Anmeldungsformular

Für die Prüfungen in Bangladesh

Registration Form
For exams in Bangladesh

Please fill in this form in capital letters

Exam level: Registration/Participant Number:

For B1 or B2: Reading Writing Listening Speaking

Male Female

Given/First name:

Family name:
(According to passport)

Date of birth: Place of birth:

Nationality:

Mailing address:

Tel./Mobile: E-Mail:

Purpose of learning German:

Passport or Smart card No.:

I have read and herewith acknowledge the Exam Guidelines, the Terms and Conditions
for the exam administration (see www.goethe.de/en/spr/kup/prf/prf.html), the Terms and
Conditions of the Goethe-Institut Bangladesh (see https://www.goethe.de/ins/bd/en/spr/kur/
tup.cfm?courseId=1844) und the data protection rules and consents
(see https://www.goethe.de/ins/bd/de/dat.html )

Place, Date Signature of Applicant