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IELTS Module Change Form

Candidates may change the test module (Academic/General Training) but any amendment must be made prior to your test date.

IELTS modules changes will only be processed if there are places available for the new module requested.

Please complete the details below accurately

Name YASMINE Surname ELOUARIACHI

Test date registered for Saturday 26 Venue HBA CENTER


CASABLANCA, 192
February 2022 RESIDENCE BAGHDAD
4EME ETAGE N’ 8 ANGLE BD
ZERKTOUNI ET MOUSSA
IBNOU NOUSSAIR
CASABLANCA

Original module Academic Change module to General Training


requested

Centre Number 212682536272

Candidate signature: _________________________ Date: 18/12/2021 Received by: British council

Date: 18/12/2021

For office use only

Request approved Request NOT approved

IELTS Administrator signature: ________________________


IELTS is jointly owned by the British Council. IDP:
IELTS Australia and University of Cambridge
Cambridge English Language Assessment.

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