Date of Birth IC/Passport Number Nationality Gender. Telephone Number Mobile Phone Number Guardian Telephone Number (Mandatory for Under-18 s)

Transcription

1 CAMBRIDGE ASSESSMENT INTERNATIONAL EXAMINATIONS INTERNATIONAL GENERAL CERTIFICATE OF SECONDARY EDUCATION IGCSE-EXAMINATIONS OCT/NOV 2018 Centre Name LEAVE FOR OFFICIAL USE Centre Number Candidate Number MY001 (KUALA LUMPUR) PHOTO Affix your most recent passport size photo here MY002 (PENANG ) Candidate Name IN BLOCK LETTERS as in Identity Card/Passport (Leave spaces between names and initials) Date of Birth IC/Passport Number Nationality Gender Current School Name School Address Candidate s Postal Address Education Level Telephone Number Mobile Phone Number Guardian Telephone Number (Mandatory for Under-18 s) Address (Mandatory) **Please provide clear address. We advise you to regularly check your for any update on change, announcement, notification and/or communication from us. Do contact British Council if you receive no notification from us two weeks after payment. IMPORTANT It is essential to complete this series if you are entering for retake or carry-forward component or staged assessment at IGCSE Level within previous 13 months. Please complete information below without which, we may not be able to process your entry. Candidates are advised to refer to Cambridge Assessment International Examinations Zone 5 Published Timetable before making any entry on this application form. Previous Centre Number Previous Centre Name Previous Candidate Number October/November 2018 Examinations Registration Deadlines October/November 2018 Examinations Registration Deadlines Normal Registration Closing Date 08th August First Stage Late Entry 09 th August 2018 to 30 th August 2018 RM Second Stage Late Entry 01 st September 2018 to 13 th September 2018 RM Oct/Nov 2018 Examinations Registration Deadlines (RETAKE from May/June 2018) Oct/Nov 2018 Examinations Registration Deadlines (RETAKE from May/June 2018) Normal Registration Closing Date 30 th August Second Stage Late Entry 01 st September 2018 to 13 th September 2018 RM Checklist: Your completed entry form must be accompanied by the following (please tick): A recent coloured passport size photograph affixed to the entry form A copy of your passport or Identity Card A copy of your previous statement of results if you have taken the IGCSE Examination before The total examination fee A medical report for Access Arrangements (if applicable) Special Consideration: Access Arrangements Applications If you are a candidate with special requirements (Dyslexia, hearing difficulties etc.), please attach a medical report written in English to this application form. Candidates should make sure the report specifies the needs of the candidate for the examination (extra time, headphones etc.) Please tick here if you need Access Arrangements (please attach a supporting letter from a registered medical practitioner) Page 1

2 Syllabus Name & Code (circle the required code you wish to register for) Component Information Option Code (circle the required code you wish to register for) Fee (RM) Accounting Paper Paper 23 AZ 13, 23 Additional Mathematics Paper Paper 23 AZ 13, 23 Afrikaans as a Second Language : Reading and Writing 2: Listening A 1, 2 Art & Design : Broad-based Assignment 2: Design based Assignment A 1, Biology same exam series as 0653, 0654, 5090 or : Multiple Choice (Core) 13 23: Multiple Choice (Extended) 23 33: Theory (Core) 33 43: Theory (Extended) 43 63: Alternative to Practical 63 CZ 23, 43, 63 (Extended) GZ 13, 33, 63 (Core) Business Studies same exam series as : Short Answer/Structured Response 12 22: Case Study 22 AY 12, 22 Cambridge International Mathematics same exam series as 0580 or : Paper 12 (Core) 22: Paper 22 (Extended) 32: Paper 32 (Core) 42: Paper 42 (Extended) 52: Paper 52 (Core) 62: Paper 62 (Extended) AY 12, 32, 52 (Core) BY 22, 42, 62 (Extended) Chemistry same session as 0652, 0653, 0654, 5070 or : Multiple Choice (Core) 13 23: Multiple Choice (Extended) 23 33: Theory (Core) 33 43: Theory (Extended) 43 63: Alternative to Practical 63 CZ 23, 43, 63 (Extended) GZ 13, 33, 63 (Core) Combined Science same series as 0610, 0620, 0625, 0652, , 5070, 5090 or : Multiple Choice Core 12 22: Multiple Choice Extended 22 32: Core Theory 32 42: Extended Theory 32 62: Alternative to Practical 62 CY 22, 42, 62 (Extended) GY 12, 32, 62 (Core) Computer Science same session as : Paper 13 Theory 23: Paper 23 Problem-Solving and Programing AZ 13, 23 Co-ordinated Sciences (Double Award) same series as 0610, 0620, 0625, 0652, 0653, 5054, 5070, 5090 or : Multiple Choice Core 12 22: Multiple Choice Extended 22 32: Core Theory 32 42: Extended Theory 32 62: Alternative to Practical 62 CY 22, 42, 62 (Extended) GY 12, 32, 62 (Core) Page 2

3 Syllabus Name & Code (circle the required code you wish to register for) Component Information Option Code (circle the required code you wish to register for) Fee (RM) Development Studies : Paper 1 2: Paper 2 1, 2 Economics same session as : Multiple Choice 13 23: Structured Questions 23 Z 13, 23 AY 12, 32, 52 (Core) English as a Second Language (Count-in Speaking) same session as 0500, 0510 or : Reading and Writing (Core) 12 22: Reading and Writing (Extended) 22 32: Listening (Core) 32 42: Listening (Extended) 42 52: Oral Communication 52 82: Oral Communication 52 Mark Carried Forward 86: Oral Communication (Coursework) 06 Mark Carried Forward CY DY 12, 32, 82 (Core) 12, 32, 86 (Core) EY 22, 42, 52 (Extended) GY 22, 42, 82 (Extended) HY 22, 42, 86 (Extended) AY 12, 32, 52 (Core) English as a Second Language (Speaking Endorsement) same session as 0500, 0511 or : Reading and Writing (Core) 12 22: Reading and Writing (Extended) 22 32: Listening (Core) 32 42: Listening (Extended) 42 52: Oral Communication 52 82: Oral Communication 52 Mark Carried Forward 86: Oral Communication (Coursework) 06 Mark Carried Forward CY DY 12, 32, 82 (Core) 12, 32, 86 (Core) EY 22, 42, 52 (Extended) GY 22, 42, 82 (Extended) HY 22, 42, 86 (Extended) Enterprise : Case Study 82: Coursework Mark Carried Forward BZ 1, 82 Environmental Management same session as 5014 First Language Afrikaans same session as 0548, 8679, 8779 or 9679 First Language Arabic same session as 0548, 8679, 8779 or : Paper 12 22: Paper 22 42: Alternative To Coursework 83: Coursework Mark Carried Forward BY 12, 22, CY 12, 22, 83 1: Reading 2: Writing 1, 2 1: Reading 2: Writing 1, 2 Page 3

4 Syllabus Name & Code (circle the required code you wish to register for) Component Information Option Code (circle the required code you wish to register for) Fee (RM) First Language English ( Oral Endorsement) same session as 0510 or 0511 First Language Spanish same session as 0530 or : Reading Passage (Core) 13 23: Reading Passage (Extended) 23 33: Directed Writing & Composition 33 84: Coursework Portfolio (Mark Carried Forward) 84 13: Reading Passage (Core) 32: Reading Passage (Extended) 33: Directed Writing & Composition 84: Coursework Portfolio (Mark Carried Forward) AX 13, 33 (Core) CX 23, 33 (Extended) EX FX 13, 84 (Core) 23, 84 (Extended) AX 13, 33 (Core) CX 23, 33 (Extended) EX FX 13, 84 (Core) 23, 84 (Extended) French : Listening 13 23: Reading 23 3: Speaking 43: Writing 43 83: Speaking Mark Carried Forward Z 13, 23, 3, ZC 13, 23, 43, Geography same session as : Geographical Themes 13 23: Geographical Skills 23 43: Alternative to Coursework 43 83: Coursework Mark Carried Forward BZ 13, 23, CZ 13, 23, 83 Hindi as a Second Language : Reading and Writing 2: Listening A 1, 2 History same examination session as : Paper 12 22: Paper 22 42: Alternative to Coursework 83: Coursework Mark Carried Forward BY 12, 22, CY 12, 22, 83 IsiZulu as a Second Language : Reading & Writing 2: Listening A 1, 2 Islamiyat #may not be taken in the same examination session as 2058, or : Paper 12 22: Paper 22 AY 12, 22 Literature (English) #may not be taken in the same examination session as 0408 or : Poetry and Prose 13 23: Drama 23 33: Drama (Open Text) 43: Unseen 43 85: Coursework Mark 5 Carried Forward from AZ 13, 23 BZ 13, 33, DZ 13, 33, 85 Literature (Spanish) same examination session as : Set Text Open Books 01 3: Alternative to Coursework 03 82: Coursework Mark Carried Forward B 1, 3 C 1, 82 Page 4

5 Syllabus Name & Code (circle the required code you wish to register for) Component Information Option Code (circle the required code you wish to register for) Fee (RM) Mathematics (Without Coursework) same session as 0607 or : Paper 12 (Core) 22: Paper 22 (Extended) 32: Paper 32 (Core) 42: Paper 42 (Extended) AY 12, 32 (Core) BY 22, 42 (Extended) Physical Science same session as 0620, 0625, 0653, 0654, 5054,5070 or : Multiple Choice Core 12 22: Multiple Choice Extended 22 32: Core Theory 22 42: Extended Theory 32 62: Alternative to Practical 62 CY 22, 42, 62 (Extended) GY 12, 32, 62 (Core) Physics same session as 0652, 0653, 0654, 5054 or : Multiple Choice (Core)12 22: Multiple Choice (Extended) 22 32: Theory (Core)32 42: Theory (Extended) 42 62: Alternative to Practical 62 CY 22, 42, 62 (Extended) GY 12, 32, 62 (Core) Religious Studies same session as : Paper 13 23: Paper 23 AZ 13, 23 Sociology same session as : Paper 13 23: Paper 23 AZ 13, 23 Travel and Tourism same examination session as : Written Paper 13 23: Paper 23 Alternative to Coursework 83: Coursework Mark Carried Forward AZ 13, 23 CZ 13, 83 Page 5

6 BREAKDOWN OF EXAMINATION FEES Item Registration Deadlines No. of Syllabus Late Registration Fees Total Fees A First Stage Late Entry Second Stage Late Entry RM RM No. of Syllabus Syllabus Fees RM RM B Total Number of Syllabus RM RM RM RM Grand Total (A + B) CANDIDATE DECLARATION 1. I make this entry according to the provisions of the published regulations which I have studied. 2. I agree that it is my responsibility to select the modular units that best meet my needs. 3. I have given all the information required truthfully and accurately to the best of my knowledge and belief. 4. I understand that I shall be allowed to sit only for those subjects and papers for which I have entered on this form. 5. I have not made an entry at any other Cambridge International Examinations centre. 6. I have not made any entry at any other Edexcel examination centre. 7. I agree that there will be no postponement or refund of all fees should I decide to withdraw from the examination after registration. 8. I accept the responsibility to ascertain the place and date of the examination in case the official notification does not reach me on time 9. I agree to collect the statement of result and certificate within 12 months from the date of issue. I understand that the document not collected during the stipulation period will be ventured to the examination board. CONSENT FOR EXAMINATION I, the undersigned, hereby agree and authorize the British Council to disclose my personal data, such as my name, date of birth, gender, ID/Passport No., and information pertaining to this application to Cambridge Assessment International Examination ( CAIE ) for purpose of providing and registering IGCSE/GCE O-Level/AS/A-Level examinations. I understand that any personal data provided by the British Council to CAIE shall also be subject to CAIE s privacy policy. Signature of guardian: (for candidates age below 18) Signature of candidate: Date: For official use only Amount Paid Receipt Number Date of Payment Registered By Disclaimer The British Council and the Examining Boards take all reasonable steps to provide continuity of service. We feel sure you will understand, however, that we cannot be held responsible for any interruptions caused by circumstances beyond our control. If examinations or their results are disrupted, cancelled or delayed, every effort will be made to resume normal service as soon as possible. The British Council s liability will be limited to the refund of the registration fee or re-testing at a later date. Page 6

7 PAYMENT OPTIONS Transaction shall be made payable to BRITISH COUNCIL Office Submit to Cash Credit Card Bank Transfer Kuala Lumpur KL Office Penang Penang Office Terms of fee and payment: 1. Payment can be made to the British Council either by cash, cheque, credit card, bank draft, or bank transfer. 2. Payment made to the respective British Council office is subject to Bank s transaction terms and conditions. 3. Registration will be processed upon receipt and validation of the copy of the remittance slip which may be submitted by hand/courier together with the application form. 4. Payment via cash deposit must be made through the Citibank counter and not via a Cash Deposit Machine. 5. Payment description must be stated clearly. Bank Details: Payment Description : CAIE OCT/NOV 2018 (Candidate s Name) Bank : Citibank Bank Swift Code : CITIMYKL Account Number : Completed application form is to be submitted by hand/courier to the office which you are registering to sit the examination as shown below: British Council Ground Floor, West Block Wisma Selangor Dredging 142C Jalan Ampang Kuala Lumpur Tel. No.: Fax No.: kualalumpur.exams@britishcouncil.org.my Counter opening times: Mondays to Fridays Saturdays & Sundays 9.00 am to 7.00 pm am to 4.00 pm British Council Penang Centre Wisma Great Eastern Suite 3A.1 & 3A.2 25 Light Street Penang Tel. No.: Fax No.: penang.exams@britishcouncil.org.my Opening times: Tuesdays to Sundays am to 5.45 pm Page 7

8 Dear Parents/Guardians, Child Safe Collection Policy British Council takes the safety of your child seriously. Our current Child Safe Collection Policy states that: Children aged up to 10 years are not permitted to leave the premises alone. Teenagers aged years should only be permitted to leave the premises alone if parental consent to this has been given in writing. [Kindly complete and return the Consent Form below]. Otherwise, they must be collected by the parent or by a person for whom the parent has provided written authorisation. [Kindly contact us for alternate arrangement on a case-by-case basis.] Thank you. Yours truly, Examination Services British Council Consent Form I, (NRIC/Passport number: ), the parent/legal guardian of candidate hereby consent to my child/charge leaving the premises on his/her own after the examination. Yours truly, Name: Date: Page 8