UNIVERSITY OF CAMBRIDGE INTERNATIONAL EXAMINATIONS Deposit no May 2015 GROUP ENTRY FORM FOR ENGLISH AS A SECOND LANGUAGE 0510 and 0511 Dates of Entry: 10 December 2014 until 17 January 2015 only Hardcopy Entries * Please note that 17 January 2015 is the last date the registration form should be received at the British Council. Any forms received after this will be charged a late fee of €100.00. The last date for late entries with €100.00 penatly fee is 10 February 2015. Please note that we do not accept entries by fax Name of School If you wish your statement to be sent to the school:……………………………………………………………...…………..………………. Address/ Address of School: ……………………………………..……………………………………………………………………………………………….. Post Code: ………...…...…………. .. …. ….… …………….…… Town:…………………………………………………………….. Telephone: Mobile Phone : ………….………………………………………. … ….…..……..……………………………………… IMPORTANT - PLEASE USE ONE OF THE FOLLOWING OPTION CODES If you are a re-sit candidate please attach your latest statement or fill in the information : Previous Candidate No: …………….. Centre No:………….. ENGLISH AS A SECOND LANGUAGE, SPEAKING a s a se p a r a t e g r a d e Op t ion Cod e Fee 0510 AX CORE Papers 11, 31, 5 with Speaking € 163.00 0510 CX CORE Papers 11, 31, Speaking carried forward (only once within a 13 month period) € 145.00 0510 EX EXTENDED Papers 21, 41, 5 with Speaking € 163.00 0510 GX EXTENDED Papers 21, 41,Speaking carried forward (only once within a 13 month period) € 145.00 ENGLISH AS A SECOND LANGUAGE, SPEAKING com p on e n t coun t e d in ( NEW ) Op t ion Cod e Fe e 0511 AX CORE Pap er s 11, 31, 5 w it h Sp eakin g € 163.00 0511 CX CORE Papers 11, 31, Speaking carried forward (only once within a 13 month period) € 145.00 0511 EX EXTENDED Pap er s 21, 41, 5 w it h Sp eakin g € 163.00 0511 GX EXTENDED Paper 21, 41,Speaking carried forward (only once within a 13 month period) € 145.00 Please note that change of option code is liable to €100.00 fee. Candidate Surname : Candidate Name Date of Birth 1 …../…../…… 2 …../…../…… 3 …../…../…… 4 …../…../…… 5 …../…../…… 6 …../…../…… 7 …../…../…… 8 …../…../…… 9 …../…../…… 10 …../…../…… 11 …../…../…… 12 …../…../…… 13 …../…../…… 14 …../…../…… 15 …../…../…… 16 …../…../…… 17 …../…../…… 18 …../…../…… 19 …../…../…… 20 …../…../…… Sex ID No Option Code, please see above Previous Centre No and Candidate No if Options CX or GX is chosen System Ref. for British Council use PAYMENT Please make your payment at any branch of the Bank of Cyprus into the British Council account (Utility Code 3836) on the special deposit slips available. Return the form with a copy of the deposit slip to the address below. Turkish Cypriots can pay at any branch of the Turk Bankasi Ltd. into the British Council account No. 7570252. Return the form with a copy of the deposit slip to C-Quals, British Council New Office, 7 Sht Ustegmen Unal Genc Sokak, Marmara Bolgesi, Nicosia T: 2274938 F:2285809 OFFICE HOURS: Mon, Wed, Thur, Fri Tuesday British Council - Examinations Services Unit 1–3 Aristotelous Street CY 1011 Nicosia , P O Box 21175 CY 1503 Nicosia Tel. 22 585000, Fax 22 585129 exams.enquiries@cy.britishcouncil.org www.britishcouncil.com.cy 0900 - 1300 hours 0900 - 1730 hours Candidates are advised to consult the current Regulations and Syllabuses for the IGCSE Examinations. These are available on the CIE website, www.cie.org.uk. If you notice that there is a clash with another examination please inform us as soon as possible and we will try to make alternative arrangements, please note that you may be liable to pay up to €17.00. Requests for re-sheduling an interview must reach us as soon as possible. We can only reschedule an interview if we are notified at the time of the registration. For all other requests, including late requests a fee of €100.00 will be charged. ***Entries received after closing date are liable to €100.00 late entry fee. The British Council and the Examining Boards take all reasonable steps to provide continuity of service. However, 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. IGCSE English as a Second Language examination dates Reading/Writing : 5 May 2015 pm Listening: 8 May 2015 pm Speaking: from 1 March 2015 until 8 April 2015 I ask that these candidates may be admitted to this examination and I undertake on their behalf to comply with the regulations and the arrangements made by the Local Secretary of the above Centre. None of these candidates has English as their first language. I make this entry in accordance with the provisions of the published regulations which I have studied and accept responsibility to ascertain the place and date of the examination in case the official notification does not reach me on time. Under Data Protection Act, we will not share your details with third parties and will comply with all relevant data protection legislation in force in Cyprus. Date: ………./………/………. Signature: ……………………………………………… The United Kingdom's international organisation for educational and cultural opportunities and cultural relations. We are registered in England as a charity. 0 A British Council Cyprus