Educational Testing Service ETS has established this form for payment to its foreign proctors, in cooperation with Convera. If you are a US citizen or subject to US taxes and registering yourself as an individual to be paid, STOP (do not register) and contact ETS Honoraria for assistance. If you have questions while completing this form, please review Frequently Asked Questions (FAQ) and work directly with your bank to ensure all required fields are accurate. If you have any general questions concerning Honoraria payments, please contact ETS Honoraria at 1-800-257-5123, or direct toll 1-609-771-7788 (press Option 2, and then Option 2 again), or email Honoraria ETS. × Preview Changes 11 Digit Unique ID (Payee ID) Enter your 11 Digit Unique ID (Payee ID) as provided in the “Create Your Account” communication. Please contact ETS Honoraria at 1-800-257-5123 if you are unsure. Bank Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Cook Islands Costa Rica Croatia Cyprus Czech Republic Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Republic of the Congo Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Yemen Zambia Zimbabwe Select the country in which your bank branch is located. Currency Select currency in which you would like to receive your funds. Name on Bank Account Enter name of bank account holder. Name must exactly match the name on the bank account. Please contact your bank if unsure. Bank Name Enter name of your bank. Please contact your bank if unsure. Bank Account Number Enter your bank account number. If this number is entered incorrectly, we will be unable to make payment. Please contact your bank if unsure. Re-enter Bank Account Number IBAN Enter your IBAN. If this number is entered incorrectly, we will be unable to make payment. Please contact your bank if unsure. Re-enter IBAN Account Type Checking Savings Select Checking or Saving. Please contact your bank if unsure. Routing Code Enter Routing Code. Please contact your bank if unsure. Re-enter Bank Routing Code ACH/ABA/RTN Enter 9 digit ACH/ABA/RTN Code. Please contact your bank if unsure. Re-enter ACH ABA routing transit number IFSC Code Enter 11 digit IFSC code. Please contact your bank if unsure. Re-enter IFSC Code BSB code Enter 6 digit BSB Code. Please contact your bank if unsure. Re-enter BSB code Bank Code Enter Bank Code. Please contact your bank if unsure. Re-enter Bank Code Transit Number Enter 4 digit Institution Identifier followed by 5 digit Branch Identifier. Please contact your bank if unsure. Re-enter EFT Routing Code Bank SWIFT Code or BIC Enter your Bank SWIFT Code or BIC. If this number is entered incorrectly, we will be unable to make payment. Please contact your bank if unsure. Re-enter Bank SWIFT code or BIC Russia Domestic Clearing Code (BIK) Re-enter Russia Domestic Clearing Code (BIK) SKN code If you are not sure what your SKN is, please see Question #5 in the Frequently Asked Questions (FAQ) Re-enter SKN Code Individualiy Nomer Nalogoplatelshika (INN) Enter Individualniy Nomer Nalogoplatelshchika. Re-enter Individualiy Nomer Nalogoplatelshika CNAPS Enter CNAPS. Please contact your bank if unsure. Re-enter CNAPS Tax Id Enter Tax Id. Re-enter Tax ID National ID Number Enter National ID Number. Re-enter National ID Number Registro Unico Tributario Number Enter 9 digit Registro Unico Tributario Number. Re-enter Registro Unico Tributario Number Cedula De Ciudadania Number Enter Cedula De Ciudadania Number. Re-enter Cedula De Ciudadania Number Cedula Juridicia Enter Cedula Juridicia. Re-enter Cedula Juridicia Number Bank Street Address Enter street address of bank branch. Please contact your bank if unsure. Bank City Enter City of bank branch. Please contact your bank if unsure. Bank State/Province Select State/Province of your bank branch. Please contact your bank if unsure. Bank Zip/Postal Code Enter zip/postal code of your bank branch. Please contact your bank if unsure. Contact Details Please provide your contact details below. Country of Residence Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Cook Islands Costa Rica Croatia Cyprus Czech Republic Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Republic of the Congo Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Yemen Zambia Zimbabwe Select Country of residence. Company Enter Company or Institution Name. First Name Enter your first name Last Name Enter your last name Country of Birth Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Cook Islands Costa Rica Croatia Cyprus Czech Republic Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Republic of the Congo Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Yemen Zambia Zimbabwe For identification purposes, please provide your country of birth. Date of Birth For identification purposes, please provide your date of birth. Email Address Enter email address. Street Address Enter Street address of residence. City Enter City of residence. State/Province Enter state/province of residence. Postal/Zip Code Enter zip/postal code of residence. Nationality AF-Afghan AL-Albanian DZ-Algerian AR-Argentine AU-Australian AT-Austrian BD-Bangladeshi BE-Belgian BO-Bolivian BW-Batswana BR-Brazilian BG-Bulgarian KH-Cambodian CM-Cameroonian CA-Canadian CL-Chilean CN-Chinese CO-Colombian CR-Costa Rican HR-Croatian CU-Cuban CZ-Czech DK-Danish DO-Dominican EC-Ecuadorian EG-Egyptian SV-Salvadorian GB-English EE-Estonian ET-Ethiopian FJ-Fijian FI-Finnish FR-French DE-German GH-Ghanaian GR-Greek GT-Guatemalan HT-Haitian HU-Hungarian IS-Icelandic IN-Indian ID-Indonesian IR-Iranian IQ-Iraqi IE-Irish IL-Israeli IT-Italian JM-Jamaican JP-Japanese JO-Jordanian KE-Kenyan KW-Kuwaiti LA-Laotian LV-Latvian LB-Lebanese LY-Libyan LT-Lithuanian MG-Malagasy MY-Malaysian ML-Malian MT-Maltese MX-Mexican MN-Mongolian MA-Moroccan MZ-Mozambican NA-Namibian NP-Nepalese NL-Dutch NZ-New Zealand NI-Nicaraguan NG-Nigerian NO-Norwegian PK-Pakistani PA-Panamanian PY-Paraguayan PE-Peruvian PH-Filipino PL-Polish PT-Portuguese RO-Romanian RU-Russian SA-Saudi SN-Senegalese RS-Serbian SG-Singaporean SK-Slovak ZA-South African KR-Korean ES-Spanish LK-Sri Lankan SD-Sudanese SE-Swedish CH-Swiss SY-Syrian TW-Taiwanese TJ-Tajikistani TH-Thai TO-Tongan TN-Tunisian TR-Turkish UA-Ukrainian AE-Emirati GB-British US-American UY-Uruguayan VE-Venezuelan VN-Vietnamese ZM-Zambian ZW-Zimbabwean Telephone Number Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Cook Islands Costa Rica Croatia Cyprus Czech Republic Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Republic of the Congo Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Yemen Zambia Zimbabwe By submitting this form, you agree that payments through ETS’s Convera account will be the only payment methodology. As previous correspondence from ETS have indicated, Honoraria will be paid through electronic transfer. Paper checks are no longer available. By submitting this form you are subject to the terms within our Privacy Statement. Submit Submitting... Please wait.