2021-03-29 PM

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KETFS
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Candidate Candidate
Name Number

Centre Centre
OstrovOk UA030
Name Number

Examination Examination
Key English Test for Schools 2020 D722/04
Title Details

Candidate Assessment
29 Mar 2021
Signature Date PM

Supervisor: If the candidate is ABSENT or has WITHDRAWN shade here

Candidate Information Sheet

The answers you give on this sheet will not affect your result in any way.
1 What is your age? 4 Did you attend classes to prepare for this exam?
No
9 or under 10 11 12 13 14 15
Yes, at my school, college or university
Yes, at my language school
16 17 18 19 20 21 22
Yes, at my work
Yes, with a private tutor
23 24 25 26-30 31-40 41-50 51 or over
5 What other Cambridge English exams have you taken?
None Advanced
Starters Proficiency
2 Are you: Female Male Movers Business Preliminary
Flyers Business Vantage
Key Business Higher
3 Are you: Key for Schools IELTS
Preliminary BULATS
studying at: Preliminary for Schools Other
Primary school First
Secondary school First for Schools
College/university
6 Why are you taking this exam? (mark the primary reason)
and/or working in: To satisfy university/college/school entry requirements
Administrative and support services activities For other educational purposes
Agriculture, forestry, fisheries For immigration purposes
Arts, entertainment and recreation For personal development reasons/to improve my English
Aviation, aerospace, defence My school organised it
Communications, logistics, transport To help in my career or job prospects
Construction, engineering, manufacturing My company organised it
Education
7 If you are using this exam to live, work or study in another
Finance, banking, insurance
country, which country are you planning to go to?
Health and social services
Hospitality and tourism Australia Netherlands Other
IT Canada New Zealand Not applicable
Law and legal services France Rep Ireland
Sales, marketing and retail Germany UK
Utilities, energy, mining, oil Italy USA
Other
Now please turn over

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8 Where do you come from? (select one option)

Albania Estonia Liechtenstein Saudi Arabia

Algeria Finland Lithuania Serbia
Andorra France Luxembourg Slovakia
Argentina Georgia (Republic of) Macedonia (fmr Yugoslav Rep) Slovenia
Armenia Germany Malaysia Somalia
Austria Greece Maldives South Africa
Azerbaijan Hong Kong Mexico Spain
Bangladesh Hungary Moldova Sri Lanka
Belgium India Mongolia Sweden
Bosnia and Herzegovina Indonesia Morocco Switzerland
Brazil Iran Myanmar Taiwan
Bulgaria Iraq Nepal Thailand
Canada Israel Netherlands Tunisia
Chile Italy Norway Turkey
China Japan Pakistan UK
Colombia Jordan Paraguay Ukraine
Croatia Kazakhstan Peru United Arab Emirates
Cyprus Korea (Republic of) Philippines Uruguay
Czech Republic Kosovo Poland USA
Denmark Latvia Portugal Venezuela
Ecuador Lebanon Romania Vietnam
Egypt Libya Russia Other

9 What is your first language? (select one option)

(i.e. your mother tongue)

Afrikaans Faeroese Lithuanian Serbian

Albanian Farsi Luxembourgish Sindhi
Amharic Finnish Macedonian Sinhala
Arabic French Malay Slovak
Armenian Galician Malayalam Slovene
Assamese Georgian Marathi Somali
Azerbaijani German Moldovan Spanish
Basque Greek Mongolian Swahili
Bengali Gujarati Montenegrin Swedish
Bihari Hebrew Nepali Swiss-German
Bulgarian Hindi Norwegian Tagalog
Burmese Hungarian Oriya Tamil
Byelorussian Indonesian Pashto Telugu
Catalan Italian Polish Thai
Chinese Japanese Portuguese Turkish
Croatian Kannada Punjabi Ukrainian
Czech Kazakh Rajasthani Urdu
Danish Korean Romanian Vietnamese
Dutch Kosovan Romansh Wolof
Estonian Latvian Russian Other

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