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INTERNATIONAL ENGLISH LANGUAGE TESTING SYSTEM
ACADEMIC
Test Report Fonm
NOTE
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Modules'
Admission to unclergraduate and post gradLtate coLtrses should be based on the ACADF-MIC Reading and Writing
the full range of language skills required for academic purposcs
Gt:NI??AL fntltt'.ltiC Reading and W'riting Modutes are not designed to tcst
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two years from the date of the test
It is rccomnended that the can'idate's laiguage abitity as indicatled in this est f<eporl Form be re-assesse d after
centre Nurnber
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I Candidate Number | 008823
Candidate Details
Family Name
First Name
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Date of Birth
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of Origin
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Test Results
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Gentre stamp
Administrator Comments
Validation s
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Administrator's
Signature
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Date
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Test Report Form
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CAMBRIDGE ENGLISH
Language Assessment
Part of ihe University of Cambridge
The validitv of this IELTS l-est Report Form can be verified online by recognising organisations at http://ielts.ucles.org'uk