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TOEFL iBT® SCORE REVIEW REQUEST FORM

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TOEFL iBT® SCORE REVIEW REQUEST FORM TOEFL iBT ® SCORE REVIEW REQUEST FORM IMPORTANT Your scores cannot be reviewed if you have already requested that they be sent to an institution or agency You can[.]

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IMPORTANT: Your scores cannot be reviewed if you have already requested that they be sent to an institution or agency

You can request a score review of your TOEFL iBT Writing and/or Speaking section up to 30 days after you take the test.*

Visit www.ets.org/toefl/test-takers/ibt/scores/getting/score-review/ for additional information The TOEFL iBT score review requests can be completed online, through your ETS account, at www.ets.org/mytoefl using a credit or debit card

Use this form ONLY if you are paying with a paper check or money order Make sure to check the appropriate box below,

indicating what test section scores you are requesting to be reviewed for the test date specified Complete the entire form and follow the submission instructions below

Test Date: _ Appointment Number:

Name: Date of Birth: _

Month Day Year Address (include ZIP or postal code):

Check this box if your mailing address has changed since the test date indicated above Print your new address below Address (include ZIP or postal code):

* Not available for the TOEFL iBT Paper Edition

Copyright © 2022 by ETS All rights reserved ETS, the ETS logo, and TOEFL iBT are registered trademarks of ETS in the United States and other countries

All other trademarks are the property of their respective owners

CUT HERE

DIRECTIONS – Fill in the dollar amount and include value-added or similar taxes where applicable Make remittance payable to

ETS-TOEFL DO NOT SEND CASH

Fees and terms relating to fees and payments are available at www.ets.org/toefl/test-takers/ibt/take/fees/

TOTAL AMOUNT ENCLOSED $

For all other payment methods, send completed form and payment to:

ETS-TOEFL

PO Box 382044

Pittsburgh, PA 15251-8044 USA

Make check/money order payable to ETS-TOEFL

If you are paying by check, you are authorizing ETS at its discretion to use the information on your check to make a one-time electronic debit from your account for the amount of your check; no additional amount will be added Please be aware that your bank account may

be debited as soon as the same day we received your payment and you will not receive a canceled check

The results of the rescoring process will be available 1–3 weeks after receipt of your Request Form and payment

149786-145830 • UNLWEB422

Ngày đăng: 23/11/2022, 19:11

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