Completing the IELTS Application Form

Use a pencil to complete the form – except for the “signature” on page 4, where ink (a pen) is required!

Question 1WRITE: 06 / 06 / 15 Completing the IELTS Application Form

Question 2 AL AIN Write the test city location. Completing the IELTS Application Form

Questions 3 and 4 (Example) AL KAABI Mr / Mrs / Ms Question 3: Copy your family name from your national ID card in capital letters. (Check that you have used the same spelling.) Question 4: Write what best describes you! Completing the IELTS Application Form

Questions 5 and 6 (Example) MUNA AHMED Academic Question 5. Copy your first name and father’s name from your national ID card in capital letters. (Check that you have used the same spelling.) Question 6. Tick or Check ( ) Academic Completing the IELTS Application Form

Question 7Do not write anything for this question. Completing the IELTS Application Form

Question 8 (Example) Write your mobile telephone number. Completing the IELTS Application Form

Question 9 (Example) Write your address at UAE University. Do not write any other personal address. Completing the IELTS Application Form

Question 10 (Example) 14/08/95 Copy your date of birth from your national ID card. Completing the IELTS Application Form

Question 11 (example): F Circle ‘F’ for female, or ‘M’ for male. Completing the IELTS Application Form

Question 12 National ID Card  (Example) Tick (  ) the box next to ‘National Identity Card’, and write your national ID card number, OR: Tick (  ) the box next to ‘Passport’, and write your passport number. Completing the IELTS Application Form

Question 13 (Example) (code)205 (name)UAE Write the number (code) and name of your country of nationality. (You can find the numbers in the list of countries in your “Notice to Candidates” insert.) Completing the IELTS Application Form

Question 14 (Example) (code)005 (name)Arabic Write the number (code) and name of your first language. (You can find the numbers in the list of First Languages in your “Notice to Candidates” insert.) Completing the IELTS Application Form

Question 15 (sector)08 (level)07 Write these numbers. Completing the IELTS Application Form

Question Write this number. Completing the IELTS Application Form

Question 17  other UAE Tick / Check (  ) the box next to ‘other’. Then write ‘UAE’. Completing the IELTS Application Form

Question 18 UAE University Write ‘UAE University’. Completing the IELTS Application Form

Question 19 Tick / Check (  ) ‘secondary’ years Completing the IELTS Application Form

Question 20Tick / Check (  ) the best number (of years) that describes you! Completing the IELTS Application Form

Question 21Tick / Check (  ) the box that describes you! If you have ‘Special Needs’, tick (  ) the box next to ‘Yes’. Then write the details and talk to your teacher. If you do not have ‘Special Needs’, tick / check (  ) the box next to ‘No’. Completing the IELTS Application Form

Box after Question 21 Ask your teacher to advise you if you should write something here. (If you ticked / checked ‘no’ for Question 21, write nothing.) Completing the IELTS Application Form

All of page 3 (Question 22) Do not write anything. Completing the IELTS Application Form

Now you need a blue or black pen. Turn to Page 4 of the application form. You need to sign the form at the bottom and write today’s date. You will need to sign in the same way when you take the IELTS exam.