Application Form PDF
Application Form PDF
Application form
6 Which IELTS test module are you taking? (tick one box only) Academic
General Training
Please note that it is the candidate’s responsibility to select the test module that best meets their needs.
The General Training module is not available on every test date.
7 Address: Please note you will only be sent one copy of your results.
Zip/Postal code
8 Telephone
Mobile number
9 Email
Please provide full and accurate contact information, including postal address, phone and mobile number and email which are in constant and valid
use. The test centre or the test partner will need this information to contact you with regard to your test registration.
12 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.
scheme test date d d m m y y
date of payment
d d m m y y receipt number
14 First language (code)
15 Occupation (sector)
13 if other, please specify
16 Why are you taking the test?
if other, please specify
18 Where are you currently studying English (if applicable)?
19 What level of education have you completed?
21 (tick one box only)
secondary up to 16 years secondary 16–19 years degree or equivalent postgraduate
23
21 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 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 six weeks before the test.
2
Notice to Candidates
IELTS terms and conditions Candidates engaging in malpractice will not be allowed to complete the test
and will not receive an IELTS test result. Candidates engaging in malpractice
may be banned from taking the test in future, and may be liable to legal
You must: action. Candidates engaging in malpractice may be reported to regulatory
• provide proof of your identity (passport or National Identity Card) at authorities globally.
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. Your IELTS result
• 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 • Results are issued by centres, usually 13 days after the test for paper-based
not be eligible for a refund or transfer. IELTS or 5–7 days for computer-delivered IELTS.
• bring the same identity document on the test day as the one recorded in • You will receive only one copy of your Test Report Form. Replacement
your application. If you do not do this you will not be allowed to take the test copies are not issued in the event of loss or damage.
and you will not be eligible for a refund or transfer. • The Test Report Form will be issued in your name as it appears on the identity
• arrive at the centre before the scheduled test start time. If you arrive late, you document used at registration. If you find that your personal details are
will not be allowed to take the test and you will not be eligible for a refund or incorrect on the Test Report Form, please contact the centre where you took
transfer. the test. Documentation must be provided to verify the correct details. If you
• leave all personal belongings in the designated belongings area. The only change your name on your ID after receiving your Test Report Form, the name
items you may bring into the test room are your approved identity document, will not be changed on the Test Report Form.
standard pen(s), pencil(s) and eraser(s), and a bottle of water (label-free). • Your result may not be issued 13 days (paper-based) or 5–7 days
All electronic devices and all watches must be left in the belongings area (computer delivered) after the test if the IELTS Test Partners decide
and must be switched off. You may be electronically scanned for devices at that it is necessary to review any matter associated with your test or the
any time during the test day. Any candidate who breaches these conditions administration of your test. To assist any investigation, you may be required
will not receive an IELTS test result or be eligible for a refund or transfer. to provide writing and speaking samples. In exceptional circumstances, you
While the centre will take all reasonable measures to secure your items in the may be required to retake one or more IELTS sections.
belongings area, they cannot be held responsible for any loss. • Your result may be cancelled after it has been issued if any irregularity is
• consent for your identity to be verified both at test registration and on test identified. You may be required to retake one or more IELTS sections.
day. This may include: • Your result will be disclosed to the Recognising Organisations which you
– having
your photograph taken. You will be required to temporarily remove nominated in your application or to which you applied with your Test Report
any covering from your face. Any candidate who refuses to have a Form, for the purpose of allowing those organisations to verify the result or to
photograph taken will not be allowed to sit the test and will not be entitled carry out any enquiries in relation to suspected malpractice.
to a refund. The photograph taken by the centre will appear on your Test
Report Form. • If any of the data on the Test Report Form provided by you or your agent to
– providing a sample of your signature. Recognising Organisations has been altered in any way, your original test
– having your finger scan taken. result may be cancelled.
• keep only the following items on your desk: your identity document, pen(s), • Candidates are not permitted access to the work they produce in the
pencil(s), eraser(s), and a bottle of water (label-free). IELTS test.
• tell the invigilator at once if you think you have not been provided with the
correct test. For computer-delivered IELTS, tell the invigilator at once if you Cancelling your IELTS test o
r requesting a transfer
don’t see the correct test on your computer screen or if the test is incomplete
or illegible.
• For information on cancelling your IELTS test or requesting a transfer, please
• raise your hand if you need to ask the invigilator something. Candidates may go to ielts.org.
not ask for, and will not be given, any explanation of the test questions.
• attend all four sections of the test. If you do not attend all four sections, you
will not receive an IELTS test result. Exceptions are possible but must How IELTS uses your information
be requested at registration and written approval must be received from
the centre. • The IELTS Test Partners recognise and support the right of IELTS test
• inform the invigilator on the day of the test if you believe that your candidates to privacy.
performance may be affected by ill health, by the way in which the test • When you provide your identity information the IELTS Test Partners link that
is delivered at the centre or for any other reason. If you have a complaint information to your IELTS test and test result on the Test Report Form. This
relating to the delivery of the test, you must submit your complaint to the test enables you to submit your Test Report Form to Recognising Organisations
centre before you leave the centre on test day. If this is not possible, please and for them to verify your result.
refer to the IELTS Complaints Policy on ielts.org for more information on how • Test Report Forms will only be sent to those Recognising Organisations
you can submit a complaint. nominated by the candidate in their application or at the request of the
• leave all test materials in the test room at the end of the test. The test materials candidate after the issue of results. When a candidate submits a Test Report
include question papers, Speaking booklets, answer sheets and rough Form to a Recognising Organisation they consent to the verification of the
paper. Any candidate who attempts to remove test materials from the test result by that organisation.
room will not receive an IELTS test result. • The IELTS Test Partners or their authorised representatives may share
candidate personal data, including, without limitation, test performance
You must not: or score data, or photographs taken by the test centre, with educational
institutions, governments (including visa processing authorities), professional
• talk to or disturb other candidates once the test has started. bodies and commercial organisations that recognise IELTS scores
• lend anything to, or borrow anything from, another candidate during the test. (‘Recognising Organisations’) or law enforcement agencies and regulatory
• eat or smoke in the test room. authorities where required for verification purposes or other purposes to
protect the IELTS test and its stakeholders against any form of malpractice.
• leave the test room without the permission of the invigilator. Finger-scan data, where obtained, will not be disclosed to any entity except
• leave your seat until all test materials have been collected and you have the IELTS Test Partners.
been told you can leave. • The IELTS Test Partners will retain work produced by candidates in the
• engage in any form of malpractice which may damage the integrity and IELTS test and may use it for quality control purposes and for investigations
security of the IELTS test. Malpractice includes, but is not limited to: into suspected malpractice. Test score data and test responses, in an
– attempting to cheat in any way, including using notes of any kind from anonymous form, may also be used for informational, research, statistical
any source. or training purposes.
– helping another candidate to cheat.
– impersonating another candidate or having another candidate
impersonate you.
– copying the work of another candidate.
– disrupting the test in any way.
– reproducing any part of the test in any medium.
– attempting to alter the data on the Test Report Form.
*Important: Please detach this section (pages i–iv) and retain for your own records. i
Codes to enter for questions 13–16
Refer to the lists below for the codes to enter for your country of nationality, your first language and
your occupation.
If either your first language or your country of nationality is not listed, enter ‘000’. Look for the closest
description of your occupation and proposed area of study. If your work or position is not covered at all,
then enter ‘00’.
ii
Question 14 – First language
Serbia 169 Afrikaans 001 Maltese 074
Seychelles 170 Akan 002 Maori 075
Sierra Leone 171 Albanian 003 Marathi 076
Singapore 172 Amharic 004 Marshallese 077
Sint Maarten (Dutch Part) 250 Arabic 005 Masai 078
Slovakia 173 Armenian 006 Mende 079
Slovenia 174 Assamese 007 Mongolian 080
Solomon Islands 175 Aymara 008 Nepali 081
Somalia 176 Azeri 009 Norwegian 082
South Africa 177 Baluchi 010 Oriya 083
South Georgia and the Bambara 011 Palauan 084
South Sandwich Islands 251 Basque 012 Pashto 086
South Sudan 252 Belarusian 019 Polish 087
Spain 178 Bemba 013 Ponapean 088
Sri Lanka 179 Bengali 014 Portuguese 089
Sudan 185 Bihari 015 Punjabi 085
Suriname 186 Bosnian 901 Pushtu 090
Svalbard and Jan Mayen 232 Breton 016 Quechua 091
Swaziland 187 Bulgarian 017 Rajasthani 092
Sweden 188 Burmese 018 Riff 093
Switzerland 189 Catalan 020 Romanian 094
Syrian Arab Republic 190 Chinese 021 Romansch 095
Taiwan 192 Creole 022 Russian 096
Tajikistan 233 Croatian 023 Samoan 097
Tanzania, United Republic of 193 Czech 024 Scottish Gaelic 138
Thailand 194 Danish 025 Serbian 098
Timor-Leste 222 Dari 026 Setswana 099
Togo 195 Dutch 028 Shona 100
Tokelau 196 Dzongkha 027 Sindhi 101
Tonga 197 Efik 029 Singhalese 102
Trinidad and Tobago 198 English 030 Slovak 103
Tunisia 199 Estonian 031 Slovene 104
Turkey 200 Ewe 032 Somali 105
Turkmenistan 234 Faeroese 033 Spanish 106
Turks and Caicos Islands 201 Farsi 034 Swahili 107
Tuvalu 202 Fijian 035 Swazi 108
Uganda 203 Filipino 904 Swedish 109
Ukraine 204 Finnish 036 Tagalog 110
United Arab Emirates 205 Flemish 037 Tahitian 111
United Kingdom 206 French 038 Tamil 112
United States of America 209 Fulani 039 Tatar 113
United States Minor Ga 040 Telugu 114
Outlying Islands 253 Galician 903 Tetum 136
Uruguay 207 Georgian 041 Thai 115
Uzbekistan 210 German 042 Tibetan 116
Vanuatu 211 Gilbertese 043 Tigrinya 117
Venezuela 213 Greek 044 Tongan 118
Vietnam 214 Gujarati 045 Trukese 119
Virgin Islands, British 236 Haitian Creole 046 Tulu 120
Virgin Islands, U.S. 208 Hausa 047 Tupi/Guarani 121
Western Sahara 216 Hebrew 048 Turkish 122
Yemen 218 Hindi 049 Uighur 123
Zambia 220 Hungarian 050 Ukrainian 124
Zimbabwe 221 Ibo/lgbo 051 Ulithian 125
Other 000 Icelandic 052 Urdu 126
Igala 053 Uzbek 127
Indonesian 054 Vietnamese 128
Irish 137 Welsh 139
Italian 055 Wolof 129
Japanese 056 Xhosa 130
Javanese 057 Yao 131
Kannada 058 Yapese 132
Kashmiri 059 Yiddish 133
Kazakh 060 Yoruba 134
Khmer 061 Zulu 135
Korean 062 Other 000
Kurdish 063
Lao 064
Latvian 065
Lithuanian 066
Luba 067
Luo 068
Luxemburgish 069
Macedonian 902
Malagasy 070
Malay 071
Malayalam 072
Malinka 073
Example
If you are a student, enter 08 because the sector
is Education, and 7 because the level is Student.
0 8 7
Sector
Administrative Services 01
Agriculture, Fishing, Forestry, Mining 02
Arts and Entertainment 03
Banking and Finance 04
Catering and Leisure 05
Construction Industries 06
Craft and Design 07 Checklist
Education 08
Health and Social Services 09 I have signed the Application Form.
Installation, Maintenance and Repair Services 10
Law and Legal Services 11
Manufacturing and Assembly Industries 12
Personal Services 13 I have provided all the information required.
Retail Trade 14
Technical and Scientific 15
Telecommunications and the Media 16
Transport 17
I have paid the test fee.
Utilities (gas, water, etc.) 18 (Please note that your application will not be
Wholesale Trade 19 processed without this.)
Other 00
Level
Self-employed 1
I have attached a photocopy of my passport/
Employer/Partner 2 National Identity Card (pages showing
Employee (Senior level) 3
Employee (Middle or Junior level) 4
personal identification details and expiry date).
Worker in the home 5
Retired 6
Student 7
Other 0
iv * Important: Please detach this section (pages i–iv) and retain for your own records.
Applications to Recognising Organisations
22 Please give details below of academic institutions/government agencies/professional bodies/employers you would
24
like your result sent to. Add your file/case number if known. Results may be sent either electronically or by post to
these organisations. Please complete all details below for the centre to correctly identify Recognising Organisations.
The centre may charge a postal fee for results sent internationally or by courier. The Test Report Form will not be
sent to migration or education agents. Please note that organisations you have listed below may access your results
a) Name of person/department
Name of institution/agency/body/employer
File/case number
Address
b) Name of person/department
Name of institution/agency/body/employer
File/case number
Address
c) Name of person/department
Name of institution/agency/body/employer
File/case number
Address
d) Name of person/department
Name of institution/agency/body/employer
File/case number
Address
e) Name of person/department
Name of institution/agency/body/employer
File/case number
Address
interpretation of the results by any third party, or any errors or omissions in the content thereof.
Signature Date d d m m y y