Pleasepaste your recent photo here

(please refer exam schedule)

4FirstName:5Surname:

(asyou wish it to appear on the BEC certificate)

6 / DateofBirth: / / / / 7 / Sex: / MaleFemale Female
(day/ month / year) / (tickas appropriate)

8AddressforCorrespondence:

Tel/Mob:Email:

9IDDocument/ Number**:

10Nationality:11 MotherTongue:

12EducationalLevel/ Qualification:

13NameoftheEducationalInstitution/Organisationyouarecurrentlyat:

Icertifythattheinformationprovidedinthisformiscompleteandaccuratetothebestofmyknowledge. IunderstandthatI

mustabide bythe rules and regulations laid down byBritish Council and agree to the same.

Signature:Date:

Disclaimer:BritishCouncil andUKexaminingboardstakeallreasonablestepstoprovide continuityofservice.However,wecannotbeheld responsibleforanyinterruptionscausedbycircumstancesbeyondourcontrol.If examinationsortheirresultsaredisrupted,cancelledordelayed,everyeffortwillbemadetoresumenormal servicesassoonaspossible.BritishCouncil'sliabilitywillbelimitedtotherefundofregistration feeor re-testingatalaterdate.

CANDIDATECHECKLIST

I havecompletedandsignedtheBECApplicationForm.

I havepasteda passport sized photographontheApplication Form.

Ihaveenclosedthetestfeeas DemandDraft.

• Demand Draft to be drawn in favour of ‘BritishCouncilDivision’, payable at the respective centre (New Delhi; Mumbai; Chennai or Kolkata)

• BEC exam fee:BEC PreliminaryRs 3050/-│BEC VantageRs 3550/- │BEC Higher Rs 6300/-

Ihaveattachedaphotocopyof my photoID document**

• The photo ID document should include recentphotograph, full name, dateof birth, and signature of authorised/issuing authority

• Frequently used ID documents include passport, driving license, college/corporate ID card, and PAN card

ThephotoIDdocumentshouldbecarriedinoriginalfor theBEC exam.

CONTACT DETAILS

Examinations Services

British Council Division, British High Commission, 17 K G Marg, New Delhi110 001

T + 91 (0)11 2371 1401 │F + 91 (0)11 2371 0717 │E

SPEAKING EXAM DETAILS*

The Listening, Reading, and Writing modules of the exam will be conducted on the date mentioned on the BEC Exam Calendar. However, the Speakingmodule may be scheduledon the sameday or at anytime during the 2 weeks before/after the test date. The final date for the speaking module will becommunicated 2 weeks prior to

the exam date.

NOTICE TO CANDIDATES

In the event of an insufficient number of candidates registering for the BEC exam at your chosen test centre, British Council reserves the rights to either cancel the exam at that centre or transfercandidates to the nearest availablecentre.