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OCR: TEST OF ENGLISH AS A FOREIGN LANGUAGE TOEFL ANSWER SHEET SIDE 1 1. NAME: Cops pout nanm from your alles on toloct . Use one box for cade Mian. Pasl jant. pout tamy rome (garanci tren your geen roare, and then ar mida e naTio. Leave one box tark SMITH JANE 2 REGISTRATION 1. INSTITUTION AND DEPARTMENT CODES: Give he adds satses # the irsolution and 4. DO YOU PLAN TO STUDY FOR A NUMBER DEGREE IN THE U.S.A. OR CANADA? NITT.ITON OEP INSTITUTION CEPT NASTITUITION CEPT 0 % CODE CODE 000000000000000000000 9340335 500772483272166672 5. REASON FOR TAKING TOEFL O 0000000 00000000000000 IFILL IN ONLY ONE OVAL.) 000000 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0000000 00000000000 0 00000 00000000000 00000 DO NOT WRITE IN THIS AREA. 0000000 000e@ 000000000000000000000 10 000000000 comgo or uniat-t 0000 000000 4. To become corand is 220 TH Ty pofaclor in the U.S.A. or Garezi 000000000000000000000 000000000000000000000 000 000 5. Englich to the company tor which i 000000 00000000000000 000 000 00 00 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 000 0000000 0000000000 Os Chet tan the above ip sade 000000000000000000000 100000000000 000000 900000000000000000000 . TEST CENTER (Print 00000000 000 HAVE ORE TODAY CITY 0 0 0 9 0 9 0 0 0 0 0000000 0 CENTER NUMBER COUNTRY (O) 000000000000000000 &. PLEASE PRINT YOUR NAME AND MAILING ADDRESS 000 FAMILY NAME ISUNANAME! GIVEN NAME MIDDLE NAME (0) 0 STREET ADORE38 OR P.O. BUIX NO 00000000000000 $14TE CHI PROVINCE 000000 POSTAL OR ZIP CODE COUNTRY 000 DO NOT MARK IN THIS AREA. 9. SIGNATURE AND DATE: Copy the stawmert below; use henwijng. 00000000000000000000 TEST "I heraby Agree to the conditions set forth in the Bulletin of Information and affirm that I am the person whose name and address are given on this answer sheet." 000000000000000000000 0000000000 C8003-06 (S) 0000000000 0000000000 ooo000000000000000000 0000000000 0 0 0 0 0 1 3 0 3 0 3 0 0 0 0 0 0 0 0 0 0 0000000000 0000000000000000000 0000000000 DATE ISIGN YOUR NAME AS IF SIGNING A BUSINESS LETTER! MO DAY YEAR 075-07 - 02364 - TF7008-1174 CHW93279