8/13/2019 Nhan in 1

1/3

Candidate test day photo registration formVersion 2

18 and over: Global13/03/2013

Candidate test day photo registration form

Use this fo rm if you are 18, or over 18, years of age. You must complete all sections o f thisform.

For Cambridge English: Key, only complete this form if you want to use your result forimmigration purposes and need a test day photo.

Exam details:

Which exam do you want to take?Paper-based

Computer-based

Cambridge English: Key(KET)

Cambridge English: Preliminary(PET)

Cambridge English: First(FCE)

Cambridge English: Advanced(CAE)

Cambridge English: Proficiency (CPE)

Cambridge English: Business Preliminary(BEC Preliminary)

Cambridge English: Business Vantage(BEC Vantage)

Cambridge English: Business Higher

(BEC Higher)

Cambridge English: Financial(ICFE) n/a

Cambridge English: Legal(ILEC) n/a

On which date do you want to take theexam?

8/13/2019 Nhan in 1

2/3

Candidate test day photo registration formVersion 2

18 and over: Global13/03/2013

Your details:

Firstname(s):

Family name(s):

These names must be the same as the names on your passport/National Identity Card and must appear in thesame order

Date ofbirth:

(day/month/year) Gender: Male Female

Emailaddress:

Phonenumber:

Mobile/cellphone number:

Address:

City/town:

Post/zip code:

Country:

This is the address that your certificate will be sent to. If you want your centre to send it to a different address,please contact the centre directly.

Passport or national ID number:(this must be the ID you will bring with you on theexam day)

Country of birth:

Nationality:

Name of institution where you are doing aCambridge English exam preparation course(leave blank if you are not doing a course):

Why are you taking the test?For studying abroad

In whichcountry?

For visa purposes For whichcountry?

For work Other

Do you have any special requirements? Forexample, modified materials for visualdifficulties, or special requirements because of amedical condition.

8/13/2019 Nhan in 1

3/3

Candidate test day photo registration formVersion 2

18 and over: Global13/03/2013

Declaration:

I understand that all individuals who want to take a Cambridge English exam are required to agreeto all of the Terms and Conditions (a copy of which has been provided by the centre).

I wish to be admitted for the selected Cambridge English exam at the centre listed on this formand for the date listed here. I will bring a valid photo ID with me on the test day, and I consent tohave my photo taken by the centre on the day of the Speaking test and/or the written papers. Iagree for this photo to be held on the secure Cambridge English Language Assessment ResultsVerification site and viewed as set out below if I give my agreement.

Additionally, if I use my exam result for a visa/immigration application I agree for the exam resultto be available on other sites shown athttp://www.cambridgeenglish.org/cambridge-english-for/visas-and-immigration/if I give my consent.

I hereby authorise the following to access my information (tick if appropriate):

UKBA

The photo shall only be available to organisations/individuals that I give my details to or that Iauthorise to view my result.

By signing this form I declare that I am aware of and agree to comply with the Terms andConditions for this exam.

Signature Date

http://www.cambridgeenglish.org/cambridge-english-for/visas-and-immigration/http://www.cambridgeenglish.org/cambridge-english-for/visas-and-immigration/http://www.cambridgeenglish.org/cambridge-english-for/visas-and-immigration/http://www.cambridgeenglish.org/cambridge-english-for/visas-and-immigration/http://www.cambridgeenglish.org/cambridge-english-for/visas-and-immigration/http://www.cambridgeenglish.org/cambridge-english-for/visas-and-immigration/