Exam level Exam date Candidate number* First name* Last name

EXAMPLE : CAE 5/15/2018 1 Madalina Matran

IF YOU REGISTER CANDIDATES FOR SEVERAL EXAM LEVELS, PLEASE FILL IN A DIFFERENT TA
PLEASE MAKE SURE CANDIDATES' NAMES ARE ACCURATE. DO NOT USE ANY DIACRITICAL M
SHOULD YOU REQUIRE AN INVOICE FOR YOUR REGISTRATION, PLEASE LET US KNOW NO LAT

School:
School address:
Contact person:
Contact person’s phone no.:
Contact person’s e-mail address:

Closed centres only:

Preferred dates for the Speaking paper:
Exam venue (if other than school address):
 Gender Preparation centre Date of birth* Contact number Mobile number
Female Scoala nr. 10 26/12/86 0213079642 0725443500

ASE FILL IN A DIFFERENT TABLE FOR EACH.

OT USE ANY DIACRITICAL MARKS!
EASE LET US KNOW NO LATER THAN 30 DAYS AFTER PAYING THE EXAM FEES.
 Email address CAE only: bilingual/ intensive City
madalina.matran@britishcouncil.ro intensive Bucuresti

EXAM FEES.