Cambridge International Examinations

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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
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