Sace Toeic Test Registration Form

SouthAustralianCollegeofEnglishCRICOS#00094M|TasmanianCollegeofEnglishCRICOS#01758A|WhitsundaysCollegeofEnglishCRICOS#02500G
TOEICTESTREGISTRATIONFORM
SACECampus:(Pleasecircle) SACEAdelaide SACEHobart SACEWhitsundays
GivenName/s:___________________________________ Surname:_________________________________
DateofBirth:____________________ PhoneNumber
(preferablymobile):________________________________
CurrentAddress:_________________________________ Passport#:________________________
YoumustprovideacceptableandvalidIDwithasignatureandphotograph.
AcceptableIdentification:
Passport;DriversLicence;StateIdentification;NationalIdentification;
MilitaryIdentification
________________________________________________
________________________________________________
Emailaddress:_______________________________________________________________________________
IwouldliketotaketheTOEIC/TOEICBridge(pleasecircle)teston:___________________________
Iwouldlikemyresults/certificatetobepostedto:(SACEwillpostwithinAustraliaorOverseas)
____________________________________________________________________________________________
____________________________________________________________________________________________
or
Iwillcollectmyresults/certificatefromtheSACECollege.Pleasetelephonemeon________________________
whenmyresults/certificateareavailable.
Iamcurrently:studying working at_________________________________
IamtakingtheTOEICTestfor:
Progress Employment FurtherStudies Other
Fees(FullpaymentoffeesisrequiredonTOEICTestregistration)
TOEICTest$210.00
AdministrationFee$20.00
(allregistrationsincurAdministrationfee)
TotalDueTOEICTest:$230.00
IaffirmthattheinformationIhaveprovidedregardingthisregistrationistrueand accuratetothebestofmyknowledge.Iaffirm
thatIhavereceivedandwillreadtheTOEICTestExamineeHandbookcontainingTOEICTestpoliciesandprocedures.
Signed:_____________________________________Date:___________________________________
OFFICEUSEONLY:IDsighted&recorded |ExamineeHandbookgiventocandidate 
Paymentreceived:Receipt#____________|RegistrationProcessedBy:______________
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