Request to send a certificate by post

Request to send Cambridge certificate by post
STATEMENT

Having been informed of the fact that my Cambridge English certificate is unique and that I will not receive a duplicate certificate if the original is lost but only a statement confirming that I passed the exam, I take responsibility for the possible loss of the letter with the certificate and request that it be sent to the following address full address with the postcode
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name of the examination centre*
Please choose one of the following options:*

by courier, only within Poland – 36,00 złby registered post within Poland – 22,00 zł.by registered post outside Poland – 36,00 zł
Payments should be made to the following bank account:

FUNDACJA BRITISH COUNCIL, ul. Koszykowa 54, 00-675 Warszawa

68 1030 1061 0000 0000 3018 9000

SWIFT code: CITIPLPX

Title of payment: Despatch of certificate/Candidate name/Examination name and date /Examination Centre number
Please upload the confirmation of payment:*

Cancelof
Name and surname*
Telephone number*

Area CodePhone Number
Email*
Candidate number (4 digits, e.g. 0001)
Exam name*
Exam date

MonthDayYear
Date
Should be Empty:

Request to send Cambridge certificate by post