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Name of the candidate

(as on Aadhaar/ passport)

Date of birth
Place of birth
Aadhaar/ passport number
Contact number:
Email Address:
10 Digit Participant number
(in case you are a registered student of any
Goethe-Institut)

Examination Level : A1/ A2/ B1/ B2 / C1 / C2


In case of modular examinations (B1/ B2/ C2),  Gesamtprüfung
highlight relevant modules which you wish to  Lesen
appear. In case you want to apply for all the  Hören
modules, highlight “Gesamtprüfung”.  Schreiben
 Sprechen
Date of Examination
Amount transferred
Name of the account holder
Account Number (from
which account the payment has been made)
Name of the Bank
IFSC Code
Date of transaction
Transaction Reference number / ID/ UTR

EXAMINATION FEE PAYMENT DETAILS (NEFT ONLY)

*** Kindly note:


1. All further communication will be with Email address provided in the table.
2. If your Aadhaar card is not with updated photo and complete date of birth, do
provide your passport number as your valid identity proof.

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