Centre Name PEARSON EDEXCEL INTERNATIONAL ADVANCED SUBSIDIARY AND ADVANCED LEVEL EXAMINATIONS JANUARY 2016 PHOTO Affix your most recent passport size photo here (write your name at the back of the photo) FOR OFFICIAL USE ONLY Centre Number 94595 P Candidate Number Full Name (in BLOCK letters as per Identity Document): UCI (Unique Candidate Identification) number Have you taken the Edexcel examination before? YES / NO * (If YES, please provide the UCI number) Full address (for correspondence): B Passport/IC No: Nationality: Email (mandatory): Home Telephone No: Hand Phone No: Guardian Tel No (mandatory for candidates below 18 years old): Gender: Date of birth: Day Month Year Normal registration period until 20th October 2015 Late registration period 21st October 19th November 2015 High Late from 20th November 2015 Tick ( ) the box against each unit you wish to take or, in the case of a unit with a paper choice, the appropriate option code. Circle the cash-in code if you wish to get a certificate for a particular subject. Important Information about Cash-In Codes: Late Cash-in codes supplied after the release of the provisional results (after 5 March 2015) will be liable to pay a late award request fee of RM130.00 Candidates do not need to decline their grades after the results are issued. Candidates will be able to re-take and Cash-In the subject they want in the next session, maximum marks received will be considered for the next issued certificate. Candidates do not need to return their old certificates with the grades they do not wish to keep. 1
Subject Name Accounting Biology Subject / Unit Name XAC01 (IAS) [WAC01] YAC01 [WAC01 & WAC02] XB101 (IAS) [WB101, WB102, WB103] YB101 [WB101, WB102, WB103, WB104, WB105, WB106] Unit Code E WAC01 High WAC02 WB101 WB102 WB103 WB104 WB105 WB106 Unit Code The Accounting System and Costing Corporate and Management Accounting Lifestyle, Transport, Genes and Health Development, Plants and the Environment Practical Biology and Research Skills (Written The Natural Environment and Species Survival Energy, Exercise and Coordination Practical Biology and Investigative Skills (Written Edexcel Pricing (Standard) Edexcel Pricing (Low Edexcel Pricing (High RM943.00 RM1813.00 RM2682.00 RM943.00 RM1813.00 WBS01 Business Enterprise RM2682.00 Business Studies XBS01 (IAS) [WBS01, WBS02] YBS01 [WBS01, WBS02, WBS03, WBS04] WBS02 WBS03 WBS04 Business Structures and Processes Strategic Business Decisions Business in a Global Context WCH01 The Core Principles of Chemistry WCH02 Application of Core Principles of Chemistry Chemistry XCH01 (IAS) [WCH01, WCH02, WCH03] YCH01 [WCH01, WCH02, WCH03, WCH04, WCH05, WCH06] WCH03 WCH04 WCH05 Chemistry Laboratory Skills 1 (Written General Principles of Chemistry 1 : Rates, Equilibria and Further Organic Chemistry General Principles of Chemistry 2: Transition Metals and Organic Nitrogen Chemistry WCH06 Chemistry Laboratory Skills 2 (Written Economics XEC01 (IAS) [WEC01, WEC02] WEC01 Markets in Action 2
YEC01 [WEC01, WEC02,WEC03, WEC04] WEC02 Macroeconomic Performance & Policy WEC03 WEC04 Business Behaviour Developments in the Global Economy WPH01 Physics on the Go WPH02 Physics at Work Physics XPH01 (IAS) [WPH01, WPH02, WPH03] YPH01 [WPH01, WPH02, WPH03, WPH04, WPH05, WPH06] WPH03 Exploring Physics (Written WPH04 Physics on the Move WPH05 Physics from Creation to Collapse WPH06 Experimental Physics (Written XMA01 MATH (IAS) [C12 + (M1) or (S1) or (D1) XFM01 FURTHER MATH (IAS) [F1 + 2 of (F2), (F3), (M1), (M2), (M3), (S1), (S2), (S3),(D1) WMA01 Core Mathematics C 12 RM784.00 RM1558.00 WMA02 Core Mathematics C 34 RM784.00 RM1558.00 WFM01 Further Pure F1 RM2332.00 RM2332.00 XPM01 PURE MATH (IAS) [C12 and F1] WME01 Mechanics M1 YMA01 MATH [C12 and C34] + one pair of [M1,S1], or [M1,D1], or [M1,M2] or [S1,D1], or [S1,S2] WME02 Mechanics M2 WME03 Mechanics M3 Mathematics YFM01 FURTHER MATH [F1 + F2 or F3] + any 4 of (M1),(M2),(M3),(S1),(S2),(S3),(D 1) WST01 Statistics S1 WST02 Statistics S2 Or [F1,F2,F3] + any 3 of (M1),(M2),(M3),(S1),(S2),(S3),(D 1) WDM01 Decision Mathematics D1 RM784.00 RM1558.00 YPM01 PURE MATH [C12, C34, F1] + any 1 of (F2) or (F3) 3
Summary of fees: The local fees indicated below are inclusive of sterling pound exam fees payable to Pearson Edexcel. Registration fee at RM100.00 per candidate (non-refundable) RM100.00 no. of subjects x RM per subject RM no. of subjects x RM per subject RM Total International GCSE exam fee payable in Ringgit to British Council RM For official use only Date of payment Receipt Number Amount paid Registered by: Cash-In Codes Candidates cannot be awarded a full IAL grade if the cash-in code has not been included as part of the entry when the award requirements are being met. Certificates cannot be issued unless the cash-in codes are supplied. Cash-In Codes supplied after the deadline of normal registration period are subject to late fees of RM130.00. Candidate must provide copy of previous exam results slip which shows all banked units in order to cash-in. it is candidate responsibility to ensure that all units were and to be completed during cash-in requests. Decline of grades Candidates no longer need to decline their grades once the results are issued. They are able to re-take their units and receive a new certificate with the higher marks. Candidates do not need to return their old certificates with the grades they do not wish to keep. Candidates are advised to visit Edexcel s website www.edexcel.com for the IAL units regarding syllabus and regulations. Declaration by Candidate 1. I make this entry in accordance to the provisions of the published regulations which I have studied. 2. I have given all the information required truthfully and accurately to the best of my knowledge and belief. 3. I understand that I shall be allowed to sit only for those subjects and papers for which I have entered on this form. 4. I have not made an entry at any other Edexcel examination centre. 5. I agree that there will be no postponement or refund of all fees should I decide to withdraw from the examination after the close of the registration period. 6. The British Council will take reasonable steps to provide information or advice but cannot be held liable should there be any errors that arise in the choice of units or subjects. I agree that it is ultimately my responsibility to confirm that the units or subject I entered are correct and if I want to amend the units or subjects, I will need to pay the additional fees and late charges. 7. I accept the responsibility to ascertain the starting times and date of the examination in case the official notification does not reach me on time. Special Considerations If you are a candidate with special requirements please attach a medical report written in English to this application form. Candidates must ensure the doctor's report specifies the needs of the candidate for the examination e.g. extra time, headphones for listening test, laptop etc. Disclaimer 4
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. Signature of candidate: Date: 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 (Non-ns) or Identity Card (ns) A copy of your previous statement of results if you have taken the Edexcel London GCE Examination before The total examination fee Payment Details [payable to British Council ] Kuala Lumpur and Penang centres: Payment can be made in cash, by cheque, bank draft, bank transfer, or credit card. Kuala Lumpur and Penang bank details: Bank: Citibank Bank swift code: CITIMYKL Account Number: 0-115889-028 [ Cash deposit must be made through the Citibank counter and not via the cash machine (ATM machine). If you wish to pay by cheque deposit, you may drop the cheque into the corporate box at Citibank ]. Note : For payment made by bank transfer, cash or cheque deposits please call the relevant test centre to obtain a reference code first. You may hand or post the completed entry form to either of our offices which you are registering to sit the examination as shown below:- British Council British Council Ground Floor, West Block Wisma Great Eastern Wisma Selangor Dredging Suite 3A.1 & 3A.2 142C Jalan Ampang Tel. No.: 04 263 0330 50450 Kuala Lumpur Fax No.: 04 263 3262 Tel. No.: 03 2723 7985/87 E-mail: penang.exams@britishcouncil.org.my Fax No.: 03 2713 6599 E-mail: kualalumpur.exams@britishcouncil.org.my Opening times: Mondays to Fridays Saturdays & Sundays 9.00am to 7.30pm 9.00am to 5.00pm Opening times: Tuesdays to Sundays www.britishcouncil.my www.edexcel.com 9.00am to 5.00pm 5