IELTS Test Report Form ‘ACADEMIC NOTE sarin tuys anda shoud sen ne ACADEMIC Resng a Hrre Meee ‘SEueRaL Pan Rony ts ang ose nal Sesoes at Be ka ng one sm gore sate: pase, fieconewnted a be ect nguege aby se nataed i Text Repro be earesses eer be yar to a he Be Centre Number | 80001 Date | souuuzors Candidate Number 005161 Candidate Details Femily Name First Name Candidate 1D | 2e0sri985 ‘Sex (WF) | M Scheme Code | Private Candidate L Country or Region | 1 of Origin | | Date of Birth Country of Natoretey BANGLADESH First Language | BENGALI } Test Results Overall meen | ee [#] yee [| soon] ES Score ‘Eo tel = Administrator Comments Centre stamp Validation stamp Administrators Signature | Test Report Form’ Date 10/08/2016 sea BRITISH feats Raidp eS CB MERGE ENGHSE Fort ofthe Unverty ot Cambie “The vay of is IELTS Test Report Farm can be verified onine by recognising organisations at htp/ies uces org.uk