DELF/DALF REGISTRATION FORM 2025

Last name: Enter your last name.	First name: Enter your first name.	Gender:☐ F or ☐ M

DOB: Enter your date of birth	City of Birth: Enter your city of birth	Country	: Enter your country

Address: Enter your address	Suburb/ZIP/State: Enter your suburb	Nationality: Enter your nationality

Phone: Enter your phone number	Email: Enter your email	First Language: Language

Motivation: ☐Certification	☐Passion for French	☐French Citizenship	☐Immigration

I am ☐ a current student at the AF	☐ a current member of the AF	☐ None

How did you hear about the DELF/DALF Exam? AF website, word of mouth, etc…

Did you/Are you planning to prepare for the exam? ☐ Yes, How? Enter text	☐ No, Why? Reason

Did you know that at the AF de Perth we offer DELF/DALF preparation classes for all ages and level?

Please tick the level for the DELF/DALF exam that you have previously completed (please tick NONE if not applicable).

☐ A1	☐ A2	☐ B1	☐ B2	☐ C1	☐ C2	☐ None

Candidate number (if applicable) Enter your candidate number if you have previously taken a DELF/DALF exam

Please send this form to our Education Manager, Frédérique Antoine, exam@afperth.com.au before the registration closing date.

DELF & DALF ADULT ☐ June Session ☐ November Session ☐ A1 $ 300 ☐ A2 $ 300 ☐ B1 $ 380 ☐ B2 $ 380 ☐ C1 $ 450 ☐ C2 $ 450	DELF PRIM (PRIMARY SCHOOL) ☐ October Session ☐ A1.1 $ 195 ☐ A1 $ 195 ☐ A2 $ 195
DELF JUNIOR (HIGH SCHOOL) ☐ June Session ☐ November Session ☐ A1 $ 225 ☐ A2 $ 225 ☐ B1 $ 260 ☐ B2 $ 260

TERMS & CONDITIONS

Upon reception of this form, the AFP will invoice the candidate via email. It is the candidate’s responsibility to pay the invoice within 7 business days. Any change, cancellation or deferral prior to the registration closing date must be made in writing and a $50 processing fee will be charged. No refund, credit note, deferral or transfer will be granted after the registration closing date.

☐ I agree with these Terms & Conditions.

Total amount: $ Enter the amount

Date: Today date	Signature: Enter your electronic signature.