Application For Additional Trf Ielts Test Centre - Macquarie

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Additional Test Report Form
Please note that only one original Test Report Form (TRF) will be issued to each candidate. This will be your personal copy.
Additional original copy may be requested but only in relation to applications being made to receiving universities, government
departments and professional registration bodies. No extra original copies will be issued to the candidate. They will be sent directly
to the receiving institutions. An administration charge plus postage may be charged to the candidates if this is after one month of
the issuance of results.
Send to:
IELTS Administrator,
EMC Building, 3 Innovation Road,
Macquarie University, NSW 2109
Candidate Name:
Candidate Number:
________________________________
_____________________________
Telephone / Mobile No:
___________________________
Test Date:
_____________________________________
Reference Number:
____________________________________________________________
Name of Person/Department:
___________________________________________________
Name of College/University/Government Dept:
____________________________________
Address Line 1:
________________________________________________________________
Address Line 2:
________________________________________________________________
Reference Number:
____________________________________________________________
Name of Person/Department:
___________________________________________________
Name of College/University/Government Dept:
____________________________________
Address Line 1:
________________________________________________________________
Address Line 2:
________________________________________________________________
I certify that the information on this form is complete and accurate to the best of my knowledge and authorise the Test Partners to
forward a copy of my TRF to the department/s or institution/s listed above.
Signature:
Date:
__________________________________
__________________________
Macquarie University IELTS Test Centre
EMC Building, 3 Innovation Road, Macquarie University NSW 2109 Australia
t. +61 2 9805 6337 f. +61 2 9805 3101 e. ielts@mq.edu.au i.

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