KV-AP-FIT 1 Exam Form

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FOR OFFICE

Examination Registration Form


Please fill the form in CAPITAL LETTERS.
Certificates will be prepared as per the information furnished here.

Participant/Registration Number 0 0

Internal External
Affix a
passport size
photo here External Students only: I have learnt German ____________________ level

in __________________________________________________________________ Institut

Date of the Examination ______________________________

Examination FIT 1 A2 FIT GZ A1 SD1 GZ A2


(below 17 years) (below 17 years)

GZ B1 GZ B2 GZ C1 GZ C2 - GDS

Module (B1, B2 & C2 GZ Exam) Lesen/Reading Horen/Listening Schreiben/Writing Sprechen/Speaking

First Name ______________________________________________ Last Name ________________________________________________________

Date of Birth (DD/MM/YYYY) ___________________________ Place of Birth ______________________________________________________

Nationality ____________________ Mother Tongue _____________________ Occupation ____________________________________________


Purpose to learn the Language: Higher Education in Germany Family reunion in Germany
Business in Germany Others - Please specify ____________________________

Have you appeared for Goethe Examination before? Yes No

If Yes, when & where _____________________________________________________________________________________________________________

Address for communication ______________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________

Mobile No.___________________________ EMail _______________________________________________________________________________________

Bank Amount Transfer /


Name ___________________________ Transferred ______________________ Reference No. _______________________________

I have read the terms and conditions and accept the same.

DATE ______________________ Signature _________________________________


FOR OFFICE

Declaration of consent concerning data security

Examinations conducted by Goethe-Instituts are recognized as a proof of language ability in the new
Immigration Act for reunification of spouses in the visa process.In order to check the genuineness of the
issued examination certificates while visa is being processed, the authorities concerned from the Ministry Of
External Affairs have to obtain Name, Examination results and the certificate numbers of such examinees who
have appeared and passed the exams for the visa purpose.

By signing this declaration of consent for data security the examinee declares that he / she agrees to the
passing of his / her personal data to the concerned authorities from the Ministry Of External Affairs. The
examinee can revoke his / her declaration of consent for data security to be effective in the future.

The declaration of consent is voluntarily given on one's own accord. lf the consent is not given or revoked, the
authorities from Ministry Of External Affairs cannot check the genuineness of the Examination certificate with
data available from Goethe Institut. In such cases the onus of proving the validity of the certificate lies
entirely on the visa applicant.

With this in mind the examinee declares the following:

Hereby I, ______________________________________________________________________________________________________________
(First name and Last name)

Give permission to Goethe-Institut, Chennai to forward my personal data of the examination appeared by me
such as my Name, my Examination result, the certificate number to the German Embassy / German Consulate
in India for counter checking for visa processing.

_______________________________ ___________________________________
Place, Date Signature

Please note:

• No refund/transfer is possible.
• Please be at the center 30 minutes before the start of the exam.
• All students have to bring any one original ID Proof for the exam
(Passport, Driving Licence, Voter's ID)
FOR STUDENTS

Examination fee for year 2021


Examination Internal candidates ** External candidates
Goethe-Zertifikat A1: Fit in Deutsch 1 Rs. 1300/-* Rs. 1300/-*
Goethe-Zertifikat A2: Fit in Deutsch 2 Rs. 1300/-* Rs. 1300/-*
Goethe-Zertifikat A1: Start Deutsch 1 Rs. 4800/- Rs. 7000/-
Goethe-Zertifikat A2 Rs. 4800/- Rs. 7000/-
Goethe-Zertifikat B1 Jugendliche Rs. 4500/- (for 4 Modules) Rs. 4500/- (for 4 Modules)
Rs. 1500/- Per Module Rs. 1500/- Per Module
Goethe-Zertifikat B1 Rs. 7000/- (for 4 Modules) Rs. 11500/- (for 4 Modules)
Rs. 2800/- Per Module Rs. 3800/- Per Module
Goethe-Zertifikat B2 Rs. 7000/- (for 4 Modules) Rs. 11500/- (for 4 Modules)
Rs. 2800/- Per Module Rs. 3800/- Per Module
Goethe-Zertifikat B2 Jugendliche Rs. 4500/- (for 4 Modules) Rs. 4500/- (for 4 Modules)
Rs. 1500/- Per Module Rs. 1500/- Per Module
Goethe-Zertifikat C1 Rs. 7000/- Rs. 11500/-
Goethe-Zertifikat C2:GDS Rs. 11000/- (for 4 Modules) Rs. 12500/- (for 4 Modules)
Rs. 3800/- Per Module Rs. 4800/- Per Module
*
** These examinations are available only to students studying in courses for teens.
Students currently taking part in language courses at Goethe-Institut, Chennai.

II On Examination Day:
Terms & Conditions
1. The candidate should be present at the Goethe-Institut /
Examination Centre 30 minutes prior to the examination
I Exam Registration: start time.

The Online Portal opens at 10:00 hrs on the e-Application 2. The candidate must produce ORIGINAL & VALID photo
date. identification and the examination receipt issued for that
particular examination. The photo identification should bear
1. On the e-Application date, candidates are requested to the candidate’s latest photograph and the date of birth (not
register for the examination using the online portal only the year of birth).
http://www.goethe.de/ins/in/en/che.html only.
The following documents shall be accepted for photo
2. Selected candidates will be intimated through the identification:
registered email id on the confirmation mail date. If the a. Passport
candidate has given incorrect email id / date of birth / ID b. Driving license
proof number/or has more than one entry, the candidate will c. Voter’s ID
not be intimated about his or her registration process. d. Aadhar card (with complete date of birth)

3. The procedure for payment will be intimated to the 3. On failure to produce the above mentioned documents, the
candidates through the registered email id. No candidate will not be allowed to appear for the examination.
refund/transfers or adjustment of the examination fee is The management will be unable to entertain any protest
possible. made on this ground.

4. The examination fee has to be paid separately on the exam 4. Cell phones, watches- analog, digital, smartwatches along
registration dates as per the schedule. with any kind of electronic devices are not allowed during
the examination. Not only usage but also possession thereof
5. Internal candidates writing the ‘’Goethe-Zertifikat B1, in the examination room shall lead to disqualification from
Goethe-Zertifikat B2 and Goethe-Zertifikat C2’’ examinations the examination.
for the first time will have to write the examination for all the
four modules. In the subsequent attempts one can write the 5. The examination shall go on for the entire day and the
examination only for the module that has not been cleared in candidates are expected to make travel and food
the first attempt. arrangements accordingly.

7. Candidates who have registered for any course at III After the examination:
Goethe-Institut Chennai/Max Mueller Bhavan will be
considered as internal candidates while appearing for the 1: The date of announcement of the results shall be
first time for the examination of that level within six months announced on the day of examination.
from the end date of the course.
2 The candidate can view the examination results online
only. The results will not be given over the phone.
FOR STUDENTS
Terms & Conditions

3. Viewing of Exam Papers: The results of the exam may be


EXAMINATION LEVELS
viewed by the candidate within two weeks of receiving their
exam results. All requests are to be submitted in writing to the
exam department or by sending an E-Mail, with name of the Goethe-Zertifkat C2:
candidate, name of the examination, examination date and the C2 GDS
candidate's examination ID number, along with a fee of INR
1000/-(To be paid in advance). Merely pointing out that a certain
number of points was not achieved does not qualify as a
sufficient reason for an appeal. The Goethe-Institut Chennai/Max
Mueller Bhavan may reject requests that are based on
unsatisfactory reasons. Appointments will be given to the C1 Goethe-Zertifkat C1
candidates on a Friday between 15:00 to 16:00 hrs. Candidates
are requested to come to the institute one hour before the
appointment to complete the formalities.Only the applicable
answer sheet and the evaluation sheet shall be presented for the
same. You are not allowed to take any photographs or make Goethe-Zertifkat B2
copies during this process. No question papers will be presented B2 (for adults and youth)
for the same and neither are you entitled to any individual
counselling.

4. Certificates: Examination certificates will be sent only through


post within fifteen working days after the announcement of the Goethe-Zertifkat B1
examination results. The candidate has to fill the correct postal B1 (for adults and youth)
address on an envelope and pay a postal fee of INR 50/- on the
day of examination. If the candidate fails to fill the envelope, the
Institute will not be responsible for the certificate.

5. The certificates will be issued according to the details in the Goethe-Zertifkat A2


hall ticket. There is no possibility for any change once the
certificate is issued. A2
6. In case of loss of certificate, a replacement certificate shall be Goethe-Zertifkat A2
issued against charges of INR 1000. Fit in Deutsch (for youth)
IV Liability of the Goethe-Institut:

1. The liability of the Goethe-Institut Chennai/Max Mueller Goethe-Zertifkat A1:


Bhavan and its staff shall be limited to intent and gross Start Deutsch 1
negligence. The Goethe-Institut Chennai /Max Mueller Bhavan
also accepts no liability for the cancellation of services due to A1
force majeure (e.g. Natural disasters, fire, floods, war, official Goethe-Zertifkat A1:
orders and all other circumstances beyond the control of the
contractual parties. Fit in Deutsch 1 for youth

2. Grievances regarding examinations can be addressed to the


Language department through Email to CHE-Deutsch@goethe.de.
Goethe Test PRO
The terms and conditions are subject to change without prior
notice. For the latest version, please check the website. PRO German for Professionals
A1 - C2
V Disclaimer:

The number of available seats and examination dates are only


indicative. We reserve the right to change or modify the number
of available seats and / or examination dates without notice due
Test Deutsch als
to internal scheduling or administrative reasons or reasons TestDaF Fremdsprache
pertaining to regulations stipulated by the Central or State B2 - C1
government.

Tel: +9144 2833 1644 / 2833 0645


German.Chennai@goethe.de
www.goethe.de/chennai
FOR OFFICE

Letter of Consent from Parents

I hereby agree to register my ward _____________________________________________________________________________________

aged ______________ of ___________________________________________________________________________________________ school,

for the FIT 1 German Exam 2021 conducted by Goethe-Institut / Max Mueller Bhavan Chennai.

I understand that my ward is taking up the exam as a completion of the FIT 1 German classes conducted by the

Goethe-Institut / Max Mueller Bhavan Chennai (FREE of charges / fees).

I agree to pay the examination fee of Rs. 1,300/- towards the FIT 1 German Examination conducted by the

Goethe-Institut / Max Mueller Bhavan Chennai at the designated venues. Venues will be informed through email

to the respective schools later.

Kindly make the payment only through NEFT and not by any other mode of payment

The bank details are given below,

Name of the Beneficiary : GOETHE-INSTITUT / MAX MUELLER BHAVAN

Account No. of the Beneficiary : 000 002 049 160 019

Address of the Beneficiary : Goethe-Institut / Max Mueller Bhavan

No. 4, Rutland Gate, 5th Street

Nungambakkam, Chennai 600 006


Beneficiary Bank Name : DEUTSCHE BANK

IFSC Code : DEUT0784PBC

Account Type : Current Account

After making the payment, you have to send us the scanned copy or screenshot of the payment
receipt, the filled out Application form (attached) and the Idenity proof document.

The above documents are to be emailed to: fit1kvap@gmail.com

Signature of the Parent / Guardian : _______________________________________________

Date : ___________________________

Phone Number : ___________________________


FOR OFFICE

Parental Consent

On executing my signature below, I consent to the transmission and storage by GI Chennai of my wards’ personal

Data provided on the terms of his / her registration and in conjunction with the performance of future agreements

to its headquarters in Munich, Germany and there to combine in its central customer database, said Data with any

other of his / her personal data previously provided and stored there if applicable.

Furthermore, I consent to the use of his / her Data by Goethe-Institut Chennai and GI-HQ not only for performing

the contractual agreement, but also for the purposes of market research, advertising and marketing associated

with the range of services offered by Goethe-Institut and in particular for providing relevant advertisement of

surveys (‘information’), e.g., about new courses offered by Goethe-Institut to him / her at the contact address

provided either by post or - at my special request - also by telephone, fax, e-email, or text messages.

I also agree to the publication of photos showing my ward on the website, social media pages or in the blogs of

Goethe-Institut, Chennai, India and Germany.

Data concerning examination, He / She have taken also may have been transmitted to GI-HQ for storage and use

in the central examination archives for (a maximum period of ten years) for verification purposes and for issuing

replacement certificates, as required.

Goethe-Institut will not use his / her Data for any other purpose than those specified in this concerned agreement

or provide any Data to a third party, unless there is a reasonable suspicion of abuse concerning the data.

I have been informed that I may revoke my permission to use my ward’s Data for market research, advertising

and marketing purposes at any time.

I also have been given to understand that my ward will participate in the FIT 1 exam and will cooperate with the

exam organizers.

I understand that the conditions of the enrollment are binding.

Signature of the Parent / Guardian : _______________________________________________

Date : ___________________________

Place : ___________________________

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