Baltic International Academy Foreign Language and ECL Certification Center
Application Form
Personal Information
1.
2.
3.
4.
5.
6.
7.
8.
9.
Candidate’s number (to be
completed by the administrator)
Family name (as in passport)
First name (as in passport)
Sex
Date of birth
(YYYY/MM/DD)
Place of birth (City)
(in Latin script)
Mother’s maiden name
(surname&name!)
Completed education (primary,
secondary, higher)
Nationality
Contact Information
10.
11.
12.
13.
14.
15.
Country
City (in Latin script)
Street (in Latin script)
Post code
Telephone
E-mail
+371
Examination Information
16.
17.
Language
Level
(A2, B1, B2, C1)
18.
Type of examination
(complex, oral, written)
Completed application forms must be e-mailed to the following address:
[email protected]