Additional Trf Reports - Inlingua Washington Dc printable pdf download

Washington DC

1901 N. Moore St. Suite LL-01 Arlington, VA 22209 Tel.: 703-294-6012 Fax.: 703-527-9866

E-mail: ielts@inlinguaenglish.edu Website:

APPLICATION FOR THE ISSUE OF ADDITIONAL TEST REPORT FORM (TRF)

Last Name: ____________________________ First Name: ______________________________

Candidate’s mailing address: ________________________________________________________

__________________________ _______________ ___________

(City)

(State)

(Zip-code)

Phone number: ______________________, E-mail address: ___________________________________

Candidates will receive only one copy of their Test Report Form (TRF). This is a very valuable document and it is recommended that candidates

take due care in keeping their TRF secure. It cannot be replaced - NO EXCEPTIONS – please do not send your own test report to the

institutions. You will not be provided with another report. Other copies are mailed directly from the testing center to the institutions of

candidate’s choice. Our center’s current policy is that five copies to the institutions are free within 30 days of your test date. If you need more

copies to be sent to the institutions, they are $10 each.

Test Details:

Test Date: _____/_______/________(day/month/year)

Candidate number (6 digits): __________________

Please give details below of where you would like your results sent to:

Name of Person/Department: ____________________________________________________

Name of College/University/Organization: __________________________________________

Address: _____________________________________________________________________

_____________________________________________________________________________

Name of Person/Department: _____________________________________________________

Name of College/University/Organization: __________________________________________

Address: _____________________________________________________________________

_____________________________________________________________________________

Name of Person/Department: _____________________________________________________

Name of College/University/Organization: __________________________________________

Address: _____________________________________________________________________

_____________________________________________________________________________

Payment details:

Type of card: ______American Express ______Visa ______Master Card ______Discover

Credit card number: __________________________________________________

Expiration Date: _______________________________

Name as it appears on the card: __________________________________________

Signature: ______________________________ Date: _____/______/______(day/month/year)

Additional Trf Reports - Inlingua Washington Dc