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IELTS AUTHORISATION FORM

Documents to be submitted:
1. Completed Authorisation Form
2. Copy of the Candidates ID (National ID/ Passport)
3. Copy of the Authorised Persons ID (National ID/ Passport)

Candidate Name
National ID/ Passport No.
Candidate Number
Test Date
Test Venue
I hereby authorise the following person to * submit / collect my IELTS Test Report Form on my behalf.
Full Name
National ID/ Passport No.
Relationship to Candidate
* Delete as necessary

_________________________

_________________

Signature of Candidate

Date (DD/MM/YY)

(Must be identical to the signature on the application form)

For Office Use Only


ID Checked (Authorised Person)
Checked by

Date

IELTS is jointly owned by


The British Council, IDP: IELTS Australia and
University of Cambridge ESOL Examinations

www.ielts.org

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