Exam Registration Form

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Office Use PTN Nr:______________

Exam Registration Form


Certificates will be prepared as per the information furnished here.
No refund or adjustment of the examination fee.

Surname JOHN
Name ANJALI
Date of Birth 24-10-2001
Place of Birth ARINALLOOR,KERALA
Mother Tounge MALAYALAM
Nationality India
Cont. Number 8129512726

External Student Fees 9044

International Examination B1

Exam Date(s)

.................................................................................
Examination Receipt: Goethe-Zentrum
Candidates must bring this RECEIPT and a government approved
IDENTITY CARD to the examination and must be present 30
minutes before its commencement.

Surname JOHN
Name ANJALI
Date of Birth 24-10-2001
Place of Birth ARINALLOOR,KERALA
Mother Tounge MALAYALAM
Nationality India
Cont. Number 8129512726

External Student Fees 9044

International Examination B1

Exam Date(s)

I accept the terms and conditions of the Examination.


(Stated under www.goethe.de Our examinations / Terms & Conditions)

Signature of the student_________________________ Date ____/____/______

Office Use PTN Nr:______________

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