APPLICATION

FOR REGISTRATION
AS AN OFFICIAL UNIC
REPRESENTATIVE

SECTION 1 COMPANY DETAILS

Company Name: EDUTECH LANKA CONSULTANCY PVT.LTD

(If you are applying as an individual state your name as it appears in the passport)

Company Registration PV00250170

Number:
(If you are applying as an individual state your passport number)

Address: 135/10,11,KOTUGODELLA STREET,KANDY,SRILANKA

Tel. 1: +94767251216 Tel. 2: +94760183311

E-mail: edutechlanka@gmail.com / info@edutechlanka.lk

Website: www.edutechlanka.lk

SECTION 2 MAIN CONTACT OF THE COMPANY

Title:
(Mr/Ms/Mrs/Dr/Other) Mr.

Family Name: Dissanayake

Given Name: Prasad

SECTION 3 YOUR NETWORK

Addresses of your company’s other offices which will be representing UNIC:

(1)
P419 APPLICATION FOR REGISTRATION AS AN OFFICIAL UNIC REPRESENTATIVE _6_18

(2)

SECTION 4 YOUR ACTIVITY

Which countries will (1) Singapore (3) Australia

you be recruiting from?
(2) Canada (4) United Kingdom
Which other Cypriot institutions do you represent?

How many students do you recruit in Cyprus per year?

SECTION 5 CYPRUS EXPERIENCE

Have you visited Cyprus before? Yes ✔ No When was your last visit?

Have you visited UNIC before? Yes No ✔ When was your last visit?

Have you met UNIC staff before? Yes No ✔

Please list their names:

(1) (2)

(3) (4)

SECTION 6 SERVICES AVAILABLE TO SUPPORT THE RECRUITMENT

Which media are used to contact students? (e.g. newspapers, social media, prospectus, university guide, leaflets)
Social Media Prospectus
(1) (2)
Leaflets
(3) (4)

(5) (6)

Which languages are you using in your advertising for students?

Do you organise your own recruitment events? If yes, what kind of events do you organise? (e.g. seminars, fairs, school visits)

SECTION 7 REFEREES
Please provide the contact details of two referees from other institutions that you represent.

REFEREE 1 REFEREE 2
Name: Mr.James Lim Name:
Mrs.Sachini Anjali
Title: Title:
B.D.O Country Manager
University University
Trinity International S.T.E.I
Name: Name:

Telephone: +6597771709 +94767614433

Telephone:

Email: Email: sachini@stei.edu.sg

SECTION 8 DECLARATION

I confirm that the information provided in this application is true and correct to the best of my knowledge. I am authorised to enter business
agreements on behalf of the applicant. I agree for our company’s name/individual’s name to be published on official UNIC channels.

Signature: Date: