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Registration telc exam

Title*:


Family name*:
First name*:
Nationality*:
Date of birth*:
Native Town*:
Native Country*:
Native language*:
Address*:
ZIP, City*:
Phone*:
E-Mail*:
Certificate*:
Registration for telc exam*:
Name of the exam*:
Examination date*:
I would like to take the exam on an extracurricular date (Only possible if several people register. Prices and conditions on request.):
Did you already sit this telc exam?:
I wish to repeat the exam:
Exam preparation:
I'm interested in having an exam preparation course.
In the case of minors, name of their legal guardian or legal representative :
Remarks:
Terms and Conditions*:
I accept the conditions of participation, the examination regulations and the data protection agreements as well as the implementation regulations.
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