Agent Application Form

Prague Film Institute is committed to safeguarding your personal data. Whenever you provide such information we are legally obliged to use your information in line with all applicable laws concerning the protection of personal information including the General Data Protection Regulation 2018.

Agency Details

Agency Name *
Address *
Website *
Year Founded *
Number of Staff *
Facebook URL

Contact Person

Name *
Email Address *
Telephone *

Agency Director

Title
Name *
Email *

Certificates

Please attach a copy of your business registration certificate (in .pdf, max 15 MB) *

Do you hold any education agent qualifications or accreditations?
If yes, please attach a copy of your certificate of qualification/accreditation (in .pdf, max 15 MB)

Student Recruitment

Number of students enrolled at universities/colleges this academic year *
Which country is your main market? *

Recommendations

Please list 2 universities or colleges which you represent

SCHOOL 1
Name of School *
Name of Contact Person *
Email *
Phone *

SCHOOL 2
Name of School *
Name of Contact Person *
Email *
Phone *

Marketing

What promotional services do you offer?
Do you have a special request from Prague Film Institute

Antispam control

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Agent Application Form

Agent Application Form

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