BRITISH COUNCIL IELTS ONLINE REGISTRATION SYSTEM

PLEASE WRITE LEGIBLY.

TEST TAKER DETAILS:

Date of Birth: _____/_____/__________ (DAY/MONTH/YEAR)

First name: __________________________________________

Please indicate your middle name (if stated on you valid ID) along with your first name on the “first name” field.

Family name: ____________________________________________

(These names must be the same as the names on your Passport /National Identify Card and must appear in the same order)

TEST TAKER CONTACT DETAILS:

Email: __________________________________________

Mobile: __________________________________________

TEST TAKER ADDRESS:

Country / Territory: _________________________________________

Address: _________________________________________________
Town: ___________________________________________________
Zip/Postal Code: ___________________________________________
(Please note you will only be sent one copy of your result. Please ensure the correct mailing address is given, since your result will be sent to this address)

TEST TAKER IDENTIFICATION:

ID Type: ___Passport ____Philippine National Identity Card ___GSIS/UMID/SSS/PRC

Candidates taking the test outside their own country must use a current passport.
You must bring the ID document indicated above to the test. This is the only form of identity that will be accepted on the test day.
The document must be valid / not expired at registration and on the test day.

ID Number: _______________________________
ID Expiry Date: _____/_____/__________ (DAY/MONTH/YEAR) * For Passport and PRC ID use only

ID Issuing Authority: __________________________________

TEST DETAILS:

Test module: ____Academic ____General Training

Do you have any special requirement for the test? ____Yes ___No

Test city location: ___________________________________

Preferred date of test: ___________________________________

Product Type: _____ IELTS _____ IELTS for UKVI

Exam Format: _____ Paper Based _____ Computer Delivered

ADDITIONAL DETAILS:

Gender: ___Male ___Female

Title: ___Dr ___Mr ___Mrs ___Miss ___Ms

Origin Country: ______________________________

First Language: ______________________________

How many years have you been studying English? __ 1 (less) __ 2 __ 3 __ 4 __ 5 __ 6 __ 7 __ 8 __ 9 (or more)

What level of education have you completed? : ___Secondary (up to 16 years) ___Secondary (16-19 years) ___Degree (or equivalent) ___Post Graduate

Occupation Sector: __________________________________

If other, please specify: _________________________

Occupation Level : __________________________________

If other, please specify: ____________________________

THE TEST TAKERS INTEREST IN IELTS:

Why are you taking the test?: __________________________

If other, please specify: ____________________________

Which country are you intending to go to? : ___Australia ___Canada ___New Zealand ___Republic of Ireland ___United Kingdom ____United States of America

If other, please specify: ____________________________