Illoura College
RTO Code: 40788  |  CRICOS Provider Code: 03953D
113 Wharf St, Cannington WA 6107  |  +61 8 6388 4890
CEA

Change of Education Agent Request Form

Request a change from your current education agent to another Illoura College registered education agent.

Student Details

Current Education Agent

New Education Agent Details

Important

Your preferred new Agent must be one of Illoura College’s registered education agents. Approval of this request is not automatic and will be confirmed by Illoura College after review.

Accepted: PDF, JPG, PNG, DOC, DOCX. Maximum 10 MB per file.

Declaration & Signature

Signature * — draw your signature or type your signature.

By submitting this form, you confirm that the information provided is complete and accurate to the best of your knowledge. Illoura College will securely retain your submission and may contact you if further information is required. A confirmation copy will be sent to the email address provided.