IELTS Registration form | SPRINGBOARD4EDUCATION

Test location *

Phnom Penh, Cambodia

Vientiane, Laos

Take an IELTS test *

Paper based test

Computer based test

IELTS test module *

Academic

General Training

Test Date *

Title *

Family Name (Surname) *

Middle name

First (given name) *

Gender *

Male

Female

Date of birth *

Current address *

Postal Code

Telephone

Mobile Number *

Your Email *

Please indicate which document you will be using as proof of identity and give the number below. 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. *

Passport

National ID (Identification) Card

Attachment File (Passport or National ID) in PDF, JPG, JPEG, PNG *

Country *

Country of Nationalities Code

First Language *

First Language Code

Occupation Sector and Sector code *

If other. please specify

Occupation Level and Level code *

If other, please specify

Which country are you applying to or intenting to go? *

If other, please specify

Why are you taking the test? / Test code *

If other, please specify

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

Postgraduate

How many years have you been studying English? *

1 or less than

2

3

4

5

6

7

8

9 or more than

Do you have a permanent disability, such as a visual, hearing or specific learning difficulty, which requires special arrangements (for example, modified material, extra time, use of technology, etc.)? *

Yes (answer below)

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.

Signature and acknowledgement *

Submit

IELTS Application form

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