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RefundandTransferReqForm

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12 views

RefundandTransferReqForm

Uploaded by

junpersona06
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Request for Refund or Test Date Transfer Form

This guidance only applies to non-UKVI IELTS. For UKVI, please refer to the UKVI Transfers and Refunds
policy document.

Information for Candidates Application Process for Refunds


Candidates who seek to cancel their registration or transfer Candidates must lodge an application for refund no later
test dates within the five-week period prior to the test date than five working days after the test date. Candidates must
will only receive a refund if they can satisfy to the complete a Request for Refund Form and attach the
Administrator that their ability to sit the test has been appropriate documentation and/or evidence. Acceptable
affected by illness or serious cause. Serious causes include: documents may include a medical certificate from a qualified
medical practitioner, a death certificate, or a police report.
• illness – e.g. hospital admission, serious injury or illness
Statutory declarations and certificates signed by family
(does not include minor illness such as a mild cold)
members are not acceptable.
• loss or bereavement – death of a close family member
The Administrator will advise the candidate within one week
• hardship/trauma – victim of crime, victim of a traffic
of lodging the application whether or not their request has
accident
been approved.
• military service.
Refunds – If the candidate’s application is approved, the
centre will refund the test fee to the candidate. However the
centre may deduct an administrative fee (no more than 25%
of the test fee).
Transfers – If the candidate’s application is approved,
candidates must select a test date within the next three-
month period and this will be approved by the Administrator
depending on availability for the selected test date. There
may be limited availability for test dates in the first five-week
period. Candidates who wish to transfer to a test date more
than three months away should apply for a refund and then
re-apply for the test.

March 2020
Request for Refund or Test Date Transfer Form

Personal details
Title: Test type transfer
Given names: HAI PHUC Surname: NGUYEN
Address:
7 SPRINGSIDE WAY ONTARIO NORTHYORK,
M3M 3H5 CANADA
Telephone: +1 4374309116 Email: [email protected]
Test date registered for:2025 / 01 / 03
Request is for (tick one box): Refund Test Date Transfer
Centre name/number: Oxford International North America
Preferred new test date: 2025 / 01 / 03

Please select the test that you registered for:

☐ IELTS(Paper Based) ☐ Computer-delivered IELTS

Please select the test that you wish to transfer to :

☐ IELTS(Paper Based) ☐ Computer-delivered IELTS

Candidate statement (to be completed by the candidate)


Please detail your grounds for applying for a refund or a test date transfer .
In case of medical reasons, this form must be accompanied by an original medical certificate issued by a
Professional Medical Practitioner. The medical certificate must include nature of illness and other relevant information
(with reference to the candidate’s capacity to sit an exam) which will assist in any assessment of this application for
special consideration.
For other reasons, please attach relevant documentation/evidence (police report, military service notice, death notice).
(attach extra sheet if there is insufficient space).

I want to change from the IELTS Academic Test to the IELTS General Test
on the same or nearby day.

The information on this form is collected for the primary purpose of assessing your request for a refund/test
date transfer. If you choose not to complete all the questions on this form, it may not be possible for the test
centre to process your request.
Candidate signature: Date: 2024/12/14
Received by: Date:

Test centre use only:


Request (please select): APPROVED NOT APPROVED

Authorised by:
(IELTS Administrator) Date:

March 2020

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