Filling in the IELTS

Application Form

Centre stamp: Leave blank. The appropriate British Council office will stamp this box.

Candidate's recent photograph: Attach two recent coloured (37mm x 37mm) photographs.

Please fill in the form in INK and BLOCK LETTERS

01. Preferred Date of Test: Pencil in the first 2 dates of your choice which the appropriate British
Council office has confirmed to you that there are IELTS seats available on those test dates.
(Check British Council website for IELTS test date schedule)

02. Family Name: Enter your family name/surname/father's name/last name (this is your surname as
is applicable). Please enter this name exactly as it appears in your passport.

For example: If your full name is Hassan Malik Your family name will be Malik
If your full name is Muhammad Usman Khan Your family name will be Khan
If your full name is Syeda Fatima Bokhari Your family name will be Bokhari

03. Circle the appropriate designation. Qualified doctors must circle only Dr.

04. Other Names: Enter your first name (followed by your middle name, if you wish). Please enter
these names exactly as they appear on your passport.

For example: If your full name is Hassan Malik Your other name will be Hassan
If your full name is Muhammad Usman Khan Your other names will be Muhammad Usman
If your full name is Syeda Fatima Bokhari Your other names will be Syeda Fatima

05. Address for correspondence: Write your complete address along with a postcode. (We will
courier your IELTS test information to this address).

06. Tel. No.: Write your STD code followed by your telephone number.

07. Fax No.: Write your STD code followed by your fax number.

08. E-mail: Write your e-mail address for quicker correspondence with you.

09. Date of Birth: Day first, month second and year last, all in numerals (e.g. 22/11/67).

10. Sex: Circle as appropriate.

11. ID Document: Circle passport. ID Document Number: State your passport number. (In Pakistan,
only passports are accepted as identity documents. The passport and national identity card must
be brought to the test).

12. Nationality: See the code list on page 4 of the IELTS Application Form.

The United Kingdom’s international organisation for educational opportunities and cultural relations. We are registered in England as a charity.
13. First language: See the code list on page 5 of the IELTS Application Form. Your first language is
your mother tongue.

14. Occupation Sector: Look for the closest description of your occupation on page 5 of the IELTS
Application Form. If you are still a student enter 08. Level: Put the appropriate number in the
third column of the grid.

15. Why are you taking this test: See the code list on page 5 of the IELTS Application Form.

16. Which country are you applying to? Circle as appropriate. If you are applying to more than one
country, circle the country that is your first choice.

17. Which IELTS Module are you taking? Circle as appropriate. Doctors proceeding to the UK for the
PLAB test must take the Academic module. All students going for further studies must also take
the Academic module. Potential immigrants to New Zealand, Australia and Canada may opt for
the General Training Module.

18. Which IELTS test are you taking? Tick Pen and Paper test and circle as appropriate.
(Computerised IELTS test is not yet available).

19. Have you taken the IELTS before? Circle as appropriate. (You are not allowed to repeat the test
within 3 months at any IELTS centre across the world)

20. Most recent test details: If your answer to question 19. is "No", please skip question 20. If it is
"Yes", please refer to the Test Report Form of your previous attempt and fill in exact details.
Please also attach a copy of the Test Report Form of your previous attempt to the IELTS
Application Form. If this is your third or more attempt, please submit copies of all previous Test
Report Forms.

21. What level of education have you completed? Circle as appropriate.

22. How many years have you been studying English? Circle as appropriate.

23. Name of College/University/Institution you are applying to enter: Enter the name and address of
the institute you require us to send your scores (i.e., IELTS Test Report Forms). Doctors
proceeding to the UK for the PLAB test must enter the name and address of the General Medical
Council, PLAB Test Section, 178-202 Great Portland Street, London W1N 6JE. Immigrants to
New Zealand, Australia and Canada should enter the name and address of the respective
Consulates where the scores require to be sent. It is the centre's responsibility to furnish
receiving institutions with Test Report Forms. Receiving institutions expect this to be the case.
When candidates send copies, the receiving institutions waste a great deal of time verifying the
results that will only hold up your application.

24. Do you have any special needs? Please enter relevant information, if applicable.

Sign and date your application

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