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Home
Our Program
Our Services
- Package Service
- Individual Service
Schools and Universities
Student Experience
About Us
Be Our Partner
REGISTER NOW

Be Our Partner

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Please complete the application form

“University program providing” for any institution/university to work with us.

“Student providing agent” for company agent or the individual person want to work with us as a sub agent

Agent Application Form

Full Name *

Email *

Country or Countries you will recruit International Students from: *

Registered Address of Company *

Address

Street Address

Street Address (copy)

City

State

Zip Code

Select Country

Agent Phone Number

Mobile Number

Agent Email *

Agent Nationality

Company Information

Company Name *

Website URL *

Facebook ID *

LinkedIn Connections *

Applicant Information

One-Inch Photo* *

Original copy of applicant's scanned passport or national ID card *

CV/ Resume/ Portfolio/ Work Experience

Other Attachments (Max 2 files)

Note: If more than two offices or branches, please attach details of others in the same format as aboveI provide the following information in support of this application:*

Names and contact details of referees, including at least one university
A list of institutes (by country) currently represented by my company
A list of student numbers that that my company recruits each year for Thai institutions
A list of services provided by my company to students
A company profile
Curriculum Vitae of principals and staff detailing educational and professional backgrounds
Details of any company registrations and licences
Details of any industry body or other professional registrations

Position of Applicant *

Agent Applicant Information is Correct* *

I hereby certify that I have provided accurate information on this application and submitted genuine supporting documents. I understand that any misrepresentations or omission of facts in my application may justify denial of acceptance.

Signature of Application *

Todays Date *

AIM Intermed is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:

I agree to receive other communications from AIM Intermed.

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Request Information

Your Name *

Email *

Subject *

Message

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