Jeclaration 1. scknowedge tate IELTS tet jen ope by Ets Counc, JELTS Ausra Pry L2a{ABN 04 006668 78), which wha cme by IOP {ucaton Ln (IOP IELTS Auetais) and Cambridge Assesrnect Engleh (part of te Unversity fCambxdge), collectively refered to asthe LTS Tex Parnes | knee at have read the IELTS fnfomaton for Carddstesbooet. | ekrowiege tat have read the IELTS Nate to Candidates’ inthis Appcation Form and agree to sbice by the IELTS tt terms and centers, | Understand utter may belaea tems and condone that | must comely with andthat he test centre wil prove details of hese on request. | understand that ithe cetale onthe Aplcaion Farmar nt completed, my appli may ret be races | fuer understand tat ‘Completing an subratong ta form doe nt guarantee registration on my peferedtest cate erat srferedtest lotion undertans thet my fegisation wa be conraa wrangby te tet ceri, (6 erty hat the nfaraon in my apleaten 5 complete, tue and acorate + undertans that my tet eel carne be ved or United Kingdom Visas and inmigraton(UKV!) appa purposes and tht wi not beige forarehind tl subsequaty ft | requir an IELTS for UCM test rest Personal information | unseretar tat tte recovery or my personal nfermatn ote eolected and pocestadn order for me to tke th IELTS test to verty my tery and to eee re recie, The porsnalnfamatenscoleced and ecurl stored when| app fr anawhan take the IELTS test andi used by the /ELTS Text Parmer forthe purpose of he IELTS test 6. Uy personal information, neluing, without Irian, est performance or are data and my tet rest may be dciosed byte IELTS Test ‘Puls to Recognng Otgaroaions to wtch | apply an governments (ncuang visa processing autores) forthe pupase of alowng these ‘organs a venty my test result 40. My persona ifort may be processed nan anonymous form by the IELTS Test Parner fo stattcalansresearch purposes. ‘Y._ Myrctogragh wl be ake by theft carte on tasty an wl spear an my Test Report Form. This photograph il be provided to any Recaonaing Organon: er gover authors to whch | apy, tow Bie crgnisatons to verty my test est 12. twa be requires to verty my seit on tet dy by providing the certy document spected by te test canis. | may aso be requests to contr rodent onto dy by having 2 oer sean taken Te frger scan in taken ws a Bary Large Ob (ELOB), ance image of my tmgepee wil ohetd Tha bometne deta wil be held for 60 days afer my test nd wil ot be disclosed to any eotty exept he IELTS Test Partners 12. My Speaking tet wi be recorded Inthe eiettne teste nt rao wl be requresto retake he Spesng test An ebeerver may ond my Speaking teat ae par othe examine montring process “4. | mmybe fied for securty and qvalty assurance purposes when reccterng forthe test and cing he tet The veo fbtage wl be ld or fetes of 80 days ster my tes and may Be unegforat or vesigaton purposes. The fotage may lo be shared wih government agers fr those puposes. 18. | can ences her detason how he |ELTS Test Parnes uae my personal information (rclicng how lng tsretaned in eiferentckeurstances and now can exero9e ry rights) at ts craacy, “Test Foos and Refunds 1 unersand tat a 18. tbe charge ne teat fe upon regen 17 i requeseatranster er cancel my test, my ightto a reine Wt be detemines in acordance wih local epson. “Test integity, Security and Malpractoe (understand tat 12. | must tend of four test sacons inorder fo receive atest eet nd any exception otis must be approved in avance by the tet cee 4% TholELTS Test Parte have a reeponebilty to al canddstes and Recognising Organisations teense the highest confidence in IELTS test resus THOIELTS Tent Pres ay Derefore be requvedto withld teat rents trporany or permanent, oro cancelfestresuts which have bean ‘soued thy coals toas resus io be uae for ary eason 20. Mytastrest ray nt be isued 19 day (paper bated) o 3-8 days (computer-dlvered) afer he test f any ofthe JELTS Test Prins consider Trrocsecay tovevew sry mater assoneted wih my tet ote aemnsaton of test including makng enquires asto whether any rues or ‘tulatons hove bean reached | meybe equed'o provide adionel samples of my veing and epeakng fr te purpoes of assisting ery (Reantgubon before cater he teat in exceplonl creurtances, | may be equredto retake one ome IELTS sactens 21. Inlamanpected of engepi in any form of makati, ease to comply wt reasonable requets o nspet personal tems, of do anying that might drsage tenet and sect CIEL, lmay not receive a test est. my test fe wl not berefunded and! maybe banestom aang he Toten the taure I ambanned, | wil recewe a nobicaton stain he length ofthe ban amsubjecttoa ban and registro Tae be tee | nottoceneatest rest and! wit nol be ented to areing Ifa reaut © eves to me wie am subject 9 aan this est vl ‘be cancel andl wnt bo ord te arefund 122. Detateotery proven ot suspected mabracice may be provided to Racogisng Organisations incl governments (neuding visa processing nonce) an opccoiate oguatry ahertes, and cerry tothe IELTS Test Pamers Inintaces where mapractve has been proven | may be abet proseciton 123. Tho work grouse nthe IELTS test emacs the property ofthe IELTS Tes Partners and wil ot be released& me In cases & proven or suspects ralpracice my work may be provided relevant autores, Disciimer The iteratinal Enpish Language Testing Sytem IELTS) is designed to be ane of many factors used by aad istutions, goverment Rani wecccva bodes and employers ndetorainng whether ate! ekr canbe amie as a stent or Be consisred for employmetorfor eBtonchirpunporer IELTS a! designed tobe te sole sod of deterring asian or employment forthe tea taker. IELTS is made avatbie Terchide al parsons, regalo ofape gender, rave. nani orton, but is nol recommended o persone under 18 years of age ‘teh Coure, [DF IELTS Ausra and Cambridge Assessment Engith and any ter paryinvaved in retin, producing. or detvrng IELTS sna pal be baie or any det ncdenal, consequent idrec apeaal puntve. or sinlar damages arsng out of acess to, use a, acoptene By, or Imarerataon oh est by ay ‘anor oromveson ne coton threo Signature Date 3001 |13 i camtridge Assessment SEBO Feidp Wixene