新托福考试成绩复议

TOEFL® iBT Rescoring Request Form
For Test Takers in the People’s Republic of China
Check the appropriate box and follow the mailing instructions on the bottom of this form.
I request that the following be rescored for the test date indicated below:
□ TOEFL iBT Speaking and Writing(RMB960) □ TOEFL iBT Speaking (RMB480) TOEFL iBT Writing (RMB480)
Test Date:_____________________________ Registration Number:_________________________________________
Moth Day Year
Name:________________________________ Date of Birth:_______________________________________________
Month Day Year
Address:_________________________________________________________________________________________
________________________________________________________________________________________________
□ 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): ___________________________________________________________________
________________________________________________________________________________________________
Signature: ___________________________
Make sure the required fees are paid at the NEEA TOEFL iBT Registration website and fax this form to :8610-8252-0250
See the Bulletin for TOEFL iBT testing in the People’s Republic of China or the NEEA TOEFL iBT registration Web site at http://toefl.etst.edu.cn or http://toefl.etst.net.cn for information about rescoring, fees, and payment policies. All forms will be processed upon receipt. You must make your payment prior to securing any orders for services.
Payment Method:
□ ICBC online □ CMB online □ Wiretransfer
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