Exam Registration Form B2
Exam Registration Form B2
(Please read instructions in the mail carefully before filling the form)
Surname:
Given Names:
PTNR No:
Place of Birth:
Nationality: Phone:
Insert a passport size
Paste a passport size Email Id:
photo in the space
above
Level Date
Goethe-Zertifikat B2 Modular 27.10.2024
I hereby confirm that I have read and understood the “Exam rules and regulations” posted on the
website and agree to abide by the same: https://www.goethe.de/ins/in/en/sta/ban/prf/anm.html
DECLARATION
I hereby declare that I have read and understood all the terms and conditions given on the Goethe-
Zentrum website related to the admission, conduct of the examination and publication of the results.
They will be asked to drop me at Centre and come back only after my exams are over.
Date: Signature: