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Consent Form

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0% found this document useful (0 votes)
10 views2 pages

Consent Form

Uploaded by

mouradf28
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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CONFIDENTIAL AMS

Appendix AMS 5 IELTS Minor Candidate Consent Form


Important – Please read this information carefully before you complete this consent form. Your completed consent form
must be provided to the Test Centre before or on the day of the Test. It must be provided before registration on test day. If
you do not provide this Consent Form on or before the test day you will not admitted to the test room. We recommend that
you keep a copy for your records.
Who should use this form? – Any person who wishes to take an IELTS test who has not yet reached the age of legal
competence (i.e., is a minor under local law).
IELTS TERMS & CONDITIONS AND LEGAL NOTICES (BLOB) and the request must be made to
ielts@idp.com or ielts@britishcouncil.org. I
Declaration
understand a fee will be charged for access to this
1. I acknowledge that the IELTS test is jointly owned by information.
British Council, IELTS Australia Pty Ltd (ABN 84 008
664 766), which is wholly owned by IDP Education 7. I understand that, if the details on this form are not
Ltd (IDP: IELTS Australia) and Cambridge English completed, my application may not be processed. I
Language Assessment (part of the University of further understand that completing and submitting
Cambridge), collectively referred to as the IELTS this application does not guarantee registration on
Test Partners. my preferred test date or at my preferred test
location. I understand that my registration will be
2. I certify that the information in my application form is confirmed within 24 hours. I also understand that I
complete, true and accurate. will be contacted in the event that a test date cannot
be made available to me within 28 days of placing my
3. I understand that the personal data in my application
application.
is collected for the purposes of the IELTS test, and I
consent for this data to be disclosed to, processed 8. I understand that any personal data collected
and stored by the IELTS Test Partners for the during the identity verification process by the
purpose of such administration. I further consent for centre either at test registration or on test day will
this data, including, without limitation, test be processed and securely stored by the IELTS
performance or score data and my test result to be Test Partners for the purpose of the IELTS test. I
disclosed by the IELTS Test Partners to those
acknowledge that the photograph(s) taken of me
Recognising Organisations to which I apply and to
by the centre will be provided to any Recognising
governments (including visa processing authorities
such as UKVI) for the purpose of allowing these Organisations or government authorities (including
organisations to verify my test result or to carry out visa processing authorities) to which I apply for the
enquiries in relation to suspected malpractice. If the purposes of allowing these organisations to verify
IELTS Test Partners discover that a false or altered my test results or to carry out enquiries in relation
Test Report Form has been provided to any of these to possible malpractice or test integrity issues. I
Recognising Organisations or government understand that where finger-scan data is
authorities’ I further consent that the IELTS Test obtained it will not be disclosed to any entity
Partners may inform the same and provide them with except the IELTS Test Partners.
my personal data and any relevant details relating to
the work I produce as part of my test taking, 9. I understand that I will have my photograph(s)
including, without limitation, test performance or taken by the test centre to allow the Test Report
score data. Form to be released. If I have not had my
photograph taken by the test centre no result will
4. I understand that my personal data may be be issued.
processed in an anonymous form by the IELTS Test
Partners for statistical and research purposes. The 10. I acknowledge that I have read the IELTS Notice
IELTS Test Partners and the centres administering to Candidates and agree to abide by the rules and
the test confirm that they will not disclose personal regulations contained therein.
information about candidates to others except as
stated in this Declaration or to the extent permitted by 11. I understand there may be local terms and
law. conditions I must comply with and that the test
centre will provide details of these on request.
5. I understand that I may view a copy of my personal
data contained in my application by contacting 12. I understand that I must attend all four test
ielts@cambridgeenglish.org. I understand that a fee components in order to receive an IELTS test
will be charged for access to this information. result and that any exception to this must be
approved in advance by the centre.
6. I understand that, if I want a copy of my finger scan, it
can only be provided as a Binary Large Object 13. I understand that the IELTS Test Partners have a
April 2015 edition IELTS for UKVI: Administrators Manual Supplement Section AMS Page 23
CONFIDENTIAL AMS
responsibility to all candidates and Recognising 16. I understand that if any other person attempts to
Organisations to ensure the highest confidence in take the IELTS test in my place, both I and such
the accuracy and integrity of test results and that person will be liable to prosecution. Details
the IELTS Test Partners therefore reserve the relating to the situation may be provided to the
right to withhold test results temporarily or relevant authorities, including visa processing
permanently, or to cancel test results which have authorities and appropriate regulatory authorities.
been issued, if they consider those results to be
unreliable for reasons of suspected malpractice or 17. I understand that the work I produce in the IELTS
any other irregularity in the test process. test remains the property of the IELTS Test
Partners. It will not be released to candidates or to
14. I understand that my result may not be issued 13 institutions or organisations, except in the
days after the IELTS test if the IELTS Test investigation of suspected malpractice, in which
Partners deem it necessary to review any matter case, my work may be provided to relevant
associated with my test or the administration of my authorities.
test, including making enquiries as to whether any
18. I understand that my IELTS Speaking test will be
rules or regulations have been breached. I
understand that, before my results can be issued, audio and video recorded. I understand that in the
I may be required to provide additional samples of event that the test does not record, I will be
my writing and speaking for the purposes of required to re-take the speaking test. I also agree
assisting any investigation before or after the test. that an observer may attend my IELTS Speaking
I understand that, in exceptional circumstances, I test as part of the monitoring process.
may be required to re-take one or more IELTS 19. I understand that there will be video recording and
components. CCTV (Closed Circuit TV) in the Test centre. I
15. I understand that if I am suspected of engaging in agree to be videoed while I am in the test centre
any form of malpractice, or do anything that might on the test day, including from the place where I
damage the integrity and security of IELTS, I may register and in each of the test rooms used for
not receive a test result, my test fee will not be each part of the test I take. I understand that video
recordings will be used for monitoring purposes,
refunded and I may be prohibited from taking the
IELTS test in the future. Despite and without investigations into suspected malpractice and
limiting any of the terms of this Declaration, I enquiries on results. I understand if I do not agree
understand that details of any malpractice to be video recorded I will not be able to take the
(including evidence of suspected malpractice) that test.
has been established, is suspected, or is being 20. I understand that I will be charged the full test fee
formally investigated may be provided to if I cancel my test or request a transfer within five
Recognising Organisations, including visa weeks of the test date, unless I provide
processing authorities and appropriate regulatory appropriate medical evidence, within five days of
authorities, or otherwise disclosed in accordance the test date, to support the cancellation or
with the law, where required for verification transfer.
purposes or other purposes to protect the IELTS
test and its stakeholders against any form of 21. I acknowledge that I have read the IELTS
malpractice. I further understand that suspected Information for Candidates (www.ielts.org)
malpractice will be reported centrally to the IELTS booklet.
Test Partners and to any relevant Test Centre by
the centre where the suspected malpractice
occurred.

Consent
Full name of Candidate _________________________________________________________________
Signature __________________________________ Date ______________________________________

(If you are minor, please ask your parent/legal guardian to read all information provided and sign the consent
below.)
I declare that I exercise parental care of the candidate named on this form and I have read, understood
and accept the above.
Full Name of Parent/ Legal Guardian ______________________________________________________
Signature __________________________________ Date ______________________________________

April 2015 edition IELTS for UKVI: Administrators Manual Supplement Section AMS Page 24

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