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Registration
Student Information:
 
Title Title
First Name* First Name
Exactly as per your passport
Middle Name Middle Name
Exactly as per your passport
Last Name Last Name
Exactly as per your passport
Date of birth* Date of Birth*
Contact Number * Contact Number*
Email* Email*
Confirm Email* Confirm Email*
Nationality* Nationality*
First Line of Address* First Line of Address*
Second Line of Address Second Line of Address
Third Line of Address Third Line of Address
Town/City* Town/City*
Postcode Postcode
Gender* Gender*
Which test do you want to do?* Which test do you want to do?* ESOL Entry 3 (B1)
ESOL Entry 2 (A2) (Visa Extension Application to be submitted after 31-Oct-2016)
ESOL Entry 1 (A1)
ISE I (B1) / Private Hire Licence
Exam Location Exam Location
Preferred Exam Date Prefferred Exam Date
Preferred Exam Time ? (cannot guarantee)* Preferred Exam Time ? (cannot guarantee)*
Exam Information:
 
Reason for the Test* Reason for the Test *
Identification Documents* Identification Documents*
ID Number* Document ID Number*
Mandatory for applications submitted November 2015 onwards
ID Expiry Date* ID Expiry Date*
Mandatory for applications submitted November 2015 onwards
I confirm that my ID is valid* I confirm that my ID is valid* YesNo
I will bring my original ID to the exam* I will bring my original ID to the exam* YesNo
Profession/Job Profession/Job
Have you pass Life in the UK test ? Have you pass Life in the UK test ? YesNo
Do you need any Training for the exam?* Do you need any Training for the exam?* Yes No
Do you have any disabilities/special needs?* Do you have any disabilities/special needs?* Yes No
If yes please give details* If yes please give details*
How did you hear about us? How did you hear about us?
I accept all Terms and Conditions* I accept all Terms and Conditions*
Security Code* Security Code*

 
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