Fillable Printable Sace Toeic Test Registration Form

Sace Toeic Test Registration Form

SouthAustralianCollegeofEnglishCRICOS#00094M|TasmanianCollegeofEnglishCRICOS#01758A|WhitsundaysCollegeofEnglishCRICOS#02500G

TOEICTESTREGISTRATIONFORM

SACECampus:(Pleasecircle)SACEAdelaideSACEHobartSACEWhitsundays

GivenName/s:___________________________________Surname:_________________________________

DateofBirth:____________________PhoneNumber

(preferablymobile):________________________________

CurrentAddress:_________________________________Passport#:________________________

YoumustprovideacceptableandvalidIDwithasignatureandphotograph.

AcceptableIdentification:

Passport;DriversLicence;StateIdentification;NationalIdentification;

MilitaryIdentification

________________________________________________

Emailaddress:_______________________________________________________________________________

IwouldliketotaketheTOEIC/TOEICBridge(pleasecircle)teston:___________________________

Iwouldlikemyresults/certificatetobepostedto:(SACEwillpostwithinAustraliaorOverseas)

____________________________________________________________________________________________

or

Iwillcollectmyresults/certificatefromtheSACECollege.Pleasetelephonemeon________________________

whenmyresults/certificateareavailable.

Iamcurrently:studyingworkingat_________________________________

IamtakingtheTOEICTestfor:

ProgressEmploymentFurtherStudiesOther

Fees(FullpaymentoffeesisrequiredonTOEICTestregistration)

TOEICTest$210.00

AdministrationFee$20.00

(allregistrationsincurAdministrationfee)

TotalDueTOEICTest:$230.00

IaffirmthattheinformationIhaveprovidedregardingthisregistrationistrueandaccuratetothebestofmyknowledge.Iaffirm

thatIhavereceivedandwillreadtheTOEICTestExamineeHandbookcontainingTOEICTestpoliciesandprocedures.



Signed:_____________________________________Date:___________________________________

OFFICEUSEONLY:IDsighted&recorded|ExamineeHandbookgiventocandidate

Paymentreceived:Receipt#____________|RegistrationProcessedBy:______________