BCEESIPL (IELTS Examinations)

Parent Consent for Candidates Under 18

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PARENT CONSENT FORM

(To be submitted to the LRW Supervisor at the test venue)

Requesting Parent/guardian to fill the details as applicable

Full name of the candidate:
………………………………………………………………..….…………
Date of Birth of candidate …………………………………… Gender: Male / Female

I, ………………………………………………… (name of mother/father/guardian) with

ID/Passport Number ……………………..… Aged ……..

hereby, (Tick any 1 (one) option below as applicable, granting your permission)

□Agree to drop and collect my (son/daughter)

□Give permission to my son/daughter to leave the exam premises by themselves at the end
□Authorise ……………………………………………… Aged ……… (must be 19 and above
and related) Relationship………………………. with

ID/Passport Number ………….….………… to drop / pick my son/daughter. He/ she will be

carrying the ID proof in support of the above number.

Test Venue: …….……………………………………………………. on (date) ………………

*The signature on this consent form includes consent for LRW Test. The candidate will be allowed to leave the
exam premises, with the written consent given by the parent. I am aware of the test timings.

Signature of candidate: ……………………………. Date……………….…. Place ……………

Full name of parent/guardian: ……………………………………… (Father/Mother/Guardian)

Mobile Number: ……………………………….

Alternate number……………………… Name…………………Relationship ……………….

 DECLARATION BY PARENT / GUARDIAN

“I undersigned,------------------------------------------------------------------------------------------- (Name
of the Parent/ Guardian), hereby declare that I have read this form / this form has been read
out and explained to me in my language (strike off whichever is not applicable) and I have
understood the content. I hereby confirm and undertake that all the information furnished by
me in the Parent Consent Form is correct, valid and true. I will present the supporting
documents as and when required. I am aware that the Parent Consent Form duly signed by
me, will be handed over by
_______________________________________________________ (Candidates name) at
the Test Venue.

(Signature or Thumb Impression of the Parent/ Guardian)

Date: Place:
BCEESIPL (IELTS Examinations)
Parent Consent for Candidates Under 18
----------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------

PARENT CONSENT FORM

(To be submitted to the SPEAKING TEST DAY Supervisor at the test
venue)

Requesting Parent/guardian to fill the details as applicable

Full name of the candidate:
……………………………………………………………….….…………
Date of Birth of candidate …………………………………… Gender: Male / Female

I, ………………………………………………… (name of mother/father/guardian) with

ID/Passport Number …………………….… Aged …….

hereby, (Tick any 1 (one) option below as applicable, granting your permission)

□Agree to drop and collect my (son/daughter)

□Give permission to my son/daughter to leave the exam premises by themselves at the
end

□Authorise ……………………………………………… Aged ……… (must be 19 and

above and related) Relationship………………………. with ID/Passport Number

………….….………… to drop / pick my son/daughter. He/ she will be carrying the ID

proof in support of the above number.

Test Venue: …….……………………………………………………. on (date)

………………
*The signature on this consent form includes consent for LRW Test. The candidate will be allowed to leave
the exam premises, with the written consent given by the parent. I am aware of the test timings.

Signature of candidate: ……………………………. Date……………….…. Place

……………

Full name of parent/guardian: ………………………………………

(Father/Mother/Guardian) Mobile Number: ……………………………….

Alternate number……………………… Name…………………Relationship ……………….

 DECLARATION BY PARENT / GUARDIAN

“I undersigned,-------------------------------------------------------------------------------------------
(Name of the Parent/ Guardian), hereby declare that I have read this form / this form has
been read out and explained to me in my language (strike off whichever is not
applicable) and I have understood the content. I hereby confirm and undertake that all
the information furnished by me in the Parent Consent Form is correct, valid and true. I
will present the supporting documents as and when required. I am aware that the Parent
Consent Form duly signed by me, will be handed over by
_______________________________________________________ (Candidates name)
at the Test Venue.

(Signature or Thumb Impression of the Parent/ Guardian)

Date: Place: