IELTS INR 3,000 (Three Thousand only) (inclusive of all taxes) IELTS for UVKI INR 4,625 (Four Thousand Four Six Hundred and Twenty Five only)

Similar documents
Cambridge English CELTA Application Form

Procedures for Registration

ACCA Computer Based Examinations Application Form

5 easy ways to speed up the claims process

CLAIM FORM. CLAIM FORM PART A TO BE FILLED IN BY THE INSURED The issue of this Form is not to be taken as an admission of liability

Before you fill in this form, please take note:

Claim form for health insurance policies other than travel and personal accident - PART A

MediRaksha. Claim Form. Part A (To be filled in by the Insured)

5 easy ways to speed up the claims process

DEATH CLAIM FORM (DCF) CLAIMS DOCUMENT CHECKLIST (CDCL)

LINGNAN UNIVERSITY Office of Mainland and International Programmes

Claim form for health insurance policies other than travel and personal accident - PART A

GROUP TOTAL & PERMANENT DISABILITY CLAIM FORM

Easy Travel Insurance CLAIM FORM

GROUP DISABILITY CLAIM FORM

Student Retired Student Others. Mobile Home Work. Student Retired Student Others. Self-inflicted road traffic accident substance abuse alcohol abuse

SYSTEMATIC INVESTMENT PLAN (SIP) APPLICATION FORM

INTERNATIONAL GCSE EXAMINATIONS (IGCSE) JANUARY 2019

TERMS AND CONDITIONS. 1.1 In this Terms and Conditions, the following words and phrases will have the meanings as assigned below:

SECTION A SECTION 8 SECTION C SECTION D SECTION E SECTION F SECTION G

RSA. GREENLIGHT DISABILITY BENEFIT CLAIM FORM Statement by Claimant 1. DETAILS OF LIFE COVERED

CLAIM FORM FOR HEALTH INSURANCE POLICIES OTHER THAN TRAVEL AND PERSONAL ACCIDENT PART A

PARAMOUNT HEALTH SERVICES & INSURANCE TPA PRIVATE LIMITED (IRDA License No. 006) [formerly known as PARAMOUNT HEALTH SERVICES (TPA) PVT.

Remaining Name. IFSC No. : IBKL Bank Name & Branch : IDBI Bank, Siddha Point, Ground Floor, 101 Park Street, Kolkata

TRAVEL CLAIM FORM. Policy Number:

The Managing Director, National Federation of Fishermen s Cooperatives Ltd., 7-Sarita Vihar Institutional Area, New Delhi

I. The fee for obtaining the Attending Physicians's Statement shall be borne by the Life Insured / Owner.

PEARSON EDEXCEL INTERNATIONAL GCSE EXAMINATIONS (IGCSE)

Limited Tender. Annexure A

Application for Enrolment 2018 PERSONAL DETAILS : Given and Middle Names:

Institute of Actuaries of India

THE ORIENTAL INSURANCE COMPANY LIMITED

ANNEXURE 1 APPLICATION FORM FAMILY BENEFIT SCHEME INDIAN ACADEMY OF PEDIATRICS

MEDICAL CERTIFICATE OF INCAPACITY FOR WORK

Procedures for Registration

EMPLOYEES TRUST FUND BOARD Application for Reimbursement of Expenses under Shramasuwa Rekawarana Hospitalization medical Insurance Scheme

Easy Travel. Claim Form.

Preauthorization Form Request For Cashless Hospitalisation For Medical Insurance Policy

Claim for. Death Benefits

WEST BENGAL STATE ELECTRICITY TRANSMISSION COMPANY LIMITED. (A Govt of West Bengal Enterprise)

In addition to above, if the claim amount is more than Rs 1 Lakh then following additional documents are required:

Employees State Insurance Corporation Hospital, Manesar

PERSONAL ACCIDENT OR SICKNESS CLAIM FORM

Instructions for Illness/Injury Insurance Claim

Claim Form

CLAIM APPLICATION FORM (for claims that take place during 2018)

HDFC ERGO General Insurance Company Limited

Claim Form - Travel Insurance

Checklist for Medical/Accident/Living/Total and Permanent Disability Claim (Individual and Group Life/Medical Policies)

Travelex Online Ordering Terms and Conditions

PRE-SESSIONAL ENGLISH LANGUAGE PROGRAMME PAYMENT POLICY FOR 2018/19 ENTRY

Corporate Travel Claim Form

THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA (ICAI) EXPRESSION OF INTEREST FOR. Sale of Non-Agricultural LAND (Residential) AT SANGLI

2018 (SATURDAY) START & FINISH TAMAN BOTANY PERDANA (LAKE

ICSI HOUSE, C-36, Sector-62, Noida

I. TELL US ABOUT YOURSELF

WEST BENGAL STATE ELECTRICITY TRANSMISSION COMPANY LIMITED. (A Govt of West Bengal Enterprise)

FAIRVIEW SCHOOLS BERHAD (43809-K) STUDENT APPLICATION FORM AND CONTRACT

Procedures for Registration

IDBI Capital Markets & Securities Ltd. SEBI Regn. No. NSE - CASH, F&O & CD INZ BSE - CASH & F&O INZ AMFI Registration No.

Annexure CS-S1 Page 1

Overseas study protection plan claim

THE EMPLOYEES STATE INSURANCE ACT,1948

Personal accident claim form

TRAVEL INSURANCE (BUSINESS AND HOLIDAY) Claim Form

RULES OF TENNESSEE STUDENT ASSISTANCE CORPORATION CHAPTER TENNESSEE RURAL HEALTH LOAN FORGIVENESS PROGRAM TABLE OF CONTENTS

West Bengal State Electricity Transmission Company Limited

PERSONAL ACCIDENT CLAIM FORM

RABINDRA BHARATI UNIVERSITY 56A, B.T. Road, Kolkata Admission Notice : SFC/ PG-Diploma/ 03/18 Date: 22/03/2018

Notice Inviting Quotation for Group Mediclaim Insurance with add on benefits and Personal Accident Insurance

Application for the International Winter University (IWU) Kassel 2015 December 29, 2014 January 18, 2015

NSW Junior Rugby League Sports Injury Claim Form

(IN CAPITAL LETTER) Name of organization:- Name of owner/partners:- Name of coordinator:- Address of organization:-

HOSPITALISATION CLAIM FORM

Family Name (surname) : Date of birth : Day Month Year First Name : Nationality ( citizenship ) :

SECTION 1 (To be completed by the Life Assured who is at least 18 years old or the Policyowner if the Life Assured is below 18 years old)

ICSI HOUSE, C-36, Sector-62, Noida

Student Manual for Online Registration

Section A Subscriber s Personal Details 1. Full Name (Full expanded name: Initials are not permitted) Please Tick as applicable Shri Smt.

National Insurance Company Limited

Travel Insurance Claim Form

AMERISAFE BUSINESS SOLUTIONS PVT. LTD.

Claim for a Sickness benefit

Annexure UOS-S1 Page 1

Life Insurance Corporation of India

SYSTEMATIC INVESTMENT PLAN (SIP) APPLICATION FORM

Dove House Hospice Trek Vietnam 27 th April 7 th May 2019

Guidance notes for completing examination enrolment forms

PERMANENT DISABILITY CLAIM FORM - DPS Policy - DPS and GEL Policy

2. Details of trucks/containers owned by the applicant for use in remittance of notes: (in tonnes)

How to complete your examination enrolment form

COMPOSITE APPLICATION FORM FOR SUBSCRIBER REGISTRATION

BID FOR HIRING OF AGENCY FOR PRINTING JOBS IN CONSULTANCY DEVELOPMENT CENTRE (CDC) CONSULTANCY DEVELOPMENT CENTRE

Guidance notes for completing examination enrolment forms

Arranger s Stamp / Direct

Membership / Training / Examination Application Form. for

Instructions for Injury Insurance Claim

Travel Insurance Claim Form

MLC Super Fund. Payment instruction form

Transcription:

(Applicable to candidate appearing at IDP: IELT S Australia - Test Centre IDP Education India Pvt. Ltd.) The application must be supported by adequate and required supporting documents / evidence, wi thout which the application wi l l not be considered. The decision of the centre will be final and binding on the candidate. Request for Transfer of Test Date A request using the "Test Date Transfer & Cancellation F o r m " for transferring o f a test date (i.e. postponement or pre-ponement) to another date must reach the centre at least five (5) weeks prior to the original test date. The allocation of the next test date will be at the sole discretion of the centre and subject to availability. An administrative charge will be applicable respectively for: IELTS INR 3,000 (Three Thousand only) (inclusive of all taxes) IELTS for UVKI INR 4,625 (Four Thousand Four Six Hundred and Twenty Five only) (inclusive of all taxes) Life S k i l l s I N R 3, 4 6 0 ( Three T h o u s a n d Four H u n d r e d a n d Sixty only) ( inclusive of all taxes) The charge should be deposited in IDP branch (Demand Draft or ICICI cash deposit slip, Allahabad Bank cash deposit slip or Credit Card/Debit Card Swipe) or should be couriered to: IDP Education India Pvt. Ltd., 6 th Floor, Plot # 32 Global Business Square Sector 44, Gurgaon 122 003 Telephone +91 124 4445 999 (Demand Draft or ICICI cash deposit slip or Allahabad Bank cash deposit slip). The demand draft should be drawn in favour of "IDP EDUCATION INDIA PRIVATE LIMITED payable at New Delhi. No requests will be accepted after the cut -off period i.e. Less than five (5) weeks prior to the test date. RELEASE DATE: SEPTEMBER 2017 IDP IELTS INDIA

IELTS Application Test Date Transfer & Cancellation Policy (Applicable to candidate appearing at IDP: IELT S Australia - Request for Cancellation / Withdrawal All applications for withdrawal, cancellation and refund must be sent to the centre using the Transfer & Cancellation Form along with the original receipt of payment of the test fee. An administrative charge will be applicable respectively for: IELTS INR 3,000 (Three Thousand only) (inclusive of all taxes) IELTS for UVKI INR 4,625 (Four Thousand Four Six Hundred and Twenty Five only) (inclusive of all taxes) Life S k i l l s I N R 3, 4 6 0 ( Three T h o u s a n d Four H u n d r e d a n d Sixty only) ( inclusive of all taxes) If the application for such withdrawal is received five (5) weeks (i.e. 34 days) prior to the test date, the balance of: IELTS INR 9,000 (Nine Thousand only) (Inclusive of all taxes) Note: IELTS test transfer fee balance of INR 9,000 will be refunded to the applicant within four (4) weeks from the test date for which the candidate w a s registered. Requests r e c e i ve d, less than five (5) weeks (i.e. 34 days) prior to the test date will not be accepted and no refund will be applicable.

(Applicable to candidate appearing at IDP: IELT S Australia - Test Centre IDP Education India Pvt. Ltd.) Request under "Extraordinary Circumstances - Prior to the test date A request received b y the centre less than five (5) weeks (i.e. 34 days) prior to the test date, but before the commencement of the test will be treated as a Transfer, subject to the application fulfilling the conditions of Extraordinary Circumstances as listed hereunder and the centre accepting the application; Serious illness - linked to hospital admission or other serious illness making the candidate not able to sit the test. For example typhoid, jaundice, eye flu, infectious disease, surgery etc. Please note, ordinary viral fever, and cough, cold, stomach upset etc. will not be considered Serious injury - linked to hospital admission, or injury such as fracture of the hand used for writing etc. Loss or bereavement - death of a close family member, hardships / trauma Victim of crime Victim of a traffic accident Loss of Passport after applying for the test Passport submitted to Passport office for any services, after applying For an application to be considered under this category, the candidate must submit an application in writing, along with the relevant document (original or certified copy) attested by a first class government officer. N.B: the o r i g i n a l from the b e l o w list o f d o c u m e n t s must be b r o u g h t along w i t h t h e application and shown to the centre administrator. Medical certificate signed by a registered medical practitioner and bearing his/her registration number Hospital admission certificate and discharge summary (in case of hospitalization) Police report/fir Death certificate signed by a r e g i s t e r e d medical practitioner and b e a r i n g his/her registration number Receipt from the Passport Office detailing the passport number and the expected d a t e of when the passport will be returned RELEASE DATE: SEPTEMBER 2017 IDP IELTS INDIA

IELTS Application Test Date Transfer & Cancellation Policy (Applicable to candidate appearing at IDP: IELT S Australia - On receipt of such a request, the Administrator will verify facts and make a decision to either accept or reject the application, without giving a reason. Once an application is accepted under Extraordinary Circumstances, only a transfer request will be considered and an administrative charge of: IELTS INR 3,000 (Three Thousand only) (inclusive of all taxes) IELTS for UVKI INR 4,625 (Four Thousand Four Six Hundred and Twenty Five only) (inclusive of all taxes) Life S k i l l s I N R 3, 4 6 0 ( Three T h o u s a n d Four H u n d r e d a n d Sixty only) ( inclusive of all taxes) The charge should be deposited in IDP branch (Demand Draft or ICICI cash deposit slip, Allahabad Bank cash deposit slip or Credit Card/Debit Card Swipe) or should be couriered to: IDP Education India Pvt. Ltd., 6 th Floor, Plot # 32 Global Business Square Sector 44, Gurgaon 122 003 Telephone +91 124 4445 999 (Demand Draft or ICICI cash deposit slip or Allahabad Bank cash deposit slip). The demand draft should be drawn in favour of "IDP EDUCATION INDIA PRIVATE LIMITED payable at New Delhi. The request for such cases will be considered on a case to case basis and the decision of IDP Education India Private Limited will be final and binding.

(Applicable to candidate appearing at IDP: IELT S Australia - Test Centre IDP Education India Pvt. Ltd.) Request under "Extraordinary Circumstances Post-test date All requests, received by the centre no later than close of business on the next working day from the test date, may be considered as a Transfer, subject to the application fulfilling the conditions of Extraordinary Circumstances supported by relevant documentary evidence clearly stating that any one of the below listed mishaps took place on the test date, but before the candidate could reach the test centre, thereby preventing the candidate from reaching the test centre in time for the test. Only any one of the following c o n d i t i o n s w i l l be considered; Loss or bereavement - death of a close family member, hardships / trauma on the test day, before the candidate could leave for the test Victim of crime on way to the test venue Victim of a traffic accident on way to the test venue Loss of Passport on way to the test venue could not travel to the test venue due to Strike/Bandh, Riots or other similar circumstances For an application to be considered under this category, the candidate must submit an application in writing, along with the relevant original document or a certified copy of the document, attested by a first class government officer. N.B: the original from the below list of documents must be brought along with the application and shown to the centre administrator; Medical certificate signed by a registered medical practitioner and bearing his/her registration number Hospital admission certificate and discharge summary (in case of hospitalisation) Police report/fir Death certificate signed by a registered medical practitioner and bearing his/her registration number Receipt from the Passport Office detailing the passport number and the expected date of when the passport will be returned On the receipt of such a request, the Administrator will verify facts and will make a decision to either accept the request or reject the application, without giving a reason for the rejection. RELEASE DATE: SEPTEMBER 2017 IDP IELTS INDIA

Once an application is accepted under Extraordinary Circumstances, only a transfer request will be considered and an administrative charge of: IELTS INR 3,000 (Three Thousand only) (inclusive of all taxes) IELTS for UVKI INR 4,625 (Four Thousand Four Six Hundred and Twenty Five only) (inclusive of all taxes) Life S k i l l s I N R 3, 4 6 0 ( Three T h o u s a n d Four H u n d r e d a n d Sixty only) ( inclusive of all taxes) The charge should be deposited in IDP branch (Demand Draft or ICICI cash deposit slip, Allahabad Bank cash deposit slip or Credit Card/Debit Card Swipe) or should be couriered to: IDP Education India Pvt. Ltd., 6 th Floor, Plot # 32 Global Business Square Sector 44, Gurgaon 122 003 Telephone +91 124 4445 999 (Demand Draft or ICICI cash deposit slip or Allahabad Bank cash deposit slip). The demand draft should be drawn in favour of "IDP EDUCATION INDIA PRIVATE LIMITED payable at New Delhi. The request for such cases will be considered on a case to case basis and the decision of IDP Education India Private Limited will be final and binding. The allocation of the next date of test will be at the sole discretion of the centre, subject to availability and based on a case to case basis.

Disclaimer: The International English Language Testing System (IELTS) is designed to be one of many factors used by academic institutions, government agencies, professional bodies and employers in determining whether a test taker can be admitted as a student or be considered for employment or for citizenship purposes. IELTS is not designed to be the sole method of determining admission or employment for the test taker. IELTS is made available worldwide to all persons, regardless of age, gender, race, nationality or religion, but it is not recommended to persons under 16 years of age. British Council, IDP: IELTS Australia and Cambridge English Language Assessment and any other party involved in creating, producing, or delivering IELTS shall not be liable for any direct, incidental, consequential, indirect, special, punitive, or similar damages arising out of access to, use of, acceptance by, or interpretation of the results by any third party, or any errors or omissions in the content thereof. If you need any clarification / assistance, please feel free to get in touch with your: IDP: IELTS Test Centre, Gurgaon: Telephone +91 124 444 5999 Toll Free number 1800 102 4544 Email: ielts.india@idp.com Visit: www.ieltsidpindia.com For more details on the test and related facilities. I have read the above and have understood the same and agree with the terms and conditions laid out.

Information Description Use below box spaces to fill in/complete your details Applicant s Signature: Applicant s Name: Date: ( / / ) Place: Test Date: (dd/mm/yyyy) ( / / ) Request for: Tick Appropriate Box Transfer Cancellation Personal Details: (MUST be the same as provided in the Application form) First & Middle Name: Family Name: Passport no.: Address: Mobile no./landline no. (along with city/country code): Email address: Test Date Registered for: (dd/mm/yyyy) ( / / ) Centre Name & No.: New Test Date (if applying for Transfer): (dd/mm/yyyy) 1 st Choice: ( / / ) 2nd Choice :( / / ) Candidate Statement (to be completed by the candidate): Please detail your grounds for applying for cancellation or a test date transfer. Attach an extra sheet if there is insufficient space. Candidate Signature: Date :( / / )

Supporting Documentation / Evidence: Medical This form must be accompanied by an original medical certificate. Professional Practitioner Certificate (to be completed by medical practitioner) Date(s) of consultation: ( /_ /_ ) Candidate affected on the test day (please circle appropriate letter) A. totally unable to sit exam: Specify period B. v e r y severely affected but able to sit exam: Specify period C. severely affected but able to sit exam: Specify period D. mo d e r a t e l y affected but able to sit exam: Specify period E. slightly affected but able to sit exam Specify period F. unable to assess ability to sit exam: Specify period Candidate affected at some prior to the test day (please circle appropriate reason) Remarks: Nature of illness and other relevant information (with reference to the candidate's capacity to sit an exam) which will assist in any assessment of this application for special consideration. Medical Practitioner s Details Practitioner Name: Address: Phone no.: Provider no. (if applicable): Stamp: Stamp here using Medical Practitioner Seal (if any): Signature Date: (dd/mm/yyyy): ( / / ) Supporting Documentation/Evidence: Other (police report, military service notice, death notice). The information on this form is collected for the primary purpose of assessing your request for a refund/test date transfer. If you choose not to comp lete all the questions on this form it may not be possible for the test centre to process your request.

Test Centre Internal Use Only (to be attached with each application form) Previous Request for Cancellation/Transfer: Yes No Supporting Documentation/Evidence Submitted: Yes No Medical certificate: Original MUST be submitted Hospital admission certificate: Original / Certified copy (circle as applicable) Police report / FIR: Original / Certified copy (circle as applicable) Death certificate: Original / Certified copy (circle as applicable) Receipt from Passport Office: Original / Certified copy (circle as applicable) Any other support / evidence (Please specify below): Received by Date: (dd/mm/yyyy): Decision of the Centre: Approved for Transfer: Yes No Approved for Refund: Yes No Authorized date: (dd/mm/yyyy): ( / / ) Authorized by Name: Centre Stamp: Stamp here using Appropriate Centre Seal:

Candidate s Financial Details for Transfer/ Cancellation / Refund Please mention candidate s financial details for refund purpose: Important: Please submit a cancelled cheque along with the EOR/Cancellation Form Beneficiary name (candidate): Passport no.: Bank name: Bank branch address: Bank account no.: IFSC code: For any further assistance, kindly call us at: 1800 102 4544 (Toll free) from Monday to Saturday between 09:00 am to 05:30 pm on working days.