Candidate Application Form for TIE

USE ONLY BLOCK CAPITALS - Example: MARIA DE LA MATA

Full Name (as on Passport):

Date of Birth:

Mother tongue: Nationality:

Full Address:

Email Address:

Mobile number:

Name of the school that registered you for the exam:

Dates of Stay in Ireland: From: To (if known):

If you have taken TIE before, please write the year:

If you have any disability or need special arrangements when taking TIE, please give
details:

Candidates must have all the following information completed and must produce
all material in hard copy on the exam day. The absence of any material will result
in candidate not being permitted to sit the exam and no refund will be given.

1.Title of Investigation:

2.Title of Book:

3. News Article:

Signature:

© IELT Interactive English Language Tests Ltd 2019