University of Cambridge International Examinations
First time and Retake Examination Entry Form
IGCSE-/O-level Candidates
May/June 2015
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Grade 10G
Please Tick as appropriate
IG
O-Level
Retake Entry
First time Entry
This form is to be completed by candidates taking IG & O-Level Level examinations.
This is an interactive PDF. To complete it on screen we recommend you use Adobe Reader X or XI or Adobe Acrobat.
You can download Adobe Reader XI for free at http://www.adobe.com/products/reader.html
If you use a lower version of Adobe Reader your data will not be saved.
Read the guidance notes (page 5) at the end of the form before you fill it in.
Personal Information
(Please write your full name in CAPITAL LETTERS as it appears on your passport.
Any inaccuracies on the Statement of Entry must be reported in writing to the Centre immediately.
First Name
Father’s Name
Family Name
(dd / mm / yyyy)
Date of Birth
Contact Numbers [Mandatory]
Telephone 1
Landline telephone
0
2
Mobile 1
0
/
5
Telephone 2
Mobile 2
(office)
0
2
0
/
5
E-mail address1:
E-mail address2:
Please indicate () whether any of your parents is employed at Al Nahda National Schools.
None
Mother
Father
Both
Name(s) ________________________________________________ works at Boys
Girls
Retaking an exam?
If you are taking an exam in June 2015 for which you also sat for in June 2014 and/ or November 2014 session, you
must provide us with a copy of your past statement of entry and past statement of result and check with Head of
Centre –Mr. Tarek Aoudi- along with the following exam entry detail:
Previous [Mandatory]
CENTRE
NUMBER
CANDIDATE
NUMBER
(Re-sit is for candidates who are reappearing for the subjects taken in June 2014 and/ or November 2014 session
and candidates MUST enter their candidate’s details above. Marks can be carried forward once only.
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IGCSE & O-LEVEL
MAY/JUNE 2015
EXAMINATIONS
Cambridge International IG & O - Level syllabuses
Candidates must use this interactive PDF “Form 1” document to choose the subject(s) & option code(s)
for which they want to register.
Qualification:
IGCSE Only
Subject
O-Level Only
Syllabus
Option Code
Both
Component Papers
Fees
1, 2
500
*Art & Design
0400 / A
*Information & Communication
Technology
0417/AY
Business Studies
0450 / AY
12, 22
500
Accounting
0452 / AY
12, 22
500
Economics
0455 / Y
12, 22
500
Computer Science
0478 /AY
12 , 22
500
Literature (English)
0486 / AY
12 Poetry and Prose & 22 Drama
500
Sociology
0495 / AY
12, 22
500
First Language English
0500 / CU
22, 32
500
English as a Second Language
If you are planning to attend university
in Egypt after Gr. 10 or Gr. 11
English as a Second Language
Arabic [Extended]
0510 / EY
0511 / EY
0544 / Y
1 Jan 2015 – 30 Apr 2015
12, 21, 31
12 Apr 2015 – 18 Apr 2015
22, 42, 52
[Speaking Endorsement]
1 Mar 2015 – 30 Apr 2015
22, 42, 52
(Count-in Speaking)
1 Mar 2015 – 30 Apr 2015
500
500
500
22, 3 [Speaking], 42
500
01, 02
01 Reading & 02 Writing
500
12, 22, 3 [Speaking], 42
500
1 Mar 2015 – 30 Apr 2015
First Language Arabic
0508
French Language [Extended]
0520 / Y
Mathematics [Extended]
0580 / BY
22, 42
500
Biology [Extended]
0610 / CY
12, 32, 62
500
Chemistry [Extended]
0620 / CY
12, 32, 62
500
Physics [Extended]
0625 / CY
12, 32, 62
500
Syllabus
Option Code
Component Papers
Fees
3248 / A
01, 02
500
Retaking IGCSE Subject [Grade 11 Only]
[Carry Forward]
Syllabus
Option Code
Component Papers
Fees
English as a Second Language
0511 / GY
500
French Language
0520 / YC
22, 42
85 [Carry Forward Oral]
12, 22, 42
83 [Carry Forward - Speaking]
GCE O/Level Subject
Second Language Urdu
1 Mar 2015 – 30 Apr 2015
() First
Time Entry
() First
Time Take
(R)
Retake
500
2
Other Subject(s) Cambridge International Mathematics
Total Number of subjects Entered:
1
Fees per candidate per total number of Cambridge IGCSE subjects / AED:
Candidate(Venue) Fees/ AED
500
200
The total sum of money (AED) due for Entry:
700
Enclosed AED :
Method of Payment:
Cash
Cheque:
Cheques should be made payable to Al Nahda National
Schools , Abu Dhabi ,and the name of the student/grade
should be written on the back of the cheque.
Name : ______________________________________
E-mail: ______________________________________ __________________
Form submitted on ___________________
Ticking
 this check box is an alternative to signing the form.
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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.
Once paid, the external exam fees are non-refundable.
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 Centre will not facilitate for clash between subjects/
boards, as separate venues will be used during this session.
4. I understand that in order to achieve the “equivalency certificate from the Ministry of Education”
‫ ﺷﻬﺎﺩﺓ ﺍﻟﺛﺎﻧﻭﻳﺔ ﺍﻟﻌﺎﻣﺔ‬a student must satisfy the following criteria:
Achieve at least 5 IGCSEs (or 5 O-Level’s) subjects (at Grade E or above) prescribed by Cambridge
International Examinations. A list of these subjects can be found on www.cie.org.uk .
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 shall collect my original Statement of Entry (hardcopy) 2 weeks before the examination session
begins. I shall also acknowledge the receipt of the same by signing on a copy of the statement.
8. The School reserves the right to disallow me to take the examination if they are not satisfied with
the identification produced during the examinations.
FOR PRIVATE CANDIDATES ONLY (IF NOT ALNAHDA’S STUDENT)
9. 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 UAE 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.
10. I am aware that as a private candidate, my certificate will not be endorsed by Abu Dhabi Education
Council (‫ )ﻣﺠﻠﺲ ﺃﺑﻮﻅﺒﻲ ﻟﻠﺘﻌﻠﻴﻢ‬or by the Ministry of Education (MOE) in the United Arab
Emirates(U.A.E) and I will not be able to continue my studies in any private school in the U.A.E.
Examinations Information
It is candidate’s responsibility to write the correct syllabus title, syllabus and option code otherwise Al
Nahda National School For Girls will not be responsible if candidate registers for wrong subject or
option.
Do you have any special needs due to ill health/medical conditions? Yes
No
If yes please specify your requirements below. You must attach recent medical evidence with the
form.
Requests must be submitted at least 2 months before the exam. All special need requests are
subject to confirmation from CIE.
Signature of candidate:
Date:
Ticking  this check box is an alternative to signing the form.
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Guidance notes
Completing the form
•
This form must be completed and signed by the school & private candidates.
•
We cannot accept any enquiry requests from individual candidates, parents or over the telephone.
•
Select the subjects/syllabus options that you wish to take by writing () if you are taking the exam for
the first time in Grade 10GCE in the boxes next to the provided list of subjects.
•
Please ensure that you tick the correct subject options. Add the total amount of money and enter the
sum in the total box.
Your scanned document must contain: (for upload)
For passports:
•
•
•
Your Name and family name
Your photograph
Your date of Birth
Any recent
/ photo like
this is
accepted
The scanned document must be smaller than
1600 by 1600 pixels.
Only JPEG, GIF or PNG files are supported at present.
Payment
•
Do not send any payment with your form. We will invoice you after we make your final entries.
•
The exact payment (cash or Cheque) should be will be collected by Mrs. Shara [Secretary].
She will be available between 8:30 a.m. to 3:30 p.m on Sunday,14 December & Monday /15th
December 2014 in Grades 7 - 12 Reception Area.
•
•
We will charge an entry fee per syllabus per candidate.
We will charge late entry fees for any syllabus entries submitted after the final entry closing date.
Please note that a late fee will be charged for each amendment; if an entry option is changed twice, then two sets
of late fees will be charged.
Deadlines
The deadlines for submitting this form for Cambridge IGCSE, Cambridge O Level, Cambridge
International AS and A Level entries are:
 June 2015 series – 09 December 2014
There is an administrative fee for any requests to amend candidate names received after 10 February 2015.
Therefore, kindly adhere to the stipulated deadline.
Entry stage
Regular Entry Closing Date
First Level Penalty Fee
Applies for late entries and option amendments.
Entry Amendment / Change of Options
Second Level Penalty Fee
Applies for late entries and option amendments.
Entry Amendment / Change of Options
Third Level Penalty Fee
Applies for late entries and option amendments
Entry Amendment / Change of Options
Key Dates
Exam Fees
20 Nov 2014- 05 Feb 2015
closing date
AED 650/ per AS or A2 subject*
AED 900/ per A_Level subject
22 Feb 2014 – 20 Mar 2015
Start of first level late entry fees
AED 650/ per AS or A2 subject
AED 900/ per A_Level subject
AED 250
21 Mar 2014 – 03 Mar 2014
Start of second level late entry fees
04 April 2015 – 17 April 2015
Start of third level late entry fees
AED 650/ per
AED 900/ per
AED 400
AED 650/ per
AED 900/ per
AED 650
AS or A2 subject*
A_Level subject
AS or A2 subject*
A_Level subject
Late entry, entry amendment or change of syllabus (in addition to the normal syllabus fee)
1st level fee ................................................................................................................................. 250 AED
nd
2 level fee ................................................................................................................................ 400 AED
rd
3 level fee ................................................................................................................................ 650 AED
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Processing the form
•
We acknowledge and process forms in the order we receive them. If you have not
received an acknowledgement from us within 14 days of sending your form, please contact
us.
If you wait until after the deadline to contact us we may not be able to process your
application.
Students who are studying in Grade 11GCE who wish to take an IGCSE Subject as
a First Time Entry should refer to Mr. Tarek [Head of Centre/Exam Officer]
or Mrs. Shara [Secretary].
Returning this form
email
Return this form, your entry /registration form (personal information) and your scanned passport to:
tarek.aoudi@nahdaschools.com OR ae176.cie@nahdaschools.com. Please include your name & contact
number in the email subject line. Save a copy of the form for your own records.
Al Nahda schools offer a wide range of Cambridge IGCSE® or Cambridge O Level subjects.
Learn more about Cambridge Secondary 2 at www.cie.org.uk/cambridgesecondary2
Learn more about Cambridge Advanced at www.cie.org.uk/cambridgeadvanced
Tarek Aoudi
Head of Cambridge International Examination
Centre AE176
Al Nahda National School for Girls
P. O. Box 815 Abu Dhabi,
United Arab Emirates
+ 971 50 6624324
+ 971 2 4475300
http://www.nahdaschools.com
tarek.aoudi@nahdaschools.com
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