The information provided will be kept confidential and will be communicated to France Education International who will issue the diplomas. RENSEIGNEMENTS / INFORMATION Nom / Last Name * Prénom / First Name * Gender Female Male Courriel / E-mail * Date de naissance / Date of Birth * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020 Year Ville de naissance / City of Birth * Pays de naissance / Country of Birth * Nationalité / Nationality * Adresse permanente / Permanent Address * Ville / City * Code Postal / Postal Code * Téléphone / Phone (Primary) * Cell Phone École / School (DELF Junior / Scolaire) * Nom de l´enseignant / Teacher's Name (DELF Junior / Scolaire * INSCRIPTION / REGISTRATION N°de candidat (si vous avez déjà été inscrit au DELF Candidate Number (if you have previously registered for the DELF) Choisir un niveau / Check level * DELF A1 : November 25, 2021 DELF A2 : November 24, 2021 DELF B1 : November 23, 2021 DELF B2 : November 22, 2021 DELF Junior / Scolaire (11-17 years/ans) (FINAL REGISTRATION DATE: November 2- 6, 2020) $30 - Please purchase tickets on the uleth.ca/conference (there will be a link for payment - Choose Conference Registrations) SPEAKING TEST FOR ALL LEVELS: Tous Publics/Juniors: Saturday, Nov. 27 (Lethbridge), Saturday, Dec. 4 (Medicine Hat). Candidates will be contacted by e-mail. Leave this field blank Submit