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your
IELTS
Title
Firstname
Last name
Preferred date of test
Test city location
Phone Number
Email
Zip/Postal code
Date of birth
Gender
Male
Female
Please indicate which document you will be using as proof of identity
(Candidates taking the test outside their own country must use a current passport. You must bring the ID document indicated below to the test. This is the only form of identity that will be accepted on the test day. The document must be valid/not expired at registration and on the test day.)
Pasport or National identity card #
Passport
National Identity number
National Identity card number
Passport number
IELTS test module are you taking?
Academic
General Training
Address
For office use only
Scheme
Date of payment
Test date
Receipt number
Administrator's initials
ID checked
AC
GT
Please take care and enter this information accurately
Country of Nationality (code)
Country of Nationality (name)
First language (code)
Occupation (sector)
Occupation (level)
Why are you taking the test?
Which country are you applying to/intending to go to?
Australia
Canada
New Zealand
Republic of Ireland
United Kindpom
United States of America
Other
Where are you currently studying English (if applicable)?
What level of education have you completed?
Secondary up to 16 years
Secondary 16-19 years
Degree or equivalent
Post-graduate
How many years have you been studying English?
1 (or less than)
2
3
4
5
6
7
8
9
Or more
Do you have a permanent disability, such as a visual, hearing or specific learning difficulty which requires arrangements (for example, modified material, extra time, use of technology,etc.)?
Yes
No
If yes, please specify your requirements below. You must attach original supporting medical evidence to this form. The medical evidence must be in the form of a report prepared in a period no more than two years before the test date. You must submit requests for modified test materials at least three months before the test.
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Canada
Canada Office
United Place, Suite 200, 808 4th Ave SW Calgary, Alberta, Canada. T2P 3E8
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No 08 Muslim avenue off toyin street, Ikeja, Lagos, Nigeria.
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Philippines
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Nigeria
Lagos Office
No 08 Muslim avenue off toyin street, Ikeja, Lagos, Nigeria.
Ibadan, Oyo State
Ibadan, Oyo State
Osogbo, Osun state
Owerri, Imo State