Examination registration and declaration of consent Details of the examination participant First name: Last name: Street and house number: Postal code and place of residence: E-mail address: Date and place of birth: Gender: male female diverse (Please check the appropriate box) Mother tongue: I hereby register bindingly for the following examination: Exam format: Telc exam Date: Test center: IB Sprachinstitut Stuttgart, Am Wallgraben 100, Stuttgart-Vaihingen Admission written exam: 08.15 am 1. please mark the appropriate test: German test for immigrants following DTZ: I hereby confirm that I