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June 2019
Cambridge English examinations at Reading Open Centre
6b Church Street, Reading RG1 2SB 0118 9391833
Please tick the box next to the exam you want to take:
These names must be the same as the names on your passport / National Identity Card.
Please write names in CAPITAL LETTERS.
Passport / ID
number This must be the ID you will bring with you on the exam day
Address
in the UK
Address where certificate will be sent (approximately 2 months after the exam) if you will are not able to collect it.
If you are a private student please bring a pre-paid A4 stamped self-addressed envelope for your certificate.
Declaration:
I understand that all individuals who want to take Cambridge English exam are required to agree to all of the Terms
and Conditions (a copy of which has been provided by the centre).
I wish to be admitted for the selected Cambridge exam at the centre listed on this form and for the date listed here. I
will bring a valid photo ID with me on the exam day(s), and I consent to have my photo taken by the centre on the day
of the Speaking exam and/or the written papers. I agree for this photo to be held on the secure Cambridge English
Language Assessment Results Verification site and viewed as set out below if I give my agreement.
The photo shall only be available to organisations/individuals that I give my details to or that I authorise to view my
result.
By signing this form I declare that I am aware of and agree to comply with the Terms and Conditions for this exam.
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