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Company Details

Company Name*

ABN / ACN Number*

Contact Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Mobile Phone

Phone*

Approximate projected payroll*

Amount to pay - 1% of 12 months payroll*

Is the company in its first 12 months of trading?*

Yes
No

Invoice or Contact*

Invoice
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Migration Agent Details

Migration Agent Name

Migration Agent Registration Number (MARN)

Migration Agent Email

Migration Agent Phone

Training Requirements

Is your business:

Total number of staff to be trained

Please enter a value between 1 and 10.

Do you require a Training Plan?

Yes
No

What areas would you like your staff trained in ? (Select as many as apply)

Management
Marketing
Customer Service
Sales
Work Health and Safety
Human Resources

Full name of participant 1 to be trained (Permanent Residents or Citizens only)

First Last

Full name of participant 2 to be trained (Permanent Residents or Citizens only)

First Last

Full name of participant 3 to be trained (Permanent Residents or Citizens only)

First Last

Full name of participant 4 to be trained (Permanent Residents or Citizens only)

First Last

Full name of participant 5 to be trained (Permanent Residents or Citizens only)

First Last

Full name of participant 6 to be trained (Permanent Residents or Citizens only)

First Last

Full name of participant 7 to be trained (Permanent Residents or Citizens only)

First Last

Full name of participant 8 to be trained (Permanent Residents or Citizens only)

First Last

Full name of participant 9 to be trained (Permanent Residents or Citizens only)

First Last

Full name of participant 10 to be trained (Permanent Residents or Citizens only)

First Last

Company Details

Migration Agent Details

Training Requirements

Workforce Education (RTO# 51161)

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