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Surname: _________________________________________________
Level Date
Goethe-Zertifikat B2 Modular 10.02.2024
I hereby confirm that I have read and understood the “Exam rules and regulations” posted on the
website and agree to abide by the same: https://www.goethe.de/ins/in/en/sta/ban/prf/anm.html
I hereby declare that I have read and understood all the terms and conditions given on the Goethe-
Zentrum website related to the admission, conduct of the examination and publication of the results.
They will be asked to drop me at Centre and come back only after my exams are over.
Date: Signature: