IELTS Registration Form Test Format * IELTS on Computer IELTS on Paper Module * IELTS Academic IELTS General Preferred Test Date Your selection is subject to change based on availability. We will do our best to book you for a seat on your preferred date or on the closest available date. Test City * Abu Dhabi Al Ain MBZ City Dubai Sharjah Ajman Fujairah Ras Al Khaimah Umm Al Quwain Title * Mr Ms Mrs Miss Dr First Name * Surname * Gender * Male Female Date of Birth * Email * Mobile Number * Telephone Address * ID Type * Passport Emirates ID ID Number * ID Expiration Date * ID Issuing Authority * Country of Nationality * First Language * Occupation Sector * Administrative Services Agriculture, Fishing, Forestry, Mining Arts & Entertainment Banking & Finance Catering & Leisure Construction Industries Craft & Design Education Health & Social Services Installation, Maintenance & Repair Services Law & Legal Services Manufacturing & Assembly Services Personal Services Retail Trade Technical & Scientific Telecommunications & Media Transport Utilities (Gas, Electricity & Water) Wholesale Trade Other Occupation Level * Self-Employed Employer/Partner Employee (Senior Level) Employee (Middle/Junior Level) Homeworker Retired Student Other Guardian's First Name Guardian's Surname Guardian's Email Guardian's Mobile Relationship Guardian's Date of Birth Why are you taking the test? * Higher education extended course (3 months or more) Higher education extended course (Less than 3 months) Other educational purposes Registration as a doctor Immigration Employment Professional registration (not medical) Personal reasons Registration as a nurse (including CGFNS) Registration as a dentist Other Which country are you intending to go? Have you taken the IELTS before? * Yes No If yes to previous question, centre name & number? Where are you currently studying English (if applicable)? What level of education have you completed? * Secondary (up to 16 years) Secondary (16-19 years) Degree (or equivalent) Post-graduate How many years have you been studying English? Do you have any special needs due to ill health/medical conditions? * Yes No If yes to previous question, please specify your requirements. Candidate Declaration * I hereby declare that the information given in this application is true and correct to the best of my knowledge and belief. In case any information given in this application proves to be false or incorrect, I bear sole responsibility for the consequences. Thank you for registering for the IELTS with EduPlus!
