托福考试报名

InstructionsforCompletingInternationalTestSchedulingForm

IMPORTANT:Iftheformisnotproperlyfilledout(containsincompleteinformation,unclearletters,ornon-Englishcharacters),itMAYcau

readtheinstructionscarefully.

CompletingtheForm

●Ublackink.

●Thenamegivenontheformmustmatchthenameontheiden-

tificationdocumentthatwillbeprentedatthetestcenter.

PaymentInformation

●Youcanfaxormailtheformifyoupaywithacreditcardorsupply

avouchernumber.

●Youmustmailtheformifsubmittingacheckorotherphysical

stofacceptablecurrencies,

paymentisnotincludedwithyourform,yourtestappointmentwill

notbeheld.

TestDateandCenterInformation

Note:tyour

RRCforthelatestinformation(epages46-53).Ifyouaretesting

atasupplementalcenter,youmustobtainanInformationBulletin

forSupplementalTOEFLAdministrationsfromtheinstitutionwhere

youobtainedthisBulletin,institutionslistedontheinsidebackcover

ofthisBulletin,orTOEFLServices(ebackcoverforcontact

information).

●Indicateyourfirstfivedatechoicesbymonth(MM)andday

(DD);forexample,May21wouldbelistedas05/21.

●Indicatethetestcenternumberwhereyouwanttotest,and

writeoutthenameofthecitywherethetestcenterislocated.

Youmayalsoindicateacondchoicecenter.

SubmittingThisForm

●Ifmailed,theRRCmustreceivetheformatleastthreeweeksprior

theformandtheproperfee

othelistofRRCson

mailinglabelprovidedintheenvelope.

●Iffaxed,theRRCmustreceivetheformatleastvendaysprior

toincludeyourcreditcard

otheappropriateRRC(epages46-53inthe

Bulletinforfaxnumbers).

SchedulingProcess

●Whenschedulingyourappointment,Prometricwilltrytoschedule

yourfirstchoicedate,thencond,third,fourth,orfifthchoice

decidetolectacondchoicetestcenter,Prometricwillthen

trytoscheduleyourfirstchoice,thencond,third,fourth,or

ofthedates

areavailable,Prometricwilltrytoscheduleyouforadayclost

toyourchoices.

●Ifyouhaveaproblemwiththeappointmentscheduledfor

you,contactyourRRC.

RetakingtheTest

Youmaynottakethecomputer-badTOEFLtestmorethanonce

percalendarmonth.

ConfirmationLetter

Ifyoudonotreceiveaconfirmationofyourappointment,you

mustcalltheRRCatleastthreebusinessdayspriortoyourfirst

issyourappointmentanddidnot

calltheRRC,yourtestfeewillnotberefunded.

001Afghanistan

003Albania

005Algeria

007AmericanSamoa

008Andorra

010Angola

011Anguilla

012AntiguaandBarbuda

015Argentina

016Armenia

017Aruba

020Australia

025Austria

029Azerbaijan

030Azores

035Bahamas

040Bahrain

045Bangladesh

050Barbados

094Belarus

055Belgium

056Belize

058Benin

060Bermuda

063Bhutan

065Bolivia

069BosniaandHerzegovina

070Botswana

075Brazil

077BritishVirginIslands

081BruneiDarussalam

085Bulgaria

593BurkinaFaso

092Burundi

307Cambodia

095Cameroon

100Canada

106CapeVerde

110CaymanIslands

113CentralAfricanRepublic

114Chad

115Chile

457China,People’sRepublicof

120Colombia

122Comoros

630Congo-DRC

(FormerlyZaire)

125CongoRepublic

126CookIslands

130CostaRica

290Côted’lvoire(IvoryCoast)

133Croatia

135Cuba

140Cyprus

142CzechRepublic

150Denmark

153Djibouti

154Dominica,Commonwealthof

155DominicanRepublic

165Ecuador

170Egypt

175ElSalvador

180England

183EquatorialGuinea

182Eritrea

184Estonia

185Ethiopia

187FaeroeIsland

107FederatedStatesof

Micronesia

190Fiji

195Finland

200France

203FrenchGuiana

202FrenchPolynesia

204Gabon

205Gambia,The

206GazaStrip

208Georgia

210Germany

215Ghana

220Greece

225Greenland

227Grenada

228Guadeloupe

229Guam

230Guatemala

233Guinea

234Guinea-Bissau

235Guyana

240Haiti

245Honduras

250HongKong

251Hungary

255Iceland

260India

265Indonesia

270Iran

273Iraq

275Ireland

277IsleofMan

280Israel

285Italy

295Jamaica

300Japan

305Jordan

308Kazakstan

310Kenya

312Kiribati

314Korea(DPR)

315Korea(ROK)

320Kuwait

323Kyrgyzstan

325Laos

328Latvia

330Lebanon

333Lesotho

335Liberia

340Libya

343Liechtenstein

344Lithuania

345Luxembourg

347Macau

348Macedonia,formerYugoslav

Republicof

350Madagascar

353MadeiraIslands

355Malawi

360Malaysia

361Maldives

363Mali

365Malta

367NorthernMarianaIslands

368MarshallIslands

366Martinique

369Mauritania

370Mauritius

375Mexico

376Moldova

378Monaco

379Mongolia

381Montrrat

380Morocco

385Mozambique

090Myanmar(Burma)

388Namibia

386Nauru

387Nepal

390Netherlands

395NetherlandsAntilles

396NewCaledonia

405NewZealand

420Nicaragua

425Niger

430Nigeria

433NiueIsland

434NorthernIreland

435Norway

443Oman

445Pakistan

447Palau

450Panama

400PapuaNewGuinea

455Paraguay

460Peru

465Philippines

470Poland

475Portugal

474PuertoRico

477Qatar

482Reunion

483Romania

484Russia

487Rwanda

ndNevis

tandthe

Grenadines

488SanMarino

489SaoTomeandPrincipe

490SaudiArabia

495Scotland

497Senegal

498Seychelles

500SierraLeone

505Singapore

503Slovakia

504Slovenia

506SolomonIslands

507Somalia

510SouthAfrica

515Spain

520SriLanka

525Sudan

527Suriname

530Swaziland

535Sweden

540Switzerland

545Syria

550Tahiti

555Taiwan

556Tajikistan

560Tanzania

565Thailand

567Togo

570Tonga

575TrinidadandTobago

580Tunisia

584Turkmenistan

585Turkey

586TurksandCaicosIslands

587Tuvalu

590Uganda

589Ukraine

591UnitedArabEmirates

588UnitedKingdom*

592UnitedStatesofAmerica

607USVirginIslands

595Uruguay

594Uzbekistan

596Vanuatu

597VaticanCity

600Venezuela

605Vietnam

610Wales

611WestBank

620Samoa

623Yemen

625Yugoslavia

635Zambia

480Zimbabwe

U999foranycountrynot

listed.

CountryCodes

DoNOTmailorfax

morethanonce.

TypeofCurrency:______________AmountEnclod:_________________

CreditCard(fillinonecircle):VISA®MasterCard®AmericanExpress®

AccountNumber:ExpirationDate:(MM–YY):

CardHolder

Name:

Specifyfivedatesinorderofpreferenceandtestcenterlocation(s).

MonthoftheYear(MM):01-121stchoice2ndchoice3rdchoice4thchoice5thchoice

DayoftheMonth(DD):01-31

forexampleMay21=0521MM–DDMM–DDMM–DDMM–DDMM–DD

FirstchoiceSecondchoice

TestCenterNumberwritecitynameoftestcenterTestCenterNumberwritecitynameoftestcenter

2001–2002

INTERNATIONALTESTSCHEDULINGFORM

Iherebyagreetothegeneralconditionstforthinthe2001-02TOEFLInformationBulletinforComputer-BadTesting,andIagreetothe

policiesandproceduresrelatedtocomputerizedtesting,specificallythoconcerningtestadministration,paymentoffees,andreportingof

fythatIamthepersonwhowilltakethetestatthecenterandwhonameandaddressappearonthisform.

Signature:_________________________________________________________________________________Date:

Copyright©IONALTESTINGSERVICE,theETSlogos,

TOEFL,andtheTOEFLlogoareregisteredtrademarksofEducationalTestingService.

Card

anExpressisaregisteredrvicemarkoftheAmericanExpressCompany.

PleaprintallinformationclearlyinEnglish

ncludeaccentmarksor

ckinkto

completetheform.

–UNESCOCoupons(enclod)

–CreditCard(Provideaccountinformationbelow.)

–VoucherNumber:

PAYMENTTYPE(fillinonecircle):

–BankCheck/PersonalCheck(enclod)

–Eurocheck–Europeonly(enclod)

–MoneyOrder–(enclod)

faxyourcompletedformtothe

RegionalRegistrationCenter(RRC)forthecountryinwhichyouplantotest(e

pages46-53).DonotndthisformtoETS.

NumberonIdentificationDocument(e.g.,passport,nationalcertificateofcitizenship,

ornationalIDcard):

First/GivenName

(asonphotoID):

Last/FamilyName

(asonphotoID):

DayPhone:EveningPhone:

BirthDate(MM–DD–YYYY):FaxNumber:

MailingAddress:

City:State/Province:

PostalCode:CountryCodeforthis

MailingAddress:

Email

Address:

(includecountryandcitycodes)(includecountryandcitycodes)

NOTE:Bankchecks,personalchecks,Eurochecks,andmoneyordersmustbe

e5oftheBulletinforacceptablecurrencies.

(ecodesonback)

DonotuthisformifyouplantotestintheUnitedStates,Canada,AmericanSamoa,Guam,USVirginIslands,andPuertoRico.

MiddleName:

(Optional)

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–

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