2011-12 INTERNATIONAL TEST SCHEDULING FORM

(Computer-based GRE
®
revised General Test)
Do NOT use this form if you plan to test in the United States, Canada, Guam, U.S. Virgin Islands, or Puerto Rico.
To register online, visit www.ets.org/mygre.
Please print all information clearly in English charac-
ters. DO NOT include accent marks or any other special
characters. Use black ink to complete the form.
See the back of this form for instructions. Mail or fax your completed form to the Regional Registration
Center (RRC) for the country in which you plan to test (see page 26). Do not send this form to ETS.
FOR OFFICE USE ONLY:
Confirmation No.: Remittance No.: Test Date: Test Time: Test Center:
Payment Method (Fill in one circle)
NOTE: Certified checks, money orders, and personal checks must be payable
to ETS-GRE.. See page 14 of the Bulletin for preferred forms of payment.
Type of Currency: ____________________ Amount Enclosed: _____________________
Expiration Date: (MM–YY)

Card Holder
Name:
First (Given) Name
(as on photo ID document) :
Last (Family/Surname) Name
(as on photo ID document) :
Fax Phone:
Address Line 1:
Address Line 2:
City:
Country:
Primary Phone
(Include Country & City Code):
Alternate Phone
(Include Country & City Code) :
Date of Birth (MM-DD-YYYY):
Passport Number
(national certificate of citizenship
or national ID card) :
Middle Initial:
Postal Code:
– – – – –
1st choice 2nd choice 3rd choice 4th choice 5th choice
MM – DD MM – DD MM – DD MM – DD MM – DD
Specify 5 dates in order of preference and test center location(s).
for example, May 21 = 0 5 2 1 –
Second
choice
Test Center Number City name of test center Test Center Number City name of test center
First
choice
Test Date (MM/DD):
Test Center:
E-mail Address:
– –
Voucher Number Certified Check (enclosed)
Money Order (enclosed)
UNESCO Coupons (enclosed)
Personal Check (enclosed)
Signature: _________________________________________________________________________________ Date:
I hereby agree to the conditions set forth in the 2011-12 GRE Bulletin, specifically those concerning test administration, payment of fees, the
reporting of scores, and the confidentiality of test questions. I certify that I am the person who will take the test at the center and whose name
and address appear on this form.
Copyright © 2011 by Educational Testing Service. All rights reserved. ETS, the ETS logos,
GRADUATE RECORD EXAMINATIONS and GRE are registered trademarks of Educational Testing Service (ETS) in the United States
and other countries. All other trademarks are property of their respective owners.
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®
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®
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®
MasterCard
®
VISA
®





GRE® PAPER-BASED GENERAL TEST AND SUBJECT TESTS
2009-10 REGISTRATION FORM
To register online, visit www.ets.org/gre/grereg.
See the GRE paper-based test (PBT) center list at www.ets.org/gre/stupubs for the locations where the test
is offered. The PBT General Test is not offered in areas of the world where the computer-based test (CBT) is
available. If the CBT is available in your area, you will be registered for a CBT administration.

Do not use this form to register for the computer-based General Test.

Completing this form and submitting payment will register you for the paper-based GRE General Test and/or a Subject Test. Once this
form has been submitted, it cannot be canceled or deleted. NOTE: Be sure to complete all four pages and staple the completed
form before mailing. This form is available at www.ets.org/gre/stupubs.

• Print all information clearly in black ink.

• Enter your name exactly as it is shown on your primary
identification document.

• Mail the completed form and payment to:
ETS–GRE
Box 382013
Pittsburgh, PA 15251-8013
• Test Takers with Disabilities: Complete this form and
follow the instructions at www.ets.org/disability. Mail all
necessary forms and test fees to:
ETS–GRE
Disability Services
PO Box 6054
Princeton, NJ 08541-6054



* = Required field
* First (Given) Name
(as on photo ID document):

Middle Initial:


* Last (Family/Surname)
Name (as on photo ID document):


* Address Line 1:

Address Line 2:

* City:

State or Province:
Zip or Postal
Code:

* Country Code (Refer to
Bulletin):


* Primary Phone
(Include Area Code):
- -
Alternate Phone
(Include Area Code):
- -

Male Female MM DD YY
Gender:
* Date of
Birth:

U.S. Social
Security #:
- -

E-Mail Address:

Passport Number: (national
ID card or certificate of citizenship)



TEST DATES – For the most up-to-date list of approved dates and locations, go to the online registration system at www.ets.org/gre/grereg
or see the test center list at www.ets.org/gre/stupubs.

General Test (select one): October 24, 2009 February 6, 2010
Subject Tests (select one): October 10, 2009 November 7, 2009 April 10, 2010



Copyright © 2009 by Educational Testing Service. All rights reserved.
ETS, the ETS logos, GRADUATE RECORD EXAMINATIONS, and GRE are registered trademarks
of Educational Testing Service (ETS) worldwide. Other products, services, and brand names
mentioned herein may be trademarks of their respective owners.

29
DO NOT MAIL OR FAX THIS
FORM MORE THAN ONCE.
Completing the Form
◾ Use black ink.
◾ The name you enter on the form MUST match the name on the identification document you will present at the test center.
See “Identification Requirements” below.
Payment Information
◾ Fax or mail this form if you are paying with a credit/debit card or supplying a voucher number.
◾ Mail this form if you are paying with a certified check, money order, personal check or other physical payment method.
◾ See pages 14–16 of the Bulletin for a list of preferred forms of payment and acceptable currencies.
◾ If you do not submit payment with this form, your test appointment will not be made.
Test Date and Center Information
Note: The GRE revised General Test is not given every day at all test centers. Contact your Regional Registration Center (RRC)
for the latest information (see page 26 in the Bulletin).
◾ Indicate your first five test date choices by month (MM) and day (DD); for example, May 21 would be listed as 05/21.
◾ Fill in the number of the test center where you want to test.
◾ Write the name of the city where the test center is located.
◾ A second-choice test center may also be indicated.
Submitting This Form
By Mail
◾ The appropriate RRC must receive this form AT LEAST THREE WEEKS PRIOR TO YOUR FIRST-CHOICE TEST DATE.
◾ Be sure to include proper payment with this form.
◾ DO NOT MAIL this form to ETS. RRC mailing addresses are on page 26 of the Bulletin.
By Fax
◾ The appropriate RRC must receive this form AT LEAST SEVEN DAYS PRIOR TO YOUR FIRST-CHOICE TEST DATE.
◾ Be sure to include your credit/debit card number or voucher number on this form.
◾ RRC fax numbers are on page 26 of the Bulletin.
Scheduling Process
◾ The RRC will try to schedule your first-choice test date, then your second-, third-, fourth- or fifth-choice test date in chronological
order at your first-choice test center.
◾ If you select a second-choice test center and the RRC is unable to schedule you at your first-choice center, the RRC will try
to schedule your first-choice, then second-, third-, fourth- or fifth-choice test date at your second-choice test center.
◾ If none of the test dates requested are available, the RRC will try to schedule you for a test date close to one of your choices.
◾ If you have a problem with the appointment scheduled for you, contact your RRC within 24 hours of receipt of your registration
confirmation.
Retaking the Test
◾ You may take the GRE revised General Test (computer-based and paper - based) only once every 60 days, and no more than
five times within any continuous rolling 12-month period. This applies even if you canceled your scores on a test taken previously.
Identification (ID) Requirements
◾ Be sure that the name you provide for registration matches the VALID ID you will present on the day of the test (see pages 17–19 in
◾ If you fail to present the correct ID or if your name does not match the registration and ID, you will be TURNED AWAY from the
test center.
Confirmation Letter
◾ If you do not receive confirmation of your appointment by e-mail, fax or mail, you must call the RRC AT LEAST THREE
BUSINESS DAYS PRIOR TO YOUR FIRST-CHOICE TEST DATE.
◾ If you miss your appointment and did not call the RRC, your test fee will not be refunded.
Instructions for Completing the International Test Scheduling Form
IMPORTANT: If the form is not properly filled out (contains incomplete information, unclear letters or non-English characters), it MAY cause
a delay in processing your registration and appointment request. Please read the instructions carefully.
This form can be downloaded at www.ets.org/gre/revised/bulletinandforms.
To register online, visit www.ets.org/mygre.
the ). Bulletin





G R E ® P A P E R - B A S E D G E N E R A L T E S T A N D S U B J E C T T E S T S
2 0 0 9 - 1 0 R E G I S T R A T I O N F O R M
T o r e g i s t e r o n l i n e , v i s i t w w w . e t s . o r g / g r e / g r e r e g .
S e e t h e G R E p a p e r - b a s e d t e s t ( P B T ) c e n t e r l i s t a t w w w . e t s . o r g / g r e / s t u p u b s f o r t h e l o c a t i o n s w h e r e t h e t e s t
i s o f f e r e d . T h e P B T G e n e r a l T e s t i s n o t o f f e r e d i n a r e a s o f t h e w o r l d w h e r e t h e c o m p u t e r - b a s e d t e s t ( C B T ) i s
a v a i l a b l e . I f t h e C B T i s a v a i l a b l e i n y o u r a r e a , y o u w i l l b e r e g i s t e r e d f o r a C B T a d m i n i s t r a t i o n .

D o n o t u s e t h i s f o r m t o r e g i s t e r f o r t h e c o m p u t e r - b a s e d G e n e r a l T e s t .

C o m p l e t i n g t h i s f o r m a n d s u b m i t t i n g p a y m e n t w i l l r e g i s t e r y o u f o r t h e p a p e r - b a s e d G R E G e n e r a l T e s t a n d / o r a S u b j e c t T e s t . O n c e t h i s
f o r m h a s b e e n s u b m i t t e d , i t c a n n o t b e c a n c e l e d o r d e l e t e d . N O T E : B e s u r e t o c o m p l e t e a l l f o u r p a g e s a n d s t a p l e t h e c o m p l e t e d
f o r m b e f o r e m a i l i n g . T h i s f o r m i s a v a i l a b l e a t w w w . e t s . o r g / g r e / s t u p u b s .

• P r i n t a l l i n f o r m a t i o n c l e a r l y i n b l a c k i n k .

• E n t e r y o u r n a m e e x a c t l y a s i t i s s h o w n o n y o u r p r i m a r y
i d e n t i f i c a t i o n d o c u m e n t .

• M a i l t h e c o m p l e t e d f o r m a n d p a y m e n t t o :
E T S – G R E
B o x 3 8 2 0 1 3
P i t t s b u r g h , P A 1 5 2 5 1 - 8 0 1 3
• T e s t T a k e r s w i t h D i s a b i l i t i e s : C o m p l e t e t h i s f o r m a n d
f o l l o w t h e i n s t r u c t i o n s a t w w w . e t s . o r g / d i s a b i l i t y . M a i l a l l
n e c e s s a r y f o r m s a n d t e s t f e e s t o :
E T S – G R E
D i s a b i l i t y S e r v i c e s
P O B o x 6 0 5 4
P r i n c e t o n , N J 0 8 5 4 1 - 6 0 5 4



* = R e q u i r e d f i e l d

* F i r s t ( G i v e n ) N a m e
( a s o n p h o t o I D d o c u m e n t ) :

M i d d l e I n i t i a l :


* L a s t ( F a m i l y / S u r n a m e )
N a m e ( a s o n p h o t o I D d o c u m e n t ) :


* A d d r e s s L i n e 1 :

A d d r e s s L i n e 2 :

* C i t y :

S t a t e o r P r o v i n c e :
Z i p o r P o s t a l
C o d e :

* C o u n t r y C o d e ( R e f e r t o
B u l l e t i n ) :


* P r i m a r y P h o n e
( I n c l u d e A r e a C o d e ) :
- -
A l t e r n a t e P h o n e
( I n c l u d e A r e a C o d e ) :
- -

M a l e F e m a l e M M D D Y Y
G e n d e r :
* D a t e o f
B i r t h :

U . S . S o c i a l
S e c u r i t y # :
- -

E - M a i l A d d r e s s :

P a s s p o r t N u m b e r : ( n a t i o n a l
I D c a r d o r c e r t i f i c a t e o f c i t i z e n s h i p )



T E S T D A T E S – F o r t h e m o s t u p - t o - d a t e l i s t o f a p p r o v e d d a t e s a n d l o c a t i o n s , g o t o t h e o n l i n e r e g i s t r a t i o n s y s t e m a t w w w . e t s . o r g / g r e / g r e r e g
o r s e e t h e t e s t c e n t e r l i s t a t w w w . e t s . o r g / g r e / s t u p u b s .

G e n e r a l T e s t ( s e l e c t o n e ) : O c t o b e r 2 4 , 2 0 0 9 F e b r u a r y 6 , 2 0 1 0
S u b j e c t T e s t s ( s e l e c t o n e ) : O c t o b e r 1 0 , 2 0 0 9 N o v e m b e r 7 , 2 0 0 9 A p r i l 1 0 , 2 0 1 0



C o p y r i g h t © 2 0 0 9 b y E d u c a t i o n a l T e s t i n g S e r v i c e . A l l r i g h t s r e s e r v e d .
E T S , t h e E T S l o g o s , G R A D U A T E R E C O R D E X A M I N A T I O N S , a n d G R E a r e r e g i s t e r e d t r a d e m a r k s
o f E d u c a t i o n a l T e s t i n g S e r v i c e ( E T S ) w o r l d w i d e . O t h e r p r o d u c t s , s e r v i c e s , a n d b r a n d n a m e s
m e n t i o n e d h e r e i n m a y b e t r a d e m a r k s o f t h e i r r e s p e c t i v e o w n e r s .

30