Private Candidate Registration Form Oct / Nov 2017
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1 Private Candidate Registration Form Oct / Nov 2017
2 Private Candidate Registration Procedures Step 1 Private Candidates: Obtain a registration form from the Inspiros International School admin counter or download it from our website: Our operating hours: 9am 5pm (Mondays to Fridays) Step 2 Read the registration form carefully before you complete it, and make sure that you adhere to the terms and conditions printed at the back of the registration form. Step 3 To register bring with you: - 1 recent passport sized photograph - An official identification card with one photocopy of both sides of the card - For non-malaysian candidates: passport and a photocopy of the page that include your details and picture - The appropriate fee in cash / cheque / credit card. Please note that your registration form cannot be processed without payment (for bank transfer payment, it is required to / fax a copy of the transaction slip with your details to us at exams@inspiros.edu.my / call ) Step 4 For private candidates, kindly ask for a receipt upon payment. Step 5 You will receive the Electronic Statement of Entry via . This document will contain the dates and session times for examination you are registered for. The overall examination timetable once released may be obtained from our website. Step 6 Please check the Statement of Entry upon receipt for any inconsistencies: - Spelling of your name - Date of birth - Subjects and papers registered - UCI number, if applicable Step 7 Report errors in your Statement of Entry to the Inspiros Cambridge Examination Department immediately.
3 FOR OFFICE USE: CIE: REF: CAMBRIDGE INTERNATIONAL EXAMINATIONS INTERNATIONAL GENERAL CERTIFICATE OF SECONDARY EDUCATION GENERAL CERTIFICATE OF EDUCATION O LEVELS OCT/NOV 2017 IGCSE/GCE O LEVELS EXAMINATIONS CENTRE NUMBER: MY 442 CANDIDATE NUMBER: PHOTO Affix your most recent passport size photo here (write your name at the back of the photo) CURRENT SCHOOL / CENTRE NAME CANDIDATE NAME (AS PER I.C/PASSPORT) DATE OF BIRTH (DD/MM/YY) I.C/PASSPORT NUMBER NATIONALITY GENDER / / M F CANDIDATE'S H/P NUMBER: **Kindly complete this form in BLOCK LETTERS - **Use Ø for zero and 1 for one. PARENT/GUARDIAN'S NAME: PARENT/GUARDIAN'S H/P NUMBER: - (Mandatory) CANDIDATE'S PARENT/GUARDIAN'S REGISTRATION PERIOD Normal Entry Late Entry 1-Jun-17 to 31-Jul-17 1-Aug-17 to 4-Sep-17 Very Late Entry 5-Sep-17 onwards Your completed entry form must be accompanied by the following (please tick): A recent colour passport size photograph affixed to the entry form A copy of your passport or identity Card The total examination fee Bank Transaction Details: Bank : Ref no : Date/Time:
4 IGCSE exam entry details: Syllabus Name Code Component Information Accounting as Additional Mathematics as Biology as 0653, 0654, 5090, or Business Studies as Chemistry as 0653, 0654, 5070 or Combined Science *may not be taken in the same exam session as 0610, 0620, 0625, 0654, 5054, 5070, 5090, or Computer Science as 2210 Co-ordinated Sciences (Double Award) as 0610,0620,0625,0653,5054,5070,5090 or 5129 Economics as Geography History Information and Communication Technology Islamiyat as Literature (English) as 0408 Option Code (Tick in the BOX the required code) Fee per Syllabus (RM) 13: Paper 13 23: Paper 23 AY 13,23 13: Paper 13 23: Paper 23 AY 13,23 13: Multiple Choice 13 23: Multiple Choice 23 33: Theory 33 43: Theory 43 63: Alternative to Practical 63 GY 13,33,63 23, 43,63 12: Short Answer/Structured Response 22: Case Study AY 12,22 13: Multiple Choice 13 23: Multiple Choice 23 33: Theory 33 43: Theory 43 63: Alternative to Practical 63 12: Multiple Choice 12 22: Multiple Choice 22 32: Theory 32 42: Theory 42 62: Alternative to Practical 62 12: Paper 13 Theory : Paper 23 Problem-Solving and Programming 12: Multiple Choice 12 22: Multiple Choice : Theory 32 42: Theory 42 62: Alternative to Practical GY GY 13,33,63 23, 43,63 12,32,62 22, 42,62 AY 13,23 GY 12,32,62 22, 42,62 12: Multiple Choice 13 22: Structured Questions 23 Y 13,23 13: Geographical Themes 13 23: Geographical Skills 23 43: Alternative to Coursework 43 BZ 13,23,43 12: Paper 12 22: Paper 22 BZ 12,22,42 42: Alternative to Coursework 42 12: Theory 12 02: Practical Test 02 DZ 13,22,32 03: Practical Test 03 12: Paper 12 22: Paper 22 AY 12,22 13: Poetry and Prose 13 23: Drama 23 33: Drama (Open Text) 33 43: Unseen 43 AZ 13,23 BZ 13,33,43
5 Syllabus Name Code Component Information Option Code (Tick in the BOX the required code) Fee per Syllabus (RM) Mathematics (Without Coursework) as 0607, Physics as 0653, 0654, 5054 or Sociology as Travel and Tourism : Paper 12 22: Paper 22 32: Paper 32 42: Paper 42 12: Multiple Choice 12 22: Multiple Choice 22 32: Theory 32 42: Theory 42 62: Alternative to Practical 62 13: Paper 13 23: Paper 23 13: Written Paper 13 23: Alternative to Coursework First Language English (Oral Endorsement) 13: Reading Passages : Reading Passages 23 as 0510, : Directed Writing & Composition 33 05: Speaking & Listening 05 English as a Second Language (Speaking Endorsement) 0510 as 0500, 0511 or English as a Second Language (Count-in Speaking) *may not be taken in the same exam session as 0500, 0510 or : Reading and Writing 22: Reading and Writing 32: Listening 42: Listening 52: Oral Communication 12: Reading and Writing 22: Reading and Writing 32: Listening 42: Listening 52: Oral Communication AZ BZ GY 12,32 22,42 12,32,62 22, 42,62 AZ 13,23 AZ 13,23 AX CX AY AY EY AY EY 13,33 23,33 13,33,05 23,33,05 12,32,52 22,42,52 12,32,52 22,42,52 First Language Arabic of : Reading 02: Writing 01,02 RM600
6 O Level exam entry details: Syllabus Name Code Component Information Additional Mathematics as Option Code (Tick in the BOX the required code) Fee per Syllabus (RM) 12: Paper 13 22: Paper 23 AY 13,23 Biology as 0610, 0653, 0654, or Business Studies as : Multiple Choice 22: Theory 62: Alternative to Practical BY 12,22,62 12: Short Answer/Structured Response 22: Case Study Y 12,22 ` Chemistry *may not be taken in the same exam series as 0620, 0653, 0654 or Combined Science as 0610,0625,0653, 0654, 5054,5070, : Multiple Choice 22: Theory 42: Alternative to Practical 12: Multiple Choice 22: Theory BY 12,22,42 AY 12,22 Commerce Computer Science as 0478 Economics as English Language as 0500,0510 or Geography as : Multiple Choice 22: Written BY 12,22 13: Paper 12 Theory 23: Paper 22 Problem-Solving and Programming AY 13,23 13: Multiple Choice 13 23: Structured Questions 23 Y 13,23 12: Writing 22: Reading Y 12,22 13: Geographical Themes 13 23: Investigation and Skills 23 Z 13,23 History (Modern World Affairs) as : Modern World Affairs 2: International Relations and Developments 1,2 Islamiyat as 0493 Literature (English) *may not be taken in the series as Mathematics Syllabus D (calculator) as 0580 or : Paper 12 22: Paper 22 AY 12,22 13: Poetry and Prose 13 23: Drama 23 AZ 13,23 12: Paper 12 22: Paper 22 Y 12,22 Physics as 0625, 0652, 0653, 0654 or : Multiple Choice 22: Theory 42: Alternative to Practical BY 12,22,42
7 Syllabus Name Code Component Information Principles of Accounts *may not be taken in the same series as 0452 or : Paper 12 (Multiple Choice) 22: Paper 22 (Structured) Option Code (Tick in the BOX the required code) Fee per Syllabus (RM) Y 12,22 Religious Studies (Bible Knowledge) Sociology as : The Portrayal of the Life and Teaching of Jesus 23: The Portrayal of the Birth of the Early Church Z 13,23 13: Paper 13 23: Paper 23 Z 13,23
8 PAYMENT DETAILS Please note that the fees indicated below are inclusively of the sterling pound entry fees payable to Cambridge International Examinations: Late Entry Registration Penalty Fee: 1-Aug to 4-Sep RM per candidate (non-refundable) no. of syllabus x RM per syllabus (non-refundable) RM RM Very Late Entry Registration Penalty Fee: 5-Sep 2017 onwards + RM per candidate (non-refundable) no. of syllabus x RM per syllabus (non-refundable) RM RM Total number of subjects or syllabus x RM RM Total numbers of subjects or syllabus x RM RM Total numbers of subjects or syllabus x RM RM Registration fee per candidate (non-refundable) : (+) RM Total amount (payable to "Inspiros International Sdn. Bhd.") RM Payment Details Payment can be made by: Cash Cheque (payable to Inspiros International Sdn. Bhd.) or Credit card (extra 2% incurred for bank charges). For further information, kindly to: exams@inspiros.edu.my Call:
9 Declaration 1. This entry is made according to the provisions of the published regulations which I have read and studied. 2. It is my responsibility to select the modular units that best suit my needs. 3. I have provided all the information required truthfully and accurately to the best of my knowledge and belief. 4. I understand that I am only allowed to sit for those subjects and papers which have been entered on this form. 5. This is the only CIE examination centre I have made provisions with for my IGCSE/ GCE O Level examinations. 6. I agree and understand that there will be no postponement or refund of all fees should I decide to withdraw from the examinations after the Normal Registration Period has ended. 7. I accept the responsibility to ascertain the place and date of the examination should any official notification not reach me. 8. The examination centre reserves the right to reject an incomplete registration form. 9. Absences from any of the Oral based examinations require valid reasons only (medical, death of immediate family members, and other major exams) and certifiable proof. 10. Rescheduling of Oral based examinations is subject to an administrative fee of RM100 on a case-to-case basis. Disclaimer Inspiros International School and the Examination Board will take all reasonable steps to provide continuity of service. We hope for your understanding however, that we cannot be held responsible for any interruptions caused by circumstances beyond our control. If any examinations or release of results are disrupted, cancelled or delayed, every effort will be made to resume normal service as soon as possible. Inspiros International School s liability will be limited to the refund of the registration fee. Signature of candidate: Date:
10 Disciplinary Terms and Conditions I understand and agree to the Disciplinary Terms and Conditions that I will abide by while sitting for the CIE examinations at Inspiros International School. These guidelines are in place to ensure my safety and to safeguard my best interests in accordance to Inspiros International School s direction. Offences that will warrant a single warning will be reported to my parents/guardians. Should I fail to comply, I may be barred from taking the examinations. Severe violations that are police related both within and outside the school s premises will result in me being immediately barred from sitting for the rest of the examinations. The violations are such as: Gang relations within and/or outside the school Drug or substance abuse within the school This includes Vaping, Shisha and all alcoholic beverages Criminal type activities The following violations will be dealt with in the manner as stated further below: One warning to candidates Indecent behavior Sexual harassment, stalking, outraging of modesty Public displays of affection or any form of indiscreet behavior Bullying / Fighting Physical, mental, emotional, psychological, extortion or otherwise Stealing, Gambling, Smoking etc Vandalism Abuse of facilities provided by the hosting school Deliberate of intentional misconduct against staff and examiners Cheating In serious cases, Cambridge International Examinations reserve the right to: ban a candidate from entering Cambridge exams for up to five years inform other examining bodies of the details of the case and the action taken inform the police in serious cases involving theft, impersonation or the falsification of documents After one warning has been issued, any repetition of a similar offence or multiple variants of offences or combination of lesser violations will result in me being barred from sitting for the rest of the examinations. I have read and understood the Disciplinary Terms and Conditions as well as Notice to Candidates in accordance to Cambridge International Examination regulations which was provided to me. Parent s / Guardian s Signature Candidate _ Name : Name : I/C : I/C :
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