E15-20 ECPE Rescoring Request Form v5 Rescoring Request Form Please print clearly all information...

Hellenic American Union | Center for Examinations and Certifications Massalias 22, 10680 Athens | Τ: 210 3680000 | F: 210 3634200 Fragon 14, 54626 Thessaloniki | Τ: 2310 557600 | F: 2310 553925 Web: www.hau.gr/exams | E-mail: [email protected] V5_01.07.2016 ECPE Rescoring Request Form Please print clearly all information requested below: Candidate Information Code Last/Family Name First Name Father’s Name Date of Birth Mailing Address City Postal Code: Email Address Telephone Mobile: Section to be rescored GCVR & Listening Test Center: Writing Date of Request: Signature: Rescoring Fee Submit your Rescoring Request Form Rescoring Period Results The fee for the rescoring of each section is 55€. This must be deposited at the ALPHA BANK. The bank account number is 803-00-2002-005149 (IBAN: GR29 0140 8030 8030 0200 2005 149). If the rescore is higher than the initial score, rescoring fees will be refunded. In the case of interbank transfers, any expenses are born by the customer and not the Hellenic American Union. For this reason, please select “Expenses OUR” and not “Expenses SHA” There are three alternative ways to submit your Rescoring Request Form along with the deposit slip from the bank: 1. fax it to the following number: 210 3634200. 2. mail it to: Hellenic American Union, Massalias 22, 106 80 Athens 3. or drop it off at the Center for Examinations and Certifications. February 13, 2017 – March 14, 2017. The University of Michigan will process your Rescoring Request. The results will be mailed to you by the Center for Examinations and Certifications at the address you specified above. Data Protection The Hellenic American Union collects and uses personal information in order to communicate with the members of its public, to provide educational and cultural programs and services, and to improve the quality of services that it offers.The information we have requested in this form will be maintained in digital and/or physical form and used only for the purposes described above. You have the right to reasonable access to the personal information we have on you, to request a copy of this information, and to correct it if inaccurate. To find out more, contact the Hellenic American Union at [email protected]. E15-20

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Transcript of E15-20 ECPE Rescoring Request Form v5 Rescoring Request Form Please print clearly all information...

Page 1: E15-20 ECPE Rescoring Request Form v5 Rescoring Request Form Please print clearly all information requested below: Candidate Information Code Last/Family Name First Name Father’s

Hellenic American Union | Center for Examinations and Certifications

Massalias 22, 10680 Athens | Τ: 210 3680000 | F: 210 3634200

Fragon 14, 54626 Thessaloniki | Τ: 2310 557600 | F: 2310 553925

Web: www.hau.gr/exams | E-mail: [email protected]

V5_01.07.2016

ECPE Rescoring Request Form Please print clearly all information requested below:

Candidate Information

Code

Last/Family Name

First Name

Father’s Name

Date of Birth

Mailing Address

City Postal Code:

Email Address

Telephone Mobile:

Section to be rescored � GCVR & Listening

Test Center: � Writing

Date of Request:

Signature:

Rescoring Fee

Submit your

Rescoring Request

Form

Rescoring Period

Results

The fee for the rescoring of each section is 55€. This must be deposited at the ALPHA BANK.

The bank account number is 803-00-2002-005149

(IBAN: GR29 0140 8030 8030 0200 2005 149).

If the rescore is higher than the initial score, rescoring fees will be refunded.

In the case of interbank transfers, any expenses are born by the customer and not the Hellenic American

Union. For this reason, please select “Expenses OUR” and not “Expenses SHA”

There are three alternative ways to submit your Rescoring Request Form along with the deposit

slip from the bank:

1. fax it to the following number: 210 3634200.

2. mail it to: Hellenic American Union, Massalias 22, 106 80 Athens

3. or drop it off at the Center for Examinations and Certifications.

February 13, 2017 – March 14, 2017.

The University of Michigan will process your Rescoring Request. The results will be mailed to you

by the Center for Examinations and Certifications at the address you specified above.

Data Protection The Hellenic American Union collects and uses personal information in order to communicate with the members of its public, to provide educational and cultural programs and services, and to improve the quality of services that it offers.The information we have requested in this form will be maintained in digital and/or physical form and used only for the purposes described above. You have the right to reasonable access to the personal information we have on you, to request a copy of this information, and to correct it if inaccurate. To find out more, contact the Hellenic American Union at [email protected].

E15-20