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    Request For Refund or Test Date Transfer Form

    Uploaded by

    bibek
    The document outlines the policies and procedures for candidates requesting a refund or transfer of their IELTS test date. Key details include: - Requests must be submitted at least 5 weeks before the original test date, after which no requests will be accepted. - Candidates must submit a completed request form along with supporting documentation. - For test date transfers, candidates will only be given an available seat subject to availability. - For cancellations, candidates will receive a 75% refund of the exam fee, and must pay a 3,850 NPR administrative fee for refunds and transfers.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Request For Refund or Test Date Transfer Form

    Uploaded by

    bibek
    52 views3 pages
    The document outlines the policies and procedures for candidates requesting a refund or transfer of their IELTS test date. Key details include: - Requests must be submitted at least 5 weeks before the original test date, after which no requests will be accepted. - Candidates must submit a completed request form along with supporting documentation. - For test date transfers, candidates will only be given an available seat subject to availability. - For cancellations, candidates will receive a 75% refund of the exam fee, and must pay a 3,850 NPR administrative fee for refunds and transfers.

    Original Title

    ielts_refund_transfer_form_2015.pdf

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    The document outlines the policies and procedures for candidates requesting a refund or transfer of their IELTS test date. Key details include: - Requests must be submitted at least 5 weeks before the original test date, after which no requests will be accepted. - Candidates must submit a completed request form along with supporting documentation. - For test date transfers, candidates will only be given an available seat subject to availability. - For cancellations, candidates will receive a 75% refund of the exam fee, and must pay a 3,850 NPR administrative fee for refunds and transfers.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    52 views3 pages

    Request For Refund or Test Date Transfer Form

    Uploaded by

    bibek
    The document outlines the policies and procedures for candidates requesting a refund or transfer of their IELTS test date. Key details include: - Requests must be submitted at least 5 weeks before the original test date, after which no requests will be accepted. - Candidates must submit a completed request form along with supporting documentation. - For test date transfers, candidates will only be given an available seat subject to availability. - For cancellations, candidates will receive a 75% refund of the exam fee, and must pay a 3,850 NPR administrative fee for refunds and transfers.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    You are on page 1of 3

    CONFIDENTIAL

    Request for Refund or Test Date Transfer Form


    Information for Candidates

    Application Process for Refunds/Test Date


    Transfer

    a.

    Any candidates who wish to reschedule or cancel


    the test must do so 5 weeks before the exam
    date. No requests will be entertained after that
    deadline.

    Candidates must complete a Request for Refund Form


    /Transfer Form and attach the appropriate documentation
    and/or evidence. Statutory declarations and certificates
    signed by family members are not acceptable.

    b.

    In the case of rescheduling the candidate will only


    be allotted a new seat and date upon availability.

    The Administrator will advise the candidate within two weeks


    of lodging the application whether or not their request has
    been approved.

    c.

    In the case of cancellation the candidate will be


    refunded 75% of the exam fee.

    d.

    Candidates are required to pay administration fees


    of NPR 3850 both in case of refund and test date
    transfer.

    Refunds If the candidates application is approved, the


    centre will refund the test fee to the candidate. However the
    centre will deduct an administrative fee which is 25% of the
    test fee.
    If the refund is approved and candidate wishes someone
    else to collect refund amount, then he/she can authorize
    someone to collect the refund amount on his/her behalf with
    a signed authorization letter giving this persons name and
    ID number and the person must carry the mentioned ID
    while collecting.
    Transfers Test date transfer is subject to availability.

    Page 1of 3

    CONFIDENTIAL

    Request for Refund or Test Date Transfer Form


    Personal details

    Case Number:

    Title:
    Given name:
    Surname:
    Address:

    Telephone:

    IELTS reference number

    Email:

    Passport number:

    NP004 -

    Test date registered for:

    Request is for (tick one box):

    /
    Refund

    Test Date Transfer

    Centre name/number:
    Preferred new test date:

    Candidate statement (to be completed by the candidate)


    Please detail your grounds for applying for a refund or a test date transfer
    (attach extra sheet if there is insufficient space).

    Candidate signature:

    Date:

    Received by:

    Date:

    Test centre use only: Request for Refunds/Transfer

    Registered test date


    (dd/mm/yy)

    Date of prior
    application (dd/mm/yy)

    Case Number:

    Grounds for application

    Medical

    Request (please select):


    Authorised by:

    APPROVED

    Personal

    Other

    NOT APPROVED
    Date:

    (IELTS Administrator)
    Comments

    Page 2of 3

    CONFIDENTIAL

    Request for Refund or Test Date Transfer Form


    Supporting documentation / evidence: Medical
    (This form must be accompanied by an original medical certificate.)
    Professional Practitioner Certificate (to be completed by medical practitioner)
    Date/s of consultation:
    Candidate affected on the test day (please circle appropriate letter):
    A totally unable to sit exam

    specify period

    B very severely affected but able to sit exam

    specify period

    C severely affected but able to sit exam

    specify period

    D moderately affected but able to sit exam

    specify period

    E slightly affected but able to sit exam

    specify period

    specify period

    unable to assess ability to sit exam

    Candidate affected at some time prior to the test day (please circle appropriate letter):
    A totally unable to sit exam

    specify period

    B very severely affected but able to sit exam

    specify period

    C severely affected but able to sit exam

    specify period

    D moderately affected but able to sit exam

    specify period

    E slightly affected but able to sit exam

    specify period

    specify period

    unable to assess ability to sit exam

    Remarks: nature of illness and other relevant information (with reference to the candidates capacity to sit an exam)
    which will assist in any assessment of this application for special consideration.

    Practitioners name:
    Address:

    Phone number:
    Provider number: (if applicable):
    Signature:

    Stamp:
    Date:

    Supporting documentation / evidence: Other (police report, military service notice, death notice).
    Please specify and attach relevant documentation/evidence

    The information on this form is collected for the primary purpose of assessing your request for a refund/test
    date transfer. If you choose not to complete all the questions on this form, it may not be possible for the test
    centre to process your request.

    Page 3of 3

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