Cambridge English candidate registration form March 2014

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Cambridge English candidate registration form March 2014 Please write in CAPITAL LETTERS or TYPE. These forms may be printed or photocopied. For registration you should submit a completed and signed copy of this form, together with the bank payment slip, to the British Council office, 34 Rustaveli Ave. Bank details are below. Examination details (circle the appropriate exam to indicate the one you are going to take): KET KET for PET PET for FCE FCE for CAE CPE BEC P BEC V BEC H ILEC Your details: First name (Please indicate your passport name) Family name Gender Female Male Date of birth (dd/mm/yyyy) Complete address E-mail Telephone numbers (home) (mobile) Passport or National ID number (this must be ID you will bring on the exam day) Note: If you are aged 17 years or younger and do not own ID please complete the enclosed Candidate ID form. Name of Institution where you are doing a Cambridge English Exam preparation course (leave blank if you are not doing a course) Why are you taking the test? (Please tick) For studying abroad For visa purposes Other Do you have any special needs due to ill health/medical conditions? Yes No If yes, please specify your requirements below and attach the supporting medical evidence to this form. Please read Special Arrangements section in regulations. DECLARATION (if the candidate is 18, or over 18, years of age): I wish to be admitted for the Cambridge English exam at the British Council Tbilisi. I will bring a valid photo ID with me on the test day, and I consent to have my photo taken by the centre on the day of the test. I agree for this photo to be held on the secure Cambridge ESOL Results Verification site, and the photo shall only be available to organisations/individuals that I give my details to or that I authorise to view my result via a download. I consent that these organisations/individuals can use these details to verify my examination result. By signing this form I declare that I am aware of and agree to comply with the Terms and Conditions for this examination. Signature of Candidate Date DECLARATION (if the candidate is 17, or under 17, years of age): I am the parent/legal guardian of the candidate named on this form and the candidate and I give consent to this person taking the Cambridge English exam. I understand that all individuals are required to agree to all the Terms and Conditions. I confirm that I have carefully reviewed the Terms and Conditions, including but not limited to, the provision of a valid photo ID for the exam day and that a photo will be taken of the candidate on the day of the test and will be stored on Cambridge ESOL s secure Results Verification website. I understand and accept that the photo shall only be available to organisations/individuals that the candidate gives their details to. I consent that these organisations/individuals can use these details to verify the candidate s examination result. By signing this form, I consent to and agree that the candidate listed on this form will comply with all the Terms and Conditions of the Cambridge English exam at this centre. Parent/Guardian signature Candidate Signature Date

HOW TO PAY: Candidates registering within Georgia should pay the registration fee in Laris (GEL) to: Bank of Georgia, Bank code: BAGAGE22, Account name: British Council in Georgia, Account number: GE42BG0000000300313800 It is obligatory to include Candidate Name, Exam Title and Exam Date in the Description field on the payment slip: (e.g. G. Abashidze, FCE, 14.03.2013). Please submit the payment slip to the British Council office along with your application form. REGULATIONS Exam dates, registration and fees Exam Date Registration Fee GEL On - line Results Certificates KET 15 March 20 31 Jan 137 11-29 Apr 2014 May KET for 8 March 20 31 Jan 137 4-22 Apr 2014 May PET 15 March 20 31 Jan 174 11-29 Apr 2014 May PET for 8 March 20 31 Jan 174 4-22 Apr 2014 May FCE 14 March 20 31 Jan 262 11-29 Apr 2014 May FCE for 22 March 20 31 Jan 262 22 Apr 7 May May 2014 CAE 5 March 20 31 Jan 283 2-16 Apr 2014 May CPE 8 March 20 31 Jan 297 4-22 Apr 2014 May BEC 13 March 20 31 Jan 174 10 28 Apr 2014 May Preliminary BEC Vantage 14 March 20 31 Jan 262 11-29 Apr 2014 May BEC Higher 12 March 20 31 Jan 297 9 25 Apr 2014 May ILEC 22 March 20 31 Jan 297 25 Apr 2014 May The Speaking test may be held on different dates. Late entries Late entries may be accepted but additional late entry fee is charged. See timetable below: Exam Registration Deadline Fee GEL Note All paper based exams 3 7 Feb 62 No entries can be made after late entry deadline.

Special Arrangements Cambridge English is committed to helping candidates with special needs have the same opportunities as other candidates when taking English language exams. Special arrangements can be made for candidates with, for example: visual difficulties, hearing difficulties, speaking difficulties, specific learning difficulties such as dyslexia, permanent writing difficulties (e.g. due to cerebral palsy), a medical condition such as diabetes, temporary writing difficulty (e.g. a broken arm), temporary hearing difficulty. Examples of special arrangements are: Braille papers, lip-reading versions of listening papers, enlarged print papers, extra time. Cambridge English and British Council Georgia will try to make arrangements that help you perform to the best of your ability in your chosen exam. To apply for special arrangements you must contact us 3 months before the test date and provide relevant medical reports to support your application. Confirmation of entries After entries have been received by Cambridge English, candidates are issued statements confirming their entries. Full details of dates, times and venues will be indicated in your Statement of Entry that you need to pick up from the British Council office 10 days before the exam date. Remember it is your responsibility to contact Examinations Services at British Council for further test day details. If any corrections to names are necessary these should be brought to the attention of the Exams staff. Transfer Entries cannot be transferred from one examination sitting to a future one or to a different level. Refunds If a candidate withdraws his/her entry on medical grounds he/she may be refunded part of the exam fee, provided that a written request is made to the British Council Examinations Services and is accompanied by a statement from a medical practitioner. This statement should specify the medical reasons why the candidate had to withdraw his/her entry or was unable to sit the examination. These should be given to Examinations Services no later than a week after the examination date. Refunds are not given for any other reason (including, for example, clashes of dates with local examinations). Marking and grading Marking of papers is undertaken in the UK by suitably qualified, trained staff, centrally supervised from Cambridge. Grading of components takes place in Cambridge. Speaking tests are face-to-face, and performance of the candidates is assessed at the time of the administration by approved examiners, who are subject to regular standardisation and monitoring. Statements of Results and Certificates All candidates will receive a Statement of Results five to seven weeks after sitting the exam. These are available on-line from the candidate support website, or are issued by the centre where they took the exam. Certificates are issued to candidates with passing grades within three months of sitting the exam. The Statement of Results gives information about individual paper performance and a new overall score as well as the overall grade (YLE candidates do not get an overall grade). Individual paper performance is not provided for those candidates with grade X (absent from part of the examination), grade Z (absent from all of the examination), or PENDING (result to follow). If a school or candidate believes that a result is incorrect, they can request a Results Enquiry. Candidates answers and other work done by candidates as part of an examination will not be released to candidates, schools or centres. Enquires about results Enquiries may be made within a certain period after receiving the Statements of Result. However, it should be noted that it is extremely rare for such enquiries to lead to a change in the result for the following reasons: the majority of papers are either machine-marked or clerically marked with double-checking; examinermarked papers are typically double-marked and in borderline or disputed cases marked three or four times. For detailed information on the process of Results Enquiries and Appeals please follow the link: http://www.cambridgeenglish.org/help/enquiries-and-appeals If you need further information, get in touch with us at: British Council, 34 Rustaveli Ave. T: 2 250407/2 988014 E-mail: exams@ge.britishcouncil.org Web: www.britishcouncil.ge; http://www.cambridgeenglish.org

Candidate ID form Instructions to the candidate: 1 Obtain two recent passport-type photographs of yourself and attach them in the spaces provided. 2 Complete the form in the presence of a person of authority and ask him or her to complete Part C. This could be your School Principal, your employer or any responsible adult who is not a relative, but has known you for some time. 3 You may show the above person the complete document to reassure them of its purpose. 4 You should then present the completed document to the Centre where you are registering for the exam. Part A will be returned to you and you must keep it safe and must bring it to all sections of the exam. If you cannot produce it on the exam day, you will not be allowed to take the examination. All sections must be completed and photographs attached before the document is Considered valid. ID form

Parts A and B are to be completed by the candidate Part A: to be detached from the completed form by the Centre Exams Manager and returned to the candidate Name in Block Capitals... Affix photograph here Exam Name.. Candidate number (once allocated).. Address.... Post code. Signature.... Date.. Copy below these words in the presence of the witness: This is a specimen of my normal handwriting. Part B: to remain attached to Part C and be retained by the Centre Exams Manager. Affix photograph here Name in Block Capitals... Exam Name.. Candidate number (once allocated).. Address.... Post code. Signature.... Date.. Copy below these words in the presence of the witness: This is a specimen of my normal handwriting. - Part C: to be completed by the person who has witnessed completion of the above The bearer of this document is a candidate for Cambridge English examinations who aged 17 years or under and is unable to produce formal means of identification in accordance with Cambridge English Language Assessment regulations. The Examining Board and the centre of entry will accept this document as proof of candidate identity if fully completed in the presence of an independent witness. The said person is asked to complete this section and also to sign partially across both of the photographs affixed above in endorsement of the candidate s true identity. Signature Date.. Name in Block Capital... Relationship to Candidate.. Official (not private) Address.. Post Code. ID form