P R O U D C O - OW N E R O F I E L T S

Request for Refund or Test Date Transfer Form

PERSONAL DETAILS
TITLE: REFUND OF PAYMENT FOR EILTS
EXAMINATION
GIVEN NAMES: SHIELA MAE SURNAME: PASCUAL

ADDRESS: BRGY. CALABALABAAN, SCIENCE CITY OF MUÑOZ, NUEVA ECIJA

TELEPHONE: 09483865557 EMAIL: pascualshiela091018@gmail.com

Change requested:
Request is for (tick one box): □ REFUND □ TEST DATE TRANSFER

CENTRE NAME / NUMBER: IDP EDUCATION PTY LTD – MANILA PHILIPPINES / 63 2 5353320

TEST DATE REGISTERED FOR: 01 AUGUST

/ 2019
/

MODULE REGISTERED FOR: □ ACADEMIC □ GENERAL TRAINING □ A1 □ B1

Please select the test that you registered for:

□ IELTS (Paper Based) □ Computer-delivered IELTS □ IELTS for UKVI (Paper Based)
□ IELTS for UKVI (Academic) (Computer-delivered) □ IELTS Life Skills
PREFERRED NEW TEST DATE: / /

PREFERRED NEW MODULE: □ ACADEMIC □ GENERAL TRAINING □ A1 □ B1

I AM NOT TAKING IELTS EXAMINATION ANYMORE. I WILL BE WORKING HERE IN THE PHILIPPINES AND WILL NOT

STUDY IN AUSTRALIA. PLEASE CONSIDER MY REASON. THANK YOU AND REGARDS.

07 18 2019

IDP EDUCATION PTY LTD – MANILA PHILIPPINES / 63 2 5353320 IDP EDUCATION

IDP EDUCATIO
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