BC Use o n ly Dep o sit n o
Am o u n t
Dat e
UNIVERSITY OF CAMBRIDGE INTERNATIONAL EXAMINATIONS
Oct ob e r / Nov e m b e r 2 0 1 6 e x am in at ion se ssion on ly
Fir st Tim e En t r ie s: 1 July 2 0 1 6 un t il 2 8 July Har d co p y d ead lin e
Re -sit En t r ie s f r om May / Jun e 2 0 1 6 : 1 1 Aug ust un t il 8 Se p t e m b e r 2 0 1 6 Har d co p y d ead lin e
Ap p licat io n f o r m s m u st b e r eceived w it h in 5 d ay s o f p aym en t t o t h e b an k
* * * Please n o t e t h at 2 8 July an d 8 Se p t e m b e r 2 0 1 6 ar e t h e last d at e s t h e r eg ist r at io n f o r m sh o u ld b e r eceived at t h e Br it ish
Co u n cil. An y f o r m s r eceived af t er t h ese d ead lin es w ill b e ch ar g ed a lat e f ee, p lease see last p ag e.
Ple ase com p le t e y our n am e in cap it al le t t e r s as it sh ould ap p e ar on t h e ce r t if icat e .
FIRST NAME
SURNAME
Ple ase w r it e b e low t h e n am e of y our sch ool/ in st it ut e , if y ou w ish t o r e ce iv e y our st at e m e n t of e n t r y at t h e sch ool.
NAME OF THE SCHOOL YOU CURRENTLY ATTEND:… … … … ...… .… … .… … … … … ..… … … … … … … … .… ...… … … … …
Telep h o n e n u m b er o f Sch o o l : …………………..…………..
Em ail: …………………………………………………………….
HOME ADDRESS FOR POSTAGE OF YOUR STATEMENT:
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TEL:… … … … … … … … … … … … … … … …
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SEX:… … … … … … … … … .
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Pr e v ious Ce n t r e an d Can d id at e No. if y ou ar e a r e -sit can d id at e or if y ou ar e car r y in g f or w ar d a m ar k:
Ce n t r e n o: … … … … … … ..
Can d id at e n o:… … … ..… … …
Se ssion : … … … … … … ..
Nam e of Sch ool f or Com p ut in g A le v e l an d IT IGCSE: ……………………..……………..……………..……………………
Ple ase n ot e t h at w e d o n ot acce p t e n t r ie s b y f ax or e m ail.
IMPORTANT INFORMATION
CLASHES
If yo u n o t ice t h at t h er e is a clash w it h an o t h er exam in at io n p lease in f o r m u s b y sen d in g a co p y o f yo u r st at em en t o f en t r y w it h
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t o m ake alt er n at ive ar r an g em en t s, p lease n o t e t h at yo u m ay b e liab le t o p ay u p t o €17.00.
SPECIAL CONSIDERATIONS
If yo u ar e a can d id at e w it h Sp ecial Req u ir em en t s ( e/g Dyslexia et c.) Please at t ach t o t h is ap p licat io n f o r m a m ed ical r ep o r t w r it t en
in ENGLISH. Can d id at es sh o u ld m ake su r e t h at t h e d o ct o r 's r ep o r t sp ecif y t h e sp ecif ic n eed s o f t h e can d id at e f o r t h e exam in at io n
e.g Ext r a t im e o r h ead p h o n es f o r list en in g t est et c. Th e r ep o r t m u st n o t b e m o r e t h an 2 year s o ld .
Fo r m o d if ied p ap er s p lease co n t act Br it ish Co u n cil 6 m o n t h s b ef o r e t h e exam in at io n s ser ies t h at yo u w an t t o ap p ly.
Place a t ick (√) in t h e b ox ag ain st e ach sub je ct y ou w ish t o t ake w h ich st at e s y our op t ion cod e . If y our
op t ion cod e is n ot list e d p le ase call t h e Br it ish Coun cil t o con f ir m .
Op t ion Cod e
√
IGCSE SUBJECTS
0400 A
Ar t & Desig n (p ap er s 1,2)
Fees
€ 226.00
Ar t & Desig n (p ap er s 1,3)
Bu sin ess St u d ies
€ 150.00
0450 AX
0455 Y
Eco n o m ics
€ 150.00
0500 CU
0460 BY
Fir st Lan g u ag e En g lish (p ap er s 22 + 32) Ext en d ed
Geo g r ap h y
€ 150.00
€ 169.00
0470 BX
Hist o r y
€ 169.00
0486 AY
Lit er at u r e (En g lish ) (p ap er s 12, 22)
€ 150.00
0486 BY
€ 169.00
0495 AY
Lit er at u r e (En g lish ) (p ap er s 12, 32, 42)
So cio lo g y
0580 AX
Mat h em at ics, CORE
€ 150.00
0580 BX
Mat h em at ics, EXTENDED
€ 150.00
0610 CY
Bio lo g y EXTENDED
€ 169.00
0610 GY
Bio lo g y CORE
€ 169.00
0620 CY
Ch em ist r y, EXTENDED
€ 169.00
0620 GY
Ch em ist r y, CORE
€ 169.00
0625 CX
Ph ysics, EXTENDED
€ 169.00
0625 GX
Ph ysics, CORE
€ 169.00
0400 B
€ 150.00
€ 150.00
Th e f ollow in g sub je ct s ar e of f e r e d on ly t h r oug h sch ools t h at ar e ap p r ov e d b y t h e Br it ish Coun cil
0417 EX
0478 AY
0410 Y
In f o r m at io n & Co m m u n icat io n Tech n o lo g y Pap er 2 (11 Oct 16) Pap er 3 (18 Oct 16)
Nam e of Sch ool f or ICT IGCSE: ……………………..……………..……………..……………………
€ 220.00
Co m p u t er Scien ce
Mu sic (p ap er s 12, 2, 3)
€ 150.00
€ 112.00
IGCSE Sub je ct s w it h Sp e akin g com p on e n t s
Op t ion Cod e
ENGLISH AS A SECOND LANGUAGE, Sp e akin g as a se p ar at e g r ad e
(Re ad in g an d Wr it in g 1 7 Oct ob e r p m , List e n in g 2 7 Oct ob e r p m , Sp e akin g 2 6 Se p t e m b e r - 2 9 Oct ob e r )
0 5 1 0 AX
CORE En g lish as a Seco n d Lan g u g ag e w it h SPEAKING Pap er s 11, 31, 51
€ 169.00
0 5 1 0 CX
CORE En g lish as a Seco n d Lan g u ag e
Sp e akin g m ar k car r ie d f or w ar d , Pap er s 11,31,* * *
€ 150.00
0 5 1 0 EX
EXTENDED En g lish as a Seco n d Lan g u ag e w it h Sp e akin g Pap er s 21, 41, 51
€ 169.00
0 5 1 0 GX
EXTENDED En g lish as a Seco n d Lan g u ag e
Sp e akin g m ar k car r ie d f or w ar d , Pap er s 21,41,* * *
€ 150.00
* * * Ple ase p r ov id e us y our p r e v ious Ce n t r e No an d Can d id at e No t o car r y f or w ar d y our sp e akin g com p on e n t
PLEASE NOTE THAT SPEAKING / ORAL MARK CAN ONLY BE CARRIED FORWARD ONCE WITHIN A 13 MONTH PERIOD.
Pr evio u s Cen t r e No : …….………....… Can d id at e No :…….…..…………. Year an d Sessio n : ………….……….
Op t ion Cod e
ENGLISH AS A SECOND LANGUAGE ORAL COMPONENT COUNTED IN
(Re ad in g an d Wr it in g 1 7 Oct ob e r p m , List e n in g 2 7 Oct ob e r p m , Sp e akin g 2 6 Se p t e m b e r - 2 9 Oct ob e r )
0 5 1 1 AX
CORE En g lish as a Seco n d Lan g u g ag e w it h SPEAKING Pap er s 11, 31, 51
€ 169.00
0 5 1 1 CX
CORE En g lish as a Seco n d Lan g u g ag e
Sp e akin g m ar k car r ie d f or w ar d , Pap er s 11, 31,* * *
€ 150.00
0 5 1 1 EX
EXTENDED En g lish as a Seco n d Lan g u ag e w it h SPEAKING Pap er s 21, 41, 51
€ 169.00
0 5 1 1 GX
EXTENDED En g lish as a Seco n d Lan g u ag e
Sp e akin g m ar k car r ie d f or w ar d Pap er s 21, 41,* * *
€ 150.00
* * * Ple ase p r ov id e us y our p r e v ious Ce n t r e No an d Can d id at e No t o car r y f or w ar d y our sp e akin g com p on e n t
PLEASE NOTE THAT SPEAKING / ORAL MARK CAN ONLY BE CARRIED FORWARD ONCE WITHIN A 13 MONTH PERIOD.
Pr evio u s Cen t r e No : …….………....… Can d id at e No :…….…..…………. Year an d Sessio n : ………….……….
Op t ion cod e
FRENCH
0520 Y
Fr en ch , Pap er s 12, 22, 3, 42 w it h sp eakin g
€ 188.00
0 5 2 0 YC
Fr en ch , Pap er s 12, 22, 42 w it h Sp eakin g Car r ied f o r w ar d f r o m p r evio u s sessio n * * *
€ 169.00
* * * Ple ase p r ov id e us y our p r e v ious Ce n t r e No an d Can d id at e No t o car r y f or w ar d y our sp e akin g com p on e n t
PLEASE NOTE THAT SPEAKING / ORAL MARK CAN ONLY BE CARRIED FORWARD ONCE WITHIN A 13 MONTH PERIOD.
Pr evio u s Cen t r e No : …….………....… Can d id at e No :…….…..…………. Year an d Sessio n : ………….……….
Op t ion cod e
SPANISH
0530 X
Sp an ish , Pap er s 11, 21, 3, 41
€ 188.00
0 5 3 0 XC
Sp an ish , Pap er s 11, 21, 41 w it h Sp eakin g Car r ied f o r w ar d f r o m p r evio u s sessio n * * *
€ 169.00
* * * Ple ase p r ov id e us y our p r e v ious Ce n t r e No an d Can d id at e No t o car r y f or w ar d y our sp e akin g com p on e n t
PLEASE NOTE THAT SPEAKING / ORAL MARK CAN ONLY BE CARRIED FORWARD ONCE WITHIN A 13 MONTH PERIOD.
Pr evio u s Cen t r e No : …….………....… Can d id at e No :…….…..…………. Year an d Sessio n : ………….……….
ADVANCED LEVEL SUBJECTS
* * * Im p or t an t n ot e f or A le v e l can d id at e s: o n ce can d id at es are sat isf ied w it h t h eir AS g rad e t h ey h av e 13 m o n t h s p erio d t o co m p let e t h e A2
co m p o n en t s. Ot h erw ise t h ey w o u ld n eed t o re-sit t h e AS su b ject s.
Op t ion Cod e s
√
Fees
9093 AY
En g lish Lan g uag e , Pap e r s 1 2 , 2 2 , 3 2 , 4 2
€ 231.00
9093 BT
En g lish Lan g u ag e, Pap er s 32,42 + Ju n e 2016 AS Mar k Car r ied Fo r w ar d
€ 155.00
9093 CY
En g lish Lan g u ag e, Pap er s 32,42 + No vem b er 2015 AS Mar k Car r ied Fo r w ar d
€ 155.00
9093 GT
En g lish Lan g u ag e, Pap er s 12, 22, 32, 42 + Ju n 2016 an d /o r No v 2015 AS Mar ks Car r ied Fo r w ar d
€ 231.00
9093 SY
En g lish Lan g uag e , Pap e r s 1 2 , 2 2 AS Le v e l on ly
€ 155.00
9695 AY
Lit e r at ur e in En g lish 3 2 , 4 2 , 5 2 , 6 2
€ 231.00
9695 BY
Lit e r at ur e in En g lish 3 2 , 4 2 , 5 2 , 7 2
€ 231.00
9695 DT
Lit er at u r e in En g lish 52, 62 +Ju n e 2016 AS Mar k Car r ied Fo r w ar d
€ 155.00
9695 ET
Lit er at u r e in En g lish 52, 72 +Ju n e 2016 AS Mar k Car r ied Fo r w ar d
€ 155.00
9695 GY
Lit er at u r e in En g lish 52, 62 +No vem b er 2015 AS Mar k Car r ied Fo r w ar d
€ 155.00
9695 HY
Lit er at u r e in En g lish 52, 72 +No vem b er 2015 AS Mar k Car r ied Fo r w ar d
€ 155.00
9695 OT
Lit er at u r e in En g lish 32, 42, 52, 62 + Ju n 2016 + No v 2015 AS Mar ks Car r ied Fo r w ar d
€ 231.00
9695 QT
Lit er at u r e in En g lish 32, 42, 52, 72 + Ju n 2016 an d /o r No v 2015 AS Mar ks Car r ied Fo r w ar d
€ 231.00
9695 SY
Lit e r at ur e in En g lish, Pap e r s 3 2 , 4 2 AS Le v e l on ly
€ 155.00
9389 AX
Hist or y , Pap e r s 1 1 , 2 1 , 3 1 , 4 1
€ 231.00
9389 BQ
Hist o r y, Pap er s 31, 41 + Ju n e 2016 AS Mar k Car r ied Fo r w ar d
€ 155.00
9389 CX
Hist o r y, Pap er s 31, 41 + No vem b er 2015 AS Mar k Car r ied Fo r w ar d
€ 155.00
9389 GQ
Hist o r y, Pap er s 11, 21, 31, 41 + Ju n e 2016 an d /o r No vem b er 2015 Mar ks Car r ied Fo r w ar d
€ 231.00
9389 SX
Hist or y , Pap e r s 1 1 , 2 1 AS Le v e l on ly
€ 155.00
Ap p lie d ICT: On e d ay Win d ow : Pap e r 2 - Pr act ical Te st A (4 Oct ob e r ) & Pap e r 4 - Pr act ical Te st B (1 0 Oct ob e r )
9713 AY
Ap p lie d In f or m at ion an d Com m un icat ion Te ch n olog y - Pap e r s 1 2 , 2 , 3 2 , 4
€ 282.00
9713 BY
Ap p lied ICT Pap er s 32, 4 + Ju n e 2016 AS m ar k Car r ied Fo r w ar d
€ 180.50
9713 CY
Ap p lied ICT Pap er s 32, 4 + No v 2015 AS m ar k Car r ied Fo r w ar d
€ 180.50
9713 DY
Ap p lied ICT Pap er s 12, 2, 32, 4, Ju n e 2016 an d /o r No v 2015 AS m ar ks car r ied f o r w ar d
€ 282.00
9713 SY
Ap p lie d ICT - Pap e r s 1 2 , 2 AS Le v e l On ly
€ 180.50
Nam e of Sch ool f or AS/ A le v e l Ap p lie d ICT ……………………..……………..……………..……………………
9704 A
Ar t & De sig n , A le v e l, p ap e r s 1 , 2 , 3 , 4
€ 269.00
9704 B
Ar t & Desig n , p ap er s 3, 4 + AS Mar ks car r ied f o r w ar d f r o m Ju n e 2016
€ 136.00
9704 C
Ar t & Desig n , p ap er s 3, 4 + AS Mar ks car r ied f o r w ar d f r o m No v 2015
€ 136.00
9704 D
Ar t & Desig n , p ap er s1, 2, 3, 4 Mar ks car r ied f o r w ar d f r o m Ju n e 2016 an d /o r No v 2015
€ 269.00
9704 E
Ar t & Desig n , p ap er s 1, 3, 4 Ju n e 2016 o r No v 2015 Pap er 2 Mar k Car r ied Fo r w ar d
€ 231.00
9704 F
Ar t & Desig n , p ap er s 1, 2, 3 Ju n e 2016 o r No v 2015 Pap er 4 Mar k Car r ied Fo r w ar d
€ 231.00
9704 G
Ar t & Desig n , p ap er s 1, 2, 4 Ju n e 2016 Pap er 3 Mar k Car r ied Fo r w ar d
€ 231.00
9704 H
Ar t & Desig n , p ap er s 1, 2, 4 No vem b er 2015 Pap er 3 Mar k Car r ied Fo r w ar d
€ 231.00
9704 S
Ar t & De sig n , p ap e r s 1 , 2 AS Le v e l On ly
€ 231.00
9704 SA
Ar t & Desig n , p ap er 1 + Ju n e 2016 o r No vem b er 2015 Pap er 2 Mar k Car r ied Fo r w ar d
€ 231.00
Fees
9699 AX
Sociolog y , Pap e r s 1 1 , 2 1 , 3 1
€ 212.00
9699 BQ
So cio lo g y, Pap er 31 + Ju n e 2016 AS Mar k Car r ied Fo r w ar d
€ 117.00
9699 CX
So cio lo g y, Pap er 31 + No vem b er 2015 AS Mar k Car r ied Fo r w ar d
€ 117.00
9699 GQ
So cio lo g y, Pap er s 11, 21, 31 + Ju n e 2016 an d /o r No v 2015 AS Mar k Car r ied Fo r w ar d
€ 212.00
9699 SX
Sociolog y , Pap e r s 1 1 , 2 1 AS le v e l on ly
€ 155.00
9698 AX
Psy ch olog y , Pap e r s 1 1 , 2 1 , 3 1
€ 212.00
9698 BX
Psych o lo g y, Pap er 31 + Ju n e 2016 AS Mar k Car r ied Fo r w ar d
€ 117.00
9698 CX
Psych o lo g y, Pap er 31 + No vem b er 2015 AS Mar k Car r ied Fo r w ar d
€ 117.00
9698 DX
Psych o lo g y, Pap er s 11, 21, 31 + Ju n e 2016 an d /o r No v 2015 AS Mar k Car r ied Fo r w ar d
€ 212.00
9698 SX
Psy ch olog y , Pap e r s 1 1 , 2 1 AS le v e l on ly
€ 155.00
9608 AX
Com p ut e r Scie n ce A le v e l, p ap e r s 1 1 , 2 1 , 3 1 , 4 1
€ 231.00
9608 BQ
Co m p u t er Scien ce, Pap er s 31, 41 + Ju n e 2016 AS Mar k Car r ied Fo r w ar d
€ 155.00
9608 CX
Co m p u t er Scien ce, Pap er s 31, 41 + No vem b er 2015 AS Mar k Car r ied Fo r w ar d
€ 155.00
9608 GQ
Co m p u t er Scien ce, Pap er s 11, 21, 31, 41 + Ju n 2016 an d /o r No v 2015 AS Mar ks Car r ied Fo r w ar d
€ 231.00
9608 SX
Com p ut e r Scie n ce AS le v e l on ly , p ap e r s 1 1 , 2 1
€ 155.00
9084 AX
Law A le v e l, p ap e r s 1 1 , 2 1 , 3 1 , 4 1
€ 231.00
9084 BQ
Law , Pap er s 31, 41 + Ju n e 2016 AS Mar k Car r ied Fo r w ar d
€ 155.00
9084 CX
Law , Pap er s 31, 41 + No vem b er 2015 AS Mar k Car r ied Fo r w ar d
€ 155.00
9084 GQ
Law , Pap er s 11, 21, 31, 41 + Ju n e 2016 + No v 2015 Mar ks Car r ied Fo r w ar d
€ 231.00
9084 SX
Law AS le v e l on ly , p ap e r s 1 1 , 2 1
€ 155.00
Mor e in f or m at ion an d t im e t ab le s can b e f oun d on t h e CIE w e b sit e , w w w .cie .or g .uk .
In d iv id ual t im e t ab le s ar e d e sp at ch e d t o can d id at e s t og e t h e r w it h t h e ir st at e m e n t of e n t r y p r ior t o t h e
com m e n ce m e n t of t h e r e sp e ct iv e e x am in at ion se ssion .
Can d id at e s ar e ad v ise d t o con sult t h e cur r e n t Re g ulat ion s an d Sy llab use s f or t h e CIE q ualif icat ion s.
Sub je ct s
Eur os
Tot al
Please ch eck n ext t o each su b ject
Lat e f e e s
Lat e en t r y f ee f o r f ir st t im e e n t r ie s: 29 Ju ly - 08 Sep t
Lat e en t r y f ee f o r r e t ake e n t r ie s: 08 Sep t - 15 Sep t
€ 6 6 .0 0
€ 6 6 .0 0
p er su b ject
p er su b ject
Tot al f e e s d ue
En t r y f e e s ar e n e it h e r r e f un d ab le n or t r an sf e r ab le . Ple ase ke e p a cop y of t h is ap p licat ion f or m f or y our r e f e r e n ce .
PAYMENT
Please m ake yo u r p aym en t at an y b r an ch o f t h e Ban k of Cy p r us in t o t h e Br it ish Coun cil accoun t (Ut ilit y Cod e 3 8 3 6 ) o n t h e
sp ecial d ep o sit slip s availab le. Ret u r n t h e f o r m w it h a co p y o f t h e d ep o sit slip t o t h e ad d r ess b elo w .
Tu r kish Cyp r io t s can p ay at an y b r an ch o f t h e Tur k Ban kasi Lt d . in t o t h e Br it ish Coun cil accoun t No. 7 5 7 0 2 5 2 . Ret u r n t h e f o r m w it h a co p y o f
t h e d ep o sit slip t o C-Quals, Br it ish Coun cil Ne w Of f ice , 7 Sh t Ust e g m e n Un al Ge n c Sokak, Mar m ar a Bolg e si, Nicosia T: 2 2 7 4 9 3 8 F :2 2 8 5 8 0 9 .
Of f ice h our s: Tue sday an d Th ur sday f r om 0 9 3 0 -1 2 3 0 an d 1 4 0 0 -1 7 0 0
BRITISH COUNCIL
1–3 Ar ist o t elo u s St r eet , CY1011 Nico sia
P O Bo x 21175, CY 1503 Nico sia
www.britishcouncil.com.cy
Em ail exam s.en q u ir ies@cy.b r it ish co u n cil.o r g
OFFICE HOURS:
Mo n d ay,Tu esd ay, Wed n esd ay, Th u r sd ay 0900 - 1100 h o u r s
Tu esd ay, Wed n esd ay 1530 - 1730 h o u r s
Fr id ay Clo sed
Tel 22 585000, Fax 22 585129
Th e Br it ish Co u n cil an d t h e Exam in in g Bo ar d s t ake all r easo n ab le st ep s t o p r o vid e co n t in u it y o f ser vice. We f eel su r e yo u w ill u n d er st an d , h o w ever ,
t h at w e can n o t b e h eld r esp o n sib le f o r an y in t er r u p t io n s cau sed b y cir cu m st an ces b eyo n d o u r co n t r o l. If exam in at io n s o r t h eir r esu lt s ar e
d isr u p t ed , can celled o r d elayed , ever y ef f o r t w ill b e m ad e t o r esu m e n o r m al ser vice as so o n as p o ssib le. Th e Br it ish Co u n cil’s liab ilit y w ill b e
lim it ed t o t h e r ef u n d o f t h e r eg ist r at io n f ee o r r e-t est in g at a lat er d at e.
I m ake t h is e n t r y in accor d an ce w it h t h e p r ov ision s of t h e p ub lish e d r e g ulat ion s w h ich I h av e st ud ie d an d acce p t
r e sp on sib ilit y t o asce r t ain t h e p lace an d d at e of t h e e x am in at ion in case t h e of f icial n ot if icat ion d oe s n ot r e ach m e on
t im e .
Un d e r Dat a Pr ot e ct ion Act , w e w ill n ot sh ar e y our d e t ails w it h t h ir d p ar t ie s an d w ill com p ly w it h all r e le v an t d at a
p r ot e ct ion le g islat ion in f or ce in Cy p r us.
Dat e:……………………………………….. Sig n at u r e:…………………………………………………………………
Th e Un it ed Kin g d o m 's in t er n at io n al o r g an isat io n f o r ed u cat io n al an d cu lt u r al o p p o r t u n it ies an d cu lt u r al r elat io n s. We ar e r eg ist er ed in En g lan d as a ch ar it y.
British Council Cyprus
Child Protection
The British Council believe that all children have potential and that every child matters - everywhere in the world. The British Council affirms the position that all children
have the right to be protected from all forms of abuse as set out in article 19, UNCRC 1989. For more info please visit www.britishcouncil.org.cy/child protection policy