Alliance Francaise de Pune


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Application form for the DELF exam Diplôme d'Etudes en Langue Française

Please fill out the form and drop it at the center/bring it along with your payment:
- to the center:
Alliance Francaise de Poona
Indo-French Cultural Centre

Main Office:
270-D, Kala Chhaya, Patrakar Nagar Road,
PUNE 411 016
Tel / Fax: + 91 -(0)20 2565 7848, 2567 6509

Camp Office:
Office No. 205 to 208, 2ND Floor,
F Wing, Parmar Trade Centre
Pune 411 001
Tel No. 26127142
Office Timings: Monday to Friday 10.00 am to 6.00 pm

- by e-mail.
Registration-Reception-Administration: Ms. Dipaali SHINDE,
afpune@afindia.org

Academic Coordinator Ms. Sonya GOLE
courses.pune@afindia.org

Exam Fees:
unit A1 : Rs 600
units A2: Rs 600
units A3: Rs 600
units A4: Rs 600
Test of access to the DELF 2nd degré: 700 Rs
units A5: Rs 600
units A6: Rs 600

Means of payment
Check addressed to the Alliance Française de Trivandrum
Cash

I certify that I have read the conditions and that I accept them (fees once spared are not reimbursable)

Date:

Signature:

I undersigned

-----------------------------

Surname :		Miss Mrs. Mr.

Name :

Date of birth :		day / month / year

Place of birth :

Nationality :

Application no. :
(number to be given if you have appeared for DELF units in Trivandrum or in other centers, please join your marks sheet for the units you have passed)

Phone :

Fax :

E-mail :

Ask for my application :
	To the test of access for the DELF 2nd degré
	To the exams for the following units:
	1er degré	A1 A2 A3 A4
	2nd degré	A5 Work Study Move

Specify the subject :
	Human and Social Sciences
	Sciences of life
	Economics Sciences

Wish :
	That my passing certificate be sent to the following address (delay: 1 month after the exam)
	That my diploma be sent to the following address (delay: from 2 to 6 months after the exam)
		Kindly notify us if there is a change of address


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