Authorization Letter Date: ………/………/2016 Dear Examinations Services Advisor, This is to authorise Mr/Mrs/Ms/Miss/Dr:………………………………………., holding Passport/Iqama/Card No:………………………………….to collect the my IELTS result and Refund on my behalf and I authorise him/her to sign on my behalf for all documents required in this regard. Candidate Number: Test/session Date: …….../………../……… ` Tel No: Email: Candidate Full Name: Signature: Note: this form should be filled out and retained until your results are released. Please give it to the authorised person. The authorised person must bring his/her ID mentioned on this form.
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