Company Details
Business Name
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Business Registration / Licence Number
*
Name of Governing Authority issuing Registration / Licence
*
State of Territory of Registration
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Date of Registration & Validity
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Date of Last Audit / Review
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Body Corporate
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Principle place of business
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If Yes, When is this expected to be completed
Authority to Execute: Describe fully the nature of the authority of the person signing and authorising this Due Diligence. What is the nature of this authority, which may be required for perusal?
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Please provide details of any engagements, obligations or commitments that the Company/Provider or any of its partners, staff or consultants have or are likely to acquire which may give rise to any actual or perceived conflict or interest with any of the services that may be required in connection with the proposed contract.
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Please advise of details of any strategy for identifying, managing and preventing conflicts of interest.
Website
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Email
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LinkedIn
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Main Contact for all correspondence
Title
*
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Mr
Mrs
Miss
Dr
Prof
Name
*
Position / Job Title
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Email
*
Phone
*
Function / Role
*
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Admin Support
Admissions
Counselor
Finance
Marketing / Web Contact
Sales
LinkedIn
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Additional Contact Details
Title
*
---
Mr
Mrs
Miss
Dr
Prof
Name
*
Position / Job Title
*
Email
*
Phone
*
Function / Role
*
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Admin Support
Admissions
Counselor
Finance
Marketing / Web Contact
Sales
LinkedIn
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Bank and Finance Details
Bank Name
Branch Name
Account Name
Account Number
Sort Code / BIC / IBAN / SWIFT
Reason
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Different account per country
Pay to head office
Please contact me
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Financial Details
If “Yes”, please provide details
If “Yes”, please provide details
If “Yes”, please provide details
If “Yes”, please provide details
If “Yes”, please provide details
If “Yes”, please provide details
If “Yes”, please provide details
If “Yes”, please provide details
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Company Overview
What year did your business start operating?
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How many students did you send abroad last year?
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0
1 - 50
51 - 200
200 +
In your market, which countries are the most popular destinations? Please rank them from the most to the least popular. Rank 1:
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Australia
Canada
Ireland
Netherlands
New Zealand
United Kingdom
United States
Rank 2:
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Australia
Canada
Ireland
Netherlands
New Zealand
United Kingdom
United States
Rank 3:
*
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Australia
Canada
Ireland
Netherlands
New Zealand
United Kingdom
United States
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Company Operations
How many education counselors do you employ?
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1
2 - 5
5+
On average how many years of relevant experience do your counselor have?
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2 - 5 years
5 + years
How did you hear about IEG Campus?
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Baidu
Education sector event E-mail
Facebook
Google search result
LinkedIn
Online Advert
Other fair and exhibitions
Personal Recommendation
Print Advertising
Ieg Campus Regional Office
Yahoo
Other
How did you hear about IEG Campus?
Our expectation is that your service will include providing advice about visa requirements and study options, assistance with visa processing and travel arrangements and liaison with IEG Campus regarding airport reception and student accommodation. Please tell us how you deal with the visa process and whether you hold any qualifications in that area
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Referee
Name of referee
*
Company of referee
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Referee Country
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Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Côte d'Ivoire
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Phone
*
Facsimile
*
Email
*
Description of service provided
*
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Second Referee
Name of second referee
*
Company of second referee
*
Second referee Country
*
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Côte d'Ivoire
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Phone
*
Second referee Facsimile
*
Email of second referee
*
Description of service provided
*
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Expertise and Experience
Specific expertise in education/training/consulting: Briefly detail recent experience in delivering educational/training courses/ consultancy services. IEG Campus desires to obtain succinct and relevant information. The reason why each activity is relevant is required.
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Knowledge of the industry and market: Provide details of your organisation’s knowledge and experience as an educational/training/consultancy service provider, in particular, as it applies to the type of work expected under this contract.
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Strategic: Briefly detail how you will market the educational/training/consultancy services. IEG Campus desires to obtain succinct and relevant information. The reason why each activity is relevant is required.
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Position Title
*
Name
*
Qualifications
*
Bio
*
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Facilities
Briefly detail what student facilities will be available to students on your premises? IEG Campus desires to obtain succinct and relevant information.
*
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IEG Campus Study Abroad Centre Student Support Office and Learning Room.
An IEG Campus Study Abroad Centre will require the Company / Provider to provide a dedicated room/working space for student support service at its premise which will be labelled as indicated in the IEG Campus Brand Book. Kindly provide details and floor plan / image for the above requirement.
*
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Education Services for Overseas Students (ESOS) Compliance or Similar in your country of operation:
If “Yes” please provide details and action that was undertaken to ensure compliance.
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Attached Relevent Documents
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Warranty
Printed Name
*
Tilte
*
Date
*
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