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REQUEST FOR COPIES OF RESULTS TO BE SE NT TO EXTRA INSTITUTIONS Please complete both pages of this form and return it to International House Milan IELTS Office International House Milan th 5 Floor Torre Velasca Piazza Velasca 5 Milano 20122 CANDIDATE SURNAME FIRST NAME TEST DATE EMAIL ADDRESS TELEPHONE NUMBER Address es of institution s to which your additional copy/copies should be posted OFFICE USE ONLY Initials Date received Date posted ISCD updated Receipt number Please continue to page 2.
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