Sidp | IELTS JELTS Minor Candidate Acknowledgement and Consent Form This applies to IELTS and IELTS for UKVI and replaces all previous minor consent forms Important ‘The IELTS Partners aim to provide the safest possible environment for minors by identifying A mnanaging risks that may lead to harm during a minor's IELTS journey on test day. ‘As part of these provisions, a completed IELTS Minor Candidate Acknowledgement and ‘Consent Form must be provided to the Test Centre on oF before the test day. A minor cernot complete test day check procedures without a signed copy of this form. If this consent form is not provided on, or before the test day the minor test taker will not be ddmitted to the test room. We recommend that you keep @ COPY for your own records. ‘Aminoris defined as any IELTS test taker under the age of eighteen years, or older ifthe age of ‘adult majority is over eighteen under local legislation. | AM THE PARENT/LEGAL GUARDIAN OF AN IELTS TEST APPLICANT WHO IS A MINOR UND 1 ACKNOWLEDGE AND CONSENT TO THE FOLLOWING: 4. Junderstand that the test centre may provide a chaperone who will accompany the minor in the speaking room during the IELTS speaking test. Only the chaperone and examiner will be allowed access to the speaking room with the minor. 2. J understand the test centre may also assign a chaperone for all paris of the test where the minor has pre-approved special requirements such as separate invigilation for the listening, reading, and writing test. rdian do not want the test taker to be accompanied 3, lunderstand that fas parent/legal guar rate arrangements with the test centre. by a chaperone on test day, then I can make separ This will only apply if «sthe tost taker is at least 15 years of age by test date 1 the parent/guardian (not the test taker) contacts the test centre in writing at least 7 Calendar days before test date and attaches 2 completed and signed copy of sections ‘Aand B of this consent form ‘4. understand that the test centre's duty of care regarding the minor ‘ends when the minor ig returned to a responsible legal guardian after the test: or if2 responsible legal guardian ig absent, to the non-restricted and publicly accessible areas of the test venue. &, Test centre staff wil confirm on test day the exact nature of any special provisions for test takers who are minors jelts.com \DP LTS Minor Canedate Concent Form - Ay 2020 Vation aie oy cnaay te wrsn arch 7s Asean Com teenSeidp | IELTS for Minors to sit the IELTS & IELTS for UKVI testis Consent: please encure both section A & B are completed A-For completion by the IELTS test taker Fullname of IELTS Cancléate: Test Hivenkumar Dekivadin — ‘Signature IELTS Candidate: A Date: 42-2 B-For completion by Parent/Legal Guardian declare that exerci parental care ofthe candiat named on his form and have rea understood, and accept the above conditions. Full name of Parent! Legal Guardian: Signature of Parént/ Legal Guardian: Date: -42- ‘Mobile number for emergencies: 4068 {EIA | Mobile number for emergen = —_—_— telts.com LDP KLTS Minor Condhdate Content Form = Ju 2020 Veron IELTOW py aed bu rah ane ELTS Asi an abe Aue Et