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Exam Registration Form: Please Paste A Photo Without Stamp

This document is an exam registration form requesting personal information such as name, date of birth, contact details, and photo from applicants. It provides details of the C1 level exam including the date, times for the written and verbal portions, guidelines that must be agreed to, and how to check results online. The fee for the external C1 exam on December 20, 2017 is Rs. 8500.

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vudsri000
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62 views

Exam Registration Form: Please Paste A Photo Without Stamp

This document is an exam registration form requesting personal information such as name, date of birth, contact details, and photo from applicants. It provides details of the C1 level exam including the date, times for the written and verbal portions, guidelines that must be agreed to, and how to check results online. The fee for the external C1 exam on December 20, 2017 is Rs. 8500.

Uploaded by

vudsri000
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Exam Registration Form

Surname: _______________________________________________________________

Given Names: ___________________________________________________________ Please paste


a photo
Date of Birth (DD/MM/YYYY) : ____________________________________________ without stamp

Place of Birth: ____________________________________________________________

Tel. No : ___________________________________________________________________

Email ID: __________________________________________________________________

C1 20.12.2017
 Written exam 7:30 – 11.20
Verbal Exam 12.00 onwards

Surname: ____________________________________________________________

Please paste a Given Names : _______________________________________________________


photo
without stamp Date of Birth ________________ Place of Birth ________________________

Date of exam: ____________________________Timing: _______________________

I hereby confirm that I have read and understood the “Exam Guidelines” “Terms & Conditions for
Exam Administration” and “Exam rules and regulations” as posted on the website and agree to abide by
the same http://www.goethe.de/ins/in/en/bag/lrn/prf/sd1.html

Exam Format/Model test paper on: http://www.goethe.de/ins/in/en/bag/lrn/prf.html

Exam results can be checked online by entering the PTN number and date of birth on:
http://www.goethe.de/ins./in./en/bang/lrn/prf.html

Signature of the student : __________________ ______________________Date:____________________________

Level Exam Fee Date Time (written exam) Time (Verbal


Exam)
C1 C1 External 20.12.2017 7:30 – 11.20 hrs 12.00 – 17.30 hrs
Rs. 8500

716, CMH Road, Indiranagar 1st Stage, Bangalore – 560 038 Ph: 91 80 25205305/6/7/8
German.exams@bangalore.goethe.org www.goethe.de/bangalore

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