Linguaskill Test Type:
GeneralBusiness

Linguaskill Module (multiple possible):
Reading & ListeningWritingSpeaking

Exam Type:
At HomeAt BLTC

Exam date:
Note: date will be confirmed by the BLTC

Personal Details

First names (as in passport):

Last name:

Date of birth

Gender:
femalemale

Street and house number:

Postcode (e.g. 1234 AB):

City:

Telephone:

E-mail address:

Any special requirements due to medical conditions:
noyes

If 'yes', please describe below the relevant documents to your requirements.

Payment options:
Bank transferPin/cash at BLTC

Bank transfer to:
BLTC B.V.
IBAN: NL46ABNA0547679386
BIC: ABNANL2A (for international payments only)
Important! Please state: '[Linguaskill exam] for [name], [test date] & [telephone number]'

Please note:
- Payment must be completed at least 2 days before the requested test date.
- credit cards are not accepted
- all bank charges are the responsibility of the applicant
- BLTC does not use 'acceptgiros'

Signing student
Your complete name:

Place:

Date:

Consent text, 18 or over

Declaration:
I wish to be admitted for a Cambridge Linguaskill exam for the date listed.
I will bring a valid photo ID with me on the test day, by signing this form, I declare that I am aware of and agree to comply with the Terms and Conditions for this examination.

Signing for consent
Your complete name:

Place:

Date:

By signing I agree to the “Terms and Conditions”.