Title* (Choose)MrMrsMissMsDr
First Name*
Last Name*
Gender MaleFemaleOthers
Date of birth
Note:These names must be the same as the names in your Identification Document, and must appear in the same order.
Address*
Town or city
Country or state
Zip / postal code
Telephone
Mobile Number
Email Address*
Please note you will only be sent one copy of your results.
Country of Nationality* AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArmeniaArubaAustraliaAustriaAzerbaijanAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaireBosnia and HerzegovinaBotswanaBouvet Island (Bouvetoya)BrazilBritish Indian Ocean Territory (Chagos Archipelago)British Virgin IslandsBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCuraçaoCyprusCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKazakhstanKenyaKiribatiKoreaKoreaKuwaitKyrgyz RepublicLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Netherlands)Slovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & S. Sandwich IslandsSpainSri LankaSudanSurinameSvalbard & Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsU.S. Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe
First Language* (Choose)EnglishNepaliHindiOther
Identification Document (Choose)Password
Note: Please indicate which document you will be using as proof of identity and give the number below. Candidates taking the test outside their own country may be required to present a current passport; be sure to check with your test centre what form of ID you need. You must bring the ID document indicated below to the test. This is the only form of identity that will be accepted on the test day. The document must be valid/not expired at registration and on the test day.
Identification Document Number*
Identification Document Expiry Date
Please provide full and accurate contact information including postal address, phone and mobile number and email which are in constant and valid use as candidates may be contacted by the test centre or the test partner before or after the test to access the full test registration and administration.
What is your occupation sector*? (choose)Administration ServicesAgriculture, Fishing,Forestry,MiningArts and EntertainmentBanking and FinanceCatering and LeisureCraft and DesignEducationHealth and Social ServicesInstallation, Maintenance and Repair ServicesLaw and Legal ServicesManufacturing and Assembly ServicesPersonal ServicesRetail TradeTechnical and ScientificTelecommunications and the MediaTransportUtilities(Gas, Water,Electricity etc.)Wholesale TradeOther
What is your occupation level?* (Choose)Self-employedEmployee/PartnerEmployee(Senior level)Employee(Middle/Junior level)Worker in the homeRetiredOther
Why are you taking the test?* (Choose)Higher education extended course(3 months or more)Higher education short course(3 months or less)Other educational purposesRegistration as a doctorImmigrationEmploymentProfessional registration(not medical)Personal reasonsRegistration as a nurse(including CGFNS)Registration as a dentistOther
Which country are you applying to/intending to go to?* (Choose)AustraliaCanadaNew ZealandRepublic of IrelandUnited KingdomUnited States of AmericaOther
What level of education have you completed*? (Choose)Secondary(upto 16 years)Secondary(16-19 years)Degree(or equivalent)Post-graduate
How many years have you been studying English?* (Choose)1(less than)23456789(or more)
Where are you currently studying English (if applicable)?
Do you have a permanent disability, such as a visual, hearing or specific learning difficulty, which requires special arrangements(for example, modified material,extra time, use of technology,etc.)? YesNo