically for use by IEG Campus the purpose of assessing Providers and will be treated as strictly confidential. You agree to assist in the assessment process. The Provider agrees that it will co-operate with an independent credit rating agency or other organisation during the conduct of financial assessments and reports.
Checkboxes *

Insurance Details

IEG Campus requires insurance appropriate for the services contemplated eg. Public liability, product liability, professional indemnity.
Does the Company/ Provider comply with the minimum insurance required - USD$1,000,000 per occurrence? *

Public and Product Liability Insurance

It is a requirement of IEG Campus that the policy amount be not less than USD$1,000,000 per occurrence. If your current policy does not meet this will you be undertaking changes to ensure the USD$1,000,000 per occurrence? *
Can IEG Campus interest be endorsed on the policy? *
If more than one file, kindly please zip and upload.

Professional Indemnity Insurance

If more than one file, kindly please zip and upload.

Other required insurance

Can IEG Campus interest be endorsed on the policy? *
If more than one file, kindly please zip and upload.

Referee Details

Please provide details of referees that IEG Campus could contact regard to the services offered. IEG Campus has a preference that the Provider has had an association with the referee within the last 3 years. (Minimum 3 referee)

Expertise and Experience

If more than one file, kindly please zip and upload.

Key Staff

Briefly introduce key academic and operational staff (please attach a resume copy for each listed). (Minimum 2 persons)
Education Services for Overseas Students (ESOS) Compliance or Similar in your country of operation: Following any Re-registration or external ESOS audits held at your organisation’s teaching/training locations were there any major non-compliant issues raised in your reports? Definition of major non-compliant issue: Issue that could result in your organisation losing Service Provider Registration or equivalent in your country of operation. *
If more than one file, kindly please zip and upload.

Warranty

The Company / Provider warrants that all information contained in this Due Diligence form is accurate and complete. The Company / Provider warrants that it has not provided any inaccurate or misleading information to IEG Campus or representatives of IEG Campus. The person executing this form on behalf of the Company / Provider warrants that he or she is authorised by the Company / Provider to so execute. *