I.B. ANTICIPATED CANDIDATES EXAMINATIONS: MAY 2011 Registration Information Homeroom teacher: ____________________ Room: _______ Due: November 1, 2010 to your homeroom teacher First Name (legal): __________________________________________ (please print legibly)* Last Name (legal): __________________________________________ (please print legibly)* Gender: Male / Female (please circle) Date of Birth: day _____ E-mail: ________________________________________ month _____ year __________ List the two (2) Standard Level (SL) courses that you will be sitting exams for in May of 2011 (e.g., Mathematics SL, Philosophy SL, etc.): 1. _____________________________ 2. _____________________________ *Warning: Changes to your personal data and subjects cannot be made after the registration has been completed without an extra payment. Student’s signature: ______________________________________________ Parent’s signature: ______________________________________________