AUTHORISATION FORM FOR IELTS TEST RESULTS

To: UOWD IELTS Administrator

Candidate Name: ______________________________________________________
Candidate Number: _______________
Date of Exam:

_______________

I authorise (name) ______________________________________________________,

holding photo ID number ______________________ to collect my IELTS results on
my behalf.
I have attached a copy of my passports main page to this authorisation letter.

IMPORTANT NOTICE
The authorised person must present an original photo ID, along with a copy of the same
for UOWD IELTS test centre record.
Authorisation Checklist:

Authorisation letter signed by the candidate

Candidate passport copy
Authorise person photo ID copy
Authorise person to show original photo ID on collection

Candidates Signature: ______________________

Date: ___________

FOR IELTS DEPARTMENT ONLY

Authorized person photo ID checked: YES or NO (please encircle)
Administrator Name: _______________________

Date: ______________