Canadian Software Testing Board

/ Comité canadien en tests logiciels

10 Morrow Avenue, Suite 202
Toronto, Ontario M6R 2J1 Canada
Fax: 416-489-1713 Email: cstb@cstb.ca Website: www.cstb.ca

Application for Advanced Level Exam Qualification

Instructions__________________________________________________________
 Review the Advanced Level examination information posted on our website at
www.cstb.ca under the Exams tab found on the left side of the home screen.
 Complete the form below.
 E-mail, post or fax the application and supporting materials using the contact information
above.
Requirements to sit for an Advanced Level exam___________________________
 Hold an ISTQB Certified Tester - Foundation Level certificate; and
 Have three (3) years of verifiable full-time work experience in software or systems testing,
development, quality assurance, engineering or a related field

Contact Information__________________________________________________
Name:
Job Title: Employer:
Mailing Address:
City: Province: Postal Code:
Email Address: Telephone Number:
ISTQB Foundation Level Certificate#:

Payment Information_(Mark Where Applicable)_____________________________________

ISTQB certified Tester Advanced Level Exam (One-time fee) ($120) $60.00

PLUS (Optional)
ISTQB Advanced Level Technical Test Analyst Exam $350.00
ISTQB Advanced Level Test Analyst Exam $350.00
ISTQB Advanced Level Test Manager Exam $350.00
Total Remitted: $
Pick one of the following payment methods
Check Enclosed Check No: ___________________________
OR
Charge To: Visa MasterCard American Express

Name on Card: _______________________________

Credit card No: ______________________________ Exp. Date:________________ CVD (on back) _________

Signature: ____________________________________

Include the following documents when returning this application:

 Payment by cheque/money order or credit card information if sending by e-mail
 Documentation of relevant work and educational experience that satisfies the exam
eligibility requirements. i.e. Most recent resume detailing work history.
 A copy of your Foundation Level ISTQB certificate