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ICDL Cand Reg Form

ICDL Candidate Application Form

A copy is to be printed and retained by the ICDL ATC

First Name:
Last Name:
IC/Passport No.:
Nationality:
 Gender: Female
  Male
Date of Birth:


Address:
e-mail:
Tel:
Mob:
Occupation:
Company (if any):
Tests required
 ICDL Core (7 modules)
  ICDL Start (any 4 modules)
Please state the 4 modules:
Others, please specify:
Candidate's sign.:
For Office Use - Candidate ICDL Reg. No.:


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