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Request for sending TEST REPORT FORM

Name:

...........................................................................................................

Mobile / Land line numbers:

...........................................................................................................

E-mail:

...........................................................................................................

Test Date:

_____/_____/________

Module:

A / GT

RECIPIENT
Institution name

...........................................................................................................
...........................................................................................................

Contact person and

(your request will not be processed without this information)

phone number
...........................................................................................................
File number (if applicable)

...........................................................................................................

Complete address

(street name and number, address code, town, district and country)
...........................................................................................................
...........................................................................................................
...........................................................................................................

Signature:

..

Date:

_____/_____/_______

All the above fields are mandatory, we cannot be held responsible for despatches that have incomplete details given by the
candidate.
All requests must be received in writing (by post, fax, e-mail or at the British Council Customer Services in Bucharest).

Contact us:
British Council, Calea Dorobantilor 14
Bucuresti 010572, Romania
Telephone (+40 21) 307 96 00
Fax
(+40 21) 307 96 01 / 02
E-mail ielts@britishcouncil.ro

www.ielts.org
IELTS is jointly owned by the British Council. IDP:
IELTS Australia and University of Cambridge
ESOL Examinations.

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