CYLETS LEVEL : STARTERS MOVERS FLYERS

University of Cambridge ESOL Examinations

Teaching Knowledge Test (TKT)

Application Form

Please tick as appropriate:Module 1

Module 2

Module 3

Affix your photograph here

DATE OF EXAM:1 Name:____________________________________________________

(First name) (Middle Name) (Last Name)

(ALL IN BLOCK LETTERS)

2 Date of birth: [........./........../........]

(day/month/year)

3 Gender : Female / Male

(circle as appropriate)5 School / Institution Address : ____________________________________________

________________________________________________________________________

________________________________________________________________________

City_____________________ Pin________________ State____________________

STD Code_____________________ Telephone Number ______________________

6Residence Address:_______________________________________________________

_________________________________________________________________________

Landline:__________________

Mobile:___________________________

E-mail __________________________________

Signature of Candidate : ________________________ Date : __________________ British Council offers a Candidate Support Programme (CSP) for each module of the TKT. The CSPs are optional for the TKT candidates. The cost of the CSP is Rs.500. CSPs will be conducted subject to a minimum number of participants. For further details, kindly contact your nearest British Council office

If you are interested in attending a CSP, please tick this box and we will get back to you with more details.

(Kindly attach a copy of a valid Photo Identity Proof along with this application form)

The British Council and UK examining boards take all reasonable steps to provide continuity of service. You will understand that we cannot be held responsible for any interruptions caused by circumstances beyond our control. If examinations or their results are disrupted, cancelled or delayed, every effort will be made to resume normal services as soon as possible. British Council's liability will be limited to the refund of the registration fee or re-testing at a later date.The United Kingdoms international organisation for educational and cultural relations. Registered in England as a charity.