registration form delf dalf september...
TRANSCRIPT
FICHE D'INSCRIPTION DELF/ DALF (Registration form DELF DALF) 2017 PHOTO
Alliance française de Chandigarh
(Kindly fill in block letters)
1. Code Candidat (candidat déjà immatriculé). If you have already appeared for any of the DELF/DALF exams earlier, please use the same candidate number :
Please attach photocopies of all your previous DELF/DALF certificates, your PHOTO +photo ID proof + signed rules and regulation form for DELF/DALF
0 -
2. Sexe: M c F c
3. Nom Candidat (Surname):
4. Nom du père (Father’s Name ):
5. Prénom Candidat (Name):
6. Nationalité (Nationality:
7. Date de naissance (dd/mm/yyyy) (Date of Birth):
8. Pays de naissance (Country of birth):
9. Lieu de naissance (Place of Birth):
10. Adresse candidat(Address):
11. Code postal (Pin code):
12. Téléphone / Mobile:
13. Adresse e-mail (email):
14. Inscription à quel examen: (Registration for which exam)
A1 A2 B1 B2 C1 C2
15. Mentionnez le domaine pour le C1/C2 Lettres et sciences humaines Sciences
Note: All candidates will have to carry their PHOTO Identity Card in ORIGINAL on the day of the examination without which entry will not be permitted inside the Examination Hall. Unsigned forms, unsigned rules and regulation for DELF/DALF, signature with discrepancy or Incomplete forms will be rejected. IMPORTANT: I UNDERSTAND THAT IF I COME LATE FOR THE EXAM, I WILL NOT BE ALLOWED TO ENTER THE HALL Teacher’s name (if you are a student of AF de Chandigarh):________________Signature of candidate: __________
DELF / DALF
DAY
DATE
Exam fee for currently enrolled Alliance Française students Exam Fee + 18% GST
Exam fee for external students Exam Fee + 18% GST
A1 lundi 11 septembre 2017 Rs 2300 + Rs 414 = Rs 2714/- Rs 5000- + Rs 900 = Rs 5900/-
A2 mardi 12 septembre 2017 Rs 2500 + Rs 450 = Rs 2950/- Rs 5400- + Rs 972 = Rs 6372/- B1 mercredi 13 septembre 2017 Rs 3300 + Rs 594 = Rs 3894/- Rs 6000- + Rs 1080= Rs 7080/-
B2 jeudi 14 septembre 2017 Rs 3500 + Rs 630 = Rs 4130/- Rs 6400- + Rs 1152= Rs 7552/-
C1 vendredi 15 septembre 2017 Rs 3900 + Rs 702 = Rs 4602/- Rs 7000- + Rs 1260 = Rs 8260/-
C2 samedi 16 septembre 2017 Rs 4100 + Rs 738 = Rs 4838/- Rs 7400- + Rs 1332 = Rs 8732/-
Receipt no._____________ Dated____________ Cash/Draft____________ Total Amount___________ If exam fee is paid by draft please make the draft in favour of Alliance Francaise payable at Chandigarh. The DELF/DALF forms sent by post should reach before the last date of registration, otherwise they will not be accepted, Address for sending forms: Alliance Française de Chandigarh, next to Hibiscus Garden, Sector 36-A, CHANDIGARH-160036. Telephone: 0172-2668627, 2647894, email: [email protected], website: www.chandigarh.afindia.org Page 1 of 2
KINDLY READ CAREFULLY THE RULES AND REGULATIONS AND THE FOOTNOTE.
IMPORTANT: To avoid any inconvenience, please collect your attestations by the last date specified on our website and indicate any correction to made (if there is any) on the attestation. After the last date Rs 2500/- will be charged for rectification of the error on the original diploma, and it may take 2 – 4 months or sometimes more.