CAMBRIDGE INTERNATIONAL EXAMINATIONS INTERNATIONAL GENERAL CERTIFICATE OF SECONDARY EDUCATION IGCSE Examinations Centre Name PHOTO Affix your most recent passport size photo here (write your name at the back of the photo) November 2015 For Official Use Only Centre Number & Processing office (Please Tick) Candidate Number MY001 KUALA LUMPUR MY002 PENANG *(Please submit to Penang office) MY003 KOTA KINABALU *(Please submit to KL office) MY017 KUCHING *(Please submit to KL office) Candidate Name IN BLOCK LETTERS as in Identity Card/Passport (Leave spaces between names and initials) Date of Birth IC/Passport Number Nationality Gender Correspondence Address Telephone Mobile Guardian Telephone Number (Mandatory for Under-18) Email Address (Mandatory) Registration Deadlines (First Time) th Normal Registration: Until 13 August 2015 th rd First Stage: 14 August 2015 – 3 September 2015 th th Second Stage: 4 September 2015 - 18 September 2015 th th Third Stage: 19 September 2015 – 28 September 2015 Registration Deadlines (Retake) Where the candidate sat the same syllabus in JUNE 2015 th Normal Registration: Until 18 September 2015 th th Third Stage: 19 September 2015 – 28 September 2015 Late Registration Fee per Syllabus (inclusive of GST) N/A RM304.00 RM607.00 RM1,048.00 Late Registration Fee per Syllabus (inclusive of GST) N/A RM1,048.00 Candidate Declaration 1. I make this entry according to the provisions of the published regulations which I have studied. 2. I agree that it is my responsibility to select the modular units that best meet my needs. 3. I have given all the information required truthfully and accurately to the best of my knowledge and belief. 4. I understand that I shall be allowed to sit only for those subjects and papers for which I have entered on this form. 5. I have not made an entry at any other Cambridge International Examinations centre. 6. I have not made any entry at any other Edexcel examination centre. 7. I agree that there will be no postponement or refund of all fees should I decide to withdraw from the examination after registration. 8. I accept the responsibility to ascertain the place and date of the examination in case the official notification does not reach me on time. Special Consideration: Access Arrangements Applications If you are a candidate with special requirements (Dyslexia, hearing difficulties etc.), please attach a medical report written in English to this application form. Candidates should make sure the report specifies the needs of the candidate for the examination (extra time, headphones etc.) Please tick here if you need Access Arrangements. Disclaimer The British Council and the Examining Boards take all reasonable steps to provide continuity of service. We feel sure you will understand, however, that 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. Circle syllabus code and unit which you are intending to take. If you wish to retake, please also circle the “R” next to the component column. 0450 0452 0455 Art & Design May not be taken in the same examination series as 6010. Business Studies May not be taken in the same examination series as 7115. Accounting May not be taken in the same examination series as 7110. Economics May not be taken in the same examination series as 2281. Retake 0400 Syllabus Title Unit Code Fee (inclusive of GST) A 1 – Observational 2 – Design Assignment R RM1,631.00 AY 12 – Short Answer / Structured Response 12 22 – Case Study R RM969.00 AZ 13 – Paper 13 23 – Paper 23 R RM969.00 Z 13 – Multiple Choice 23 – Structured Questions R RM969.00 R RM1,135.00 R RM969.00 R RM1,135.00 R RM969.00 BZ 0460 Geography May not be taken in the same examination series as 2217. CZ BY 0470 0471 0478 History May not be taken in the same examination series as 2158. Travel & Tourism May not be taken in the same examination series as 7096. CY AZ CZ Computer Science May not be taken in the same examination series as 2210. 0486 CZ DZ B 0488 Literature in Spanish C 0493 Islamiyat AY AX 0500 First Language English May not be taken in the same examination series as 0510, 0511, or 1123. Core: C to G Extended: A* to E CX EX FX 0502 0508 First Language Spanish May not be taken in the same examination series as 0530. Core: C to G Extended: A* to E First Language Arabic May not be taken in the same examination series as 0544. 13 – Paper 13 23 – Paper 23 43 – Alternative to Coursework 13 – Paper 13 23 – Paper 23 83 – Coursework Mark Carried Forward 12 – Paper 12 22 – Paper 22 42 – Alternative to Coursework 12 – Paper 12 22 – Paper 22 83 – Coursework Mark Carried Forward 13 – Written Paper 23 – Alternative to Coursework 13 – Written Paper 83 – Coursework Mark Carried Forward 13 - Theory 23 – Problem Solving and Programming BZ Literature in English May not be taken in the same examination series as 2010. Component A C R R RM969.00 RM639.00 R RM969.00 R RM1,135.00 R RM969.00 R RM969.00 R RM 969.00 R RM639.00 R RM969.00 R RM969.00 R RM969.00 R RM639.00 R RM639.00 R RM969.00 2 – Reading Passage (Extended) 3 – Directed Writing & Composition R RM969.00 1 – Reading 2 – Writing R RM969.00 13 – Set Texts : Open Books 33 – Unseen 33 13 – Set Texts : Open Books 82 – Coursework Mark Carried Forward 43 – Set Text : Closed Books A 53 – Set Text : Closed Books B 1 - Set Texts 3 - Alternative to Coursework 1 - Set Texts 82 - Coursework Mark Carried Forward 12 – Paper 12 22 – Paper 22 13 – Reading Passage (Core) 33 – Directed Writing & Composition (Core) 23 – Reading Passage (Extended) 33 – Directed Writing & Composition (Extended) 13 – Reading Passage ( Core) 84 – Portfolio Mark Carried Forward 23 – Reading Passage (Extended) 84 – Portfolio Mark Carried Forward 1 – Reading Passage (Core) 3 – Directed Writing & Composition AY CY 0510 (English as a Second Language Speaking Endorsement) May not be taken in the same examination series as 0500, 0511, or 1123. Oral Marks gained in 0511 cannot be carried forward to 0510. Core: C to G Extended: A* to E DY EY GY HY AY CY 0511 English as a Second Language (Count-in Speaking) May not be taken in the same examination series as 0500, 0510, or 1123. Oral Marks gained in 0510 cannot be carried forward to 0511. Core: C to G Extended: A* to E DY EY GY HY 0512 0520 0580 0606 First Language Afrikaans May not be taken in the same examination series as 0548, 8679, 8779 or 9679. French May not be taken in the same examination series as 0501. Core: C to G Extended: A* to G Mathematics W/out Coursework May not be taken in the same examination series as, 0581, 0607, or 4024. Core: C to G Extended: A* to E Additional Mathematics May not be taken in the same examination series as 4037. Grade from A* to E Z ZC AY 12 – Reading & Writing (Core) 32 – Listening (Core) 05 – Oral Communication 12 – Reading & Writing (Core) 32 – Listening (Core) 85 – Oral Communication Mark Carried Forward 12 – Reading & Writing (Core) 32 – Listening (Core) 86 – Oral Communication (C’wrk) Mark Carried Forward 22 – Reading & Writing (Extended) 42 – Listening (Extended) 05 – Oral Communication 22 – Reading & Writing (Extended) 42 – Listening (Extended) 85 – Oral Communication Mark Carried Forward 22 – Reading & Writing (Extended) 42 – Listening (Extended) 86 – Oral Communication (C’wrk) Mark Carried Forward 12 – Reading & Writing (Core) 32 – Listening (Core) 05 – Oral Communication 12 – Reading & Writing (Core) 32 – Listening (Core) 85 – Oral Communication Mark Carried Forward 12 – Reading & Writing (Core) 32 – Listening (Core) 86 – Oral Communication (C’wrk) Mark Carried Forward 22 – Reading & Writing (Extended) 42 – Listening (Extended) 05 – Oral Communication 22 – Reading & Writing (Extended) 42 – Listening (Extended) 85 – Coursework Mark Carried Forward 22 – Reading & Writing (Extended) 42 – Listening (Extended) 86 – Oral Communication (C’wrk) Mark Carried Forward 01 – Reading 02 – Writing 13: Listening 23: Reading 03: Speaking 43: Writing 13: Listening 23: Reading 43: Writing 83: Speaking Mark Carried Forward 12 – Paper 12 (Core) 32 – Paper 32 R RM1,135.00 R RM969.00 R RM969.00 R RM1,135.00 R RM969.00 R RM969.00 R RM1,135.00 R RM969.00 R RM969.00 R RM1,135.00 R RM969.00 R RM969.00 R RM969.00 R RM1,300.00 R RM1,135.00 R RM969.00 BY 22 – Paper 22 (Extended) 42 – Paper 42 R RM969.00 AZ 13 – Paper 13 23 – Paper 23 R RM969.00 0607 Cambridge Int. Mathematics May not be taken in the same examination series as, 0580, 0581, or 4024. Core: Grade from C to G Extended: Grade from A* to E Biology May not be taken in the same examination series as, 0654, 0653, 5090, 5096, or 5129. AY BY CZ DZ 0610 Core: Grade from C to G Extended: Grade from A* to G GZ HZ CZ Chemistry May not be taken in the same examination series as 0654, 0652, 0653, or 5070. DZ 0620 Core: Grade from C to G Extended: Grade from A* to G GZ HZ CY 0625 Physics May not be taken in the same examination series as 0654, 0652, 0653, 5054, or 5129. DY Core: Grade from C to G Extended: Grade from A* to G GY HY Physical Science May not be taken in the same examination series as 0620, 0625, 0653, 0654, 5054, 5070, or 5129. CY DY 0652 Core: Grade from C to G Extended: Grade from A* to G GY HY CY 0653 Combined Science May not be taken in the same examination series as 0610, 0620, 0625, 0652, 0654, 5054, 5070, 5090, 5096, or 5129. Core: Grade C to G Extended : Grade A* to G DY GY 12 – Paper 12 (Core) 32 – Paper 32 52 – Paper 52 22 – Paper 22 (Extended) 42 – Paper 42 62 – Paper 62 13 – Multiple Choice (Extended) 33 – Extended Theory 63 – Alternative to Practical 13 – Multiple Choice (Extended) 33 – Extended Theory 84 – Coursework Mark Carried Forward 13 – Multiple Choice (Core) 23 – Core Theory 63 – Alternative to Practical 13 – Multiple Choice (Core) 23 – Core Theory 84 – Coursework Mark Carried Forward 13 – Multiple Choice (Extended) 33 – Extended Theory 63 – Alternative to Practical 13 – Multiple Choice (Extended) 33 – Extended Theory 84 – Coursework Mark Carried Forward 13 – Multiple Choice (Core) 23 – Core Theory 63 – Alternative to Practical 13 – Multiple Choice (Core) 23 – Core Theory 84 – Coursework Mark Carried Forward 12 – Multiple Choice (Extended) 32 – Extended Theory 62 – Alternative to Practical 12 – Multiple Choice (Extended) 32 – Extended Theory 84 – Coursework Mark Carried Forward 12 – Multiple Choice (Core) 22 – Core Theory 62 – Alternative to Coursework 12 - Multiple Choice (Core) 22 – Core Theory 84 – Coursework Mark Carried Forward 12 – Multiple Choice (Extended) 32 – Extended Theory 62 – Alternative to Practical 12 – Multiple Choice (Extended) 32 – Extended Theory 84 – Coursework Mark Carried Forward 12 – Multiple Choice (Core) 22 – Core Theory 62 – Alternative to Practical 12 – Multiple Choice (Core) 22 – Core Theory 84 – Coursework Mark Carried Forward 12 – Multiple Choice (Extended) 32 – Extended Theory 62 – Alternative to Practical 12 – Multiple Choice (Extended) 32 – Extended Theory 84 – Coursework Mark Carried Forward 12 – Multiple Choice (Core) 22 – Core Theory 62 – Alternative to Practical 12 – Multiple Choice (Core) HY 22 – Core Theory 84 – Coursework Mark Carried Forward R RM1,135.00 R RM1,135.00 R R R R RM1,135.00 RM969.00 RM1,135.00 RM969.00 R RM1,135.00 R RM969.00 R RM1,135.00 R RM969.00 R RM1,135.00 R RM969.00 R RM1,135.00 R RM969.00 R RM1,135.00 R RM969.00 R RM1,135.00 R RM969.00 R RM1,135.00 R RM969.00 R RM1,135.00 R RM969.00 Co-or Science Double Award 0654 May not be taken in the same examination series as 0610, 0620, 0625, 0652, 0653, 5054, 5070, 5090, 5096, or 5129. Core: Grades CC to GG Extended: Grades A*A* to GG Environmental Management 0680 May not be taken in the same examination series as 5014. 12 – Multiple Choice (Extended) CY 32 – Extended Theory 62 – Alternative to Practical 12 – Multiple Choice (Extended) DY 32 – Extended Theory 84 – Coursework Mark Carried Forward 12 – Multiple Choice (Core) GY 22 – Core Theory 62 – Alternative to Coursework 12 – Multiple Choice (Core) HY 22 – Core Theory 84 – Coursework Mark Carried Forward 12 – Paper 12 BY 22 – Paper 22 42 – Alternative to Coursework CY 12 – Paper 12 22 – Paper 22 83 – Coursework Mark Carried Forward R RM1,442.00 R RM1,277.00 R RM1,442.00 R RM1,277.00 R RM1,135.00 R RM969.00 CONSENT FOR EXAMINATION I, the undersigned, hereby agree and authorize the British Council to disclose my personal data, such as my name, date of birth, gender, ID/Passport No., and information pertaining to this application to Cambridge International Examination (“CIE”) for purpose of providing and registering IGCSE/GCE O-Level/AS/A-Level examinations. I understand that any personal data provided by the British Council to CIE shall also be subject to CIE’s privacy policy. Signature of Applicant Date Registration Deadlines (First Time) th X ……….. X RM304.00 th ……….. X RM607.00 th ……….. X RM1,048.00 rd First Stage: 14 August 2015 – 3 September 2015 th Second Stage:4 September 2015 - 18 September 2015 th Third Stage: 19 September 2015 – 28 September 2015 Registration Deadlines (Retake) Where the candidate sat the same syllabus in JUNE 2015 th Normal Registration: Until 18 September 2015 th th No. of Syllabus Total (inclusive of GST) N/A Late Registration Fee per Syllabus (inclusive of GST) N/A Third Stage: 19 September 2015 – 28 September 2015 Total Number of Syllabus Late Registration Fee (inclusive of GST) ……….. Normal Registration: Until 13 August 2015 th No. of Syllabus RM1,048.00 Syllabus Fee (inclusive of GST) Total Number of Syllabus ……….. X RM639.00 Total Number of Syllabus ……….. X RM969.00 Total Number of Syllabus ……….. X RM1,135.00 Total Number of Syllabus ……….. X RM1,277.00 Total Number of Syllabus ……….. X RM1,300.00 Total Number of Syllabus ……….. X RM1,442.00 Total Number of Syllabus ……….. X RM1,631.00 Grand Total Total (inclusive of GST) For Official Use Only Date of Payment: Amount Paid: Receipt Number: Date: Registered By: Completed application form can be submitted by hand/courier to either of the British Council offices below: British Council Kuala Lumpur Ground Floor, West Block Wisma Selangor Dredging 142C Jalan Ampang 50450 Kuala Lumpur Tel. No.: 03 2723 7900 Fax No.: 03 2713 6599 E-mail: kualalumpur.exams@britishcouncil.org.my British Council Penang Wisma Great Eastern Suite 3A.1 & 3A.2 25 Light Street 10200 Penang Tel. No.: 04 263 0330 Fax No.: 04 263 3262 E-mail: penang.exams@britishcouncil.org.my Operating Hours: Monday to Friday: 9.00 am to 7.30 pm Saturday & Sunday: 9.00 am to 5.00 pm Operating Hours: Tuesday to Sunday: 9.00 am to 5.00 pm Note for Kota Kinabalu and Kuching candidates Please submit the following items to British Council Kuala Lumpur office via courier: Completed application form A copy of the bank-in slip (for payment made by bank transfer and cash / cheque deposit) / cheque / bank draft Payment Options Submit to Cash Credit Card British Council KL Office √ √ Cheque / Bank Draft √ British Council Penang Office √ √ √ √ Kota Kinabalu British Council KL Office - - √ √ Kuching British Council KL Office - - √ √ Exam Location Kuala Lumpur Penang Bank Details Payment Description Bank Bank Swift Code Account Number Bank Transfer √ : CIE NOV2015 (Candidate Name) : Citibank : CITIMYKL : 0-115889-028 Cash deposit must be made through the Citibank counter and not via Cash Deposit Machine. Payment description must be stated clearly. Terms of Fee and Payment 1. Payment shall be made payable to “British Council” either by cash, credit card, bank transfer, cheque or bank draft depending on location. 2. Registration will be processed upon receipt and validation of the copy of the bank-in slip (for payment made by bank transfer and cash / cheque deposit), cheque or bank draft submitted by hand/courier together with the application form or by email. 3. Payment made to the respective British Council office is subject to Bank’s transaction terms and conditions. For more information, visit: www.britishcouncil.my www.cie.org.uk www.cambridgestudents.org.uk