Sheet 01
d d
-
m m
-
y y y y
PERSONAL INFORMATION:
Use CAPITAL letters and leave spaces between words
Given Name
Date of Birth
d d
-
m m
-
y y y y
Gender:
Male
Female
Email
Phone Number
Address: Please note you will be sent one copy of your results
Zip/Postal Code
Please indicate which document you will be using as proof of identity and give 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 test day.
Passport
National Identity Card
Passport or National Identity Card number:
Date of issue
d d
-
m m
-
y y y y
Place of issue
Occupation
Level
A1
A2
B1
B2
C1
C2
Knowledge/Skills test
Job
Postgraduate
Graduate
Study/Settle abroad
Declaration
Disclaim
Signature
Date
d d m m y y y y
Surname and Given Name according to Birth Certificate
Test date:
PREPARATIONS:
Place of work
Purpose of application
1. Application Form should reach IEMS office latest by submission deadline date of test.
2. Attach your recent Photograph (3cm x 4cm), Passport or National Identity Card copy.
3. Bring the same identity document on the test day as the one recorded in your application. If you do not do this you will not be allowed to take the test and
you will not be eligible for a refund or transfer.
4. Provide proof of your identity (passport or National Identity Card) at registration. Contact the test centre to confirm which type of identity document is
accepted. Candidates taking the test outside their own country must use a passport.
5. Inform the centre of any changes to your identity document before the test date. If you do not do this you will not be allowed to take the test and you will not
be eligible for a refund or transfer.
6. Leave all personal belongings in the designated belongings area. The only items you may bring into the test room are your approved identity document, a
bottle of water (label-free). All electronic devices and all watches must be left in the belongings area and must be switched off. You may be electronically
scanned for devices at any time during the test day. Any candidate who breaches these conditions will not receive an IELTS test result or be eligible for a refund
or transfer. While the centre will take all reasonable measures to secure your items in the belongings area, they cannot be held responsible for any loss.
Bright Online LLC Academy, Institute of Educational Management Science and any other party
involved in creating, producing, or delivering CEFR Test shall not be liable for any direct, incidental,
consequential, indirect, special, punitive, or similar damages arising out of access to, use of,
acceptance by, or interpretation of the results by any third party, or any errors or omissions in the
content thereof.
I do hereby solemly affirm that I have read and understood the conditions for appearing in the
CEFR Test and that I have filled the form as per instructions given above and in the event any
information contained herein is found to be untrue, I shall be liable to action which may result in
cancellation of my test.
CEFR APPLICATION FORM
Surname
Staple your
recent
3cmx4cm size.
Color Photograph
with white
background