IELTS / PTE / TOEFL Exam Registration, Chandigarh

Exam Registration Form

Branch

Exam *

Preferred Date of Test*

Second Choice

Preferred Speaking Date*

Test City Location*

Why are you Taking the Test?*

Other

Which test module are you registering for?*

You must take the ID document indicated below 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 date.

Passport No.*

Date of Issue*

Date of Expiry*

Passport Issue Authority*

Title*

First /Given Name*

Surname*

Date of Birth*

Gender*

Address*

Zip Postal Code*

Mobile*

Email*

Which Country are you applying to/intending to go to?* (Australia / Canada/ New Zealand / UK / USA or Enter any other country )

First / Mother Language (English / Hindi / Punjabi / Urdu or name other)*

What level of education have you completed?*

How many years have you been studying English?*

Other Information

Declaration:
I certify that the information in my application is complete, true and accurate. In case of any change or error I will be solely responsible.
I understand that the personal data in my application is collected for the purpose of the test Booking, and I consent for this data, including, without limitation, test performance or score data and my test result .
I have submitted my original passport / provided copy of passport for scanning and registration purpose and I have collected my Passport/ documents after registering myself.
I hereby authorize Crossland to book my test, receive, open and check toy study material , Test Result Form and other documents received from the testing bodies.
I have checked all the data/ information uploaded on the Portal of Test conducting bodies and have found, No error.
Crossland or its staff will not be responsible for any error / fault in the information, certificate issued to me.
I understand that I will be charged the full test fee upon registration.
I understand that if I request a transfer or cancel my test, my right to a refund will be determined in accordance with Testing Bodies.

I Accept

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