First Name: Family Name (Please write your full name as it appears on your Passport. Any inaccuracies must be reported to the British Council immediately). Date of Birth:. / / Passport Expiry Date: Gender: M/F (Please circle as appropriate) (Please attach copy) Mobile number: Telephone number: Email address: Previous Exam details: (if applicable) Previous Centre no. /Candidate no.: / Please write your name on back of the three recent coloured photographs and staple here. (Candidates who are carrying forwarding their marks/reappearing for the exam taken in the previous session MUST enter their candidate details above and attach a copy of the result (June 2015 or Nov 2015.)Carry forward is allowed only once within 13 months) Please turn overleaf to choose subjects for which you would like to register. Declaration by candidate: 1. I certify that the information on this form is complete and accurate to the best of my knowledge and that I have referred to the syllabus to ensure that I am registering for the correct subject and option. 2. I understand that I am liable to pay fees for any entry/amendment made after the initial registration. 3. I have not and will not make an entry for chosen subject/s or different subject/s at any Centre/School/Exam Board which may result in a timetable clash. The British Council will not facilitate for clash between subjects/ boards, as separate venues will be used during this session. 4. I confirm that, in order to qualify for registration as a private candidate: (Tick as applicable) a) I am not currently registered at a school in the recognized by the Ministry of Education b) I am at a school recognized by the Ministry of Education but have provided a No Objection Certificate from the school with this application which states that the subject(s) I am entering for is/are not being offered by my school. I understand that: 5. I shall be allowed to sit only for those subjects and papers for which I have entered on this form. 6. Fees mentioned within the form are neither refundable nor carried forward to next examination session under any circumstances. 7. I should produce original passport/ National ID when collecting my Statement of Entry (before the examination session begins) and my original Statement of Entry and original passport / National ID when collecting the results (2 months after the exams). Statement of Entry, Results & Certificates can be collected by candidates parents/guardians on submitting a copy of their ID document along with an authorisation letter signed by the candidate 8. The British Council reserves the right to disallow me to take the examination if they are not satisfied with the identification produced at the time of collection of Statement of Entry or during the examination. 9. I am aware that as a private candidate, my certificate will not be endorsed by the Ministry of Education and Youth (MoEY) and I will not be able to continue my studies in any private school in the U.A.E. Signature of candidate: Date: The British Council prides itself on providing quality service and will take all reasonable steps to make sure that the examinations take place on time and are properly conducted. To help us do this, please ensure that you are familiar with the arrangements and any relevant regulations concerning your examination. The British Council cannot, however, be held responsible for events or circumstances, which are outside its control or for any error, fault or omission by an examining board or any other third party. For office use only No of Subjects: = AED. Late Fees: Cash taker: Checked by Exams: Total fees Paid: Date: Documents Submitted: 3 Photographs with name on the reverse Passport copy or Emirates ID Past Statement of Results Receipt No: WBS: G/153/01/001/001/001 (Abu Dhabi) G/154/01/001/001/001 (Dubai) Child Protection form NOC Authorisation Letter The United Kingdom s international organisation for educational opportunities and cultural relations. We are registered in England as a charity.
GCE O Level Exam Entry Details Candidates must tick () the subject code/s and option code for which they want to register. # Subject title Code Component information Options (tick as required) Fee per subject Enter fee for chosen subject 1 Additional Mathematics 4037 AY: 12,22 AED. 675 Candidates may not sit this syllabus in the same examination series as 0606 1: History and Culture of AED. 675 7094 1,2 2 Studies 2: Environment and Development of Candidates may not sit this syllabus in the same examination series as 0449 1: Composition 3 Bengali 3204 2: Language Usage & 1,2 AED. 675 Comprehension 4 5 6 Biology 5090 62: Alt. to Practical 62 BY:12,22,62 AED. 760 Candidates may not be sit this syllabus in the same examination series as 0610, 0653, 0654 or 5129 Business Studies 7115 12: Short Answer/Structured Response 12 22: Case Study 22 Candidates may not sit this syllabus in the same examination series as 0450 Chemistry 5070 42: Alt. to Practical 42 BY:12,22,42 AED. 760 Candidates may not sit this syllabus in the same examination series as 0620, 0652, 0653, 0654 or 5129 7 Combined Science 5129 AY:12,22 AED. 675 Candidates may not sit this syllabus in the same examination series as 0610, 0625, 0652, 0653, 0654, 5054, 5070 or 5090 8 Commerce 7100 12: Multiple Choice 22: Written 9 Computer Science 2210 Theory Problem Solving and Programming AY: 12,22 AED. 675 Candidates may not sit this syllabus in the same examination series as 0478 10 Economics 2281 22: structured Questions 22 Candidates may not sit this syllabus in the same examination series as 0455 11 English Language 1123 12: Writing 12 22: Reading 22 Candidates may not sit this syllabus in the same examination series as 0500, 0510 or 0511. 12 Environmental Management 5014 Candidates may not sit this syllabus in the same examination series as 0680 If there are any subjects not listed on the form that you would like to take ple ase contact the British Council, Page 2 of 5
13 First Language Urdu 3247 1: Reading & Writing 2: Texts A: 1, 2 AED. 675 Candidates may not sit this syllabus in the same examination series as 3248 14 French 3015 12: Translation & Composition 22: Reading Comprehension AY: 12,22 AED. 675 Candidates may not sit this syllabus in the same examination series as 0501 or 0520 15 16 17 Geography 2217 12: Geographical Themes 12 22: Investigation and Skills 22 Candidates may not sit this syllabus in the same examination series as 0460 1: Modern World Affairs History (Modern 2134 2:International Relations and World Affairs) Developments 1, 2 AED. 675 Candidates may not sit this syllabus in the same examination series as 0470. Islamiyat 2058 Candidates may not sit this syllabus in the same examination series as 0493 AY: 12,22 AED. 675 18 Literature in English 2010 12: Poetry and Prose 12 22: Drama 22 AY:12, 22 AED. 675 Candidates may not sit this syllabus in the same examination series as 0486 19 Mathematics Syllabus D (Calculator) 4024 Candidates may not sit this syllabus in the same examination series as 0580 or 0607 20 Pakistan Studies 2059 1: History and Culture of Pakistan 2: Environment of Pakistan 1,2 AED. 675 21 Candidates may not sit this syllabus in the same examination series as 0448 Physics 5054 42: Alt. to Practical 42 BY: 12,22,42 AED. 760 Candidates may not sit this syllabus in the same examination series as 0625, 0652, 0653, 0654 or 5129 22 Principles of Accounts 7110 (Multiple Choice) (Structured) Y: 12, 22 AED. 675 23 24 Candidates may not sit this syllabus in the same examination series as 0452 or 9706 Religious Studies (Bible Knowledge) Second Language Urdu 2048 3248 12: The Portrayal of the Life and Teaching of Jesus 12 22: The Portrayal of the Birth of the Early Church 22 1: Composition & Translation 2: Lang. Usage, Summary & Comprehension Candidates may not sit this syllabus in the same examination series as 3247 Y: 12, 22 AED. 675 A: 1, 2 AED. 675 25 Sociology 2251 Y: 12, 22 AED. 675 Candidates may not sit this syllabus in the same examination series as 0495 If there are any subjects not listed on the form that you would like to take ple ase contact the British Council, Page 3 of 5
SMS INFORMATION Do you want to receive your June 2016 Cambridge International Examinations (CIE) session related information as soon as they are available straight through to your mobile phone wherever you are? If the answer is YES, then all you have to do is register for this service, leaving the following details: Please note that we will SMS/contact you for the following: Date of your Oral examination if you are taking an Oral Option Date of Statement of Entry/Venue Notice is ready for collection Date your Statement of Provisional- and Final- Results are ready for collection Date your Certificate is ready for collection The British Council gives no guarantee as to the accuracy of all or any such information. You should wait until you receive your Final Results before starting an EAR procedure based on that information. It is your responsibility to provide the British Council with accurate and up-to-date information and neither the British Council nor the Awarding Body will accept any responsibility in the event that this information fails to reach you by SMS, whether due to any technical fault or due to the loss or theft of your mobile phone or any other circumstances. The British Council will only be able to SMS you to a mobile number. Candidate Name:.. Mobile Phone Number:..... E-mail Address:.... DATA PROTECTION The British Council will use the information that you are providing to send you your Exam information only and your details will not be passed on to any organisations outside the British Council. By signing below you agree that we may do this. Signed Date We may want to use your information to send you details of British Council activities, services and events (including social events) which you may find of interest. If you want us to contact you in this way, please tick this box. If you do not tick this box, we cannot send you any information If there are any subjects not listed on the form that you would like to take ple ase contact the British Council, Page 4 of 5
Check list I have signed the Application form I have provided 3 recent passport sized photographs (signed on the back). Photographs must meet the requirements below. Photographs must: 1. be identical 2. be no more than 6 months old 3. be taken against plain background so that features are clearly distinguishable 4. be undamaged 5. be in sharp focus and clear 6. show the candidate looking straight at the camera 7. not show any reflection or glare on glasses 8. not show anything covering the face, the outlines of eyes, nose or mouth I have attached a copy of my most recent previous result (Statement of Marks) I have attached a clear copy of my passport (pages showing personal identification details and expiry date) I have ensured that my passport will be valid all through my examination session I have paid the examination fees (your application will not be processed without this ) I have attached a NOC from the principal of my school (if you are currently a school student) I have read and understood the Candidate information flyer Signature of candidate: Date: If there are any subjects not listed on the form that you would like to take ple ase contact the British Council, Page 5 of 5