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Here's the paragraph mentioned in ECFMG website https://iwa2.ecfmg.org/studentinstruct.asp

item 4. Testing Region and International Test Delivery Surcharge (Step 1 and Step 2 CK only)
Select a Testing Region from the list. You should refer to the Prometric website for information on test centers in specific testing regions. Additionally, if you plan to test in Egypt, Hong Kong, India, or Israel, refer to the special information below. After you submit the on-line part of your application, you cannot change the Testing Region you selected.
 
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