MAT registration form - Admissions Testing Service

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MAT registration form
This form is designed as an aid for centres making entries via the Admissions Testing Service Entries Extranet. It will NOT
be accepted as an entry by the Admissions Testing Service.
Please refer to the Instructions for completing the registration form which appear later in this document.
1. CENTRE DETAILS
Centre name:
Centre number:
Telephone number:
(including country code)
Address:
Fax number:
(including country code)
Email
address:
Contact name:
2. CANDIDATE DETAILS
Family name:
Gender:
First name(s):
Male
UCAS ID:
-
/
Candidate’s
email:
Candidate’s
address:
Universities applied to
Date of birth:
(dd/mm/yyyy)
Female
Telephone
number:
Course code
College code
College name (if applicable)
/
3. ACCESS ARRANGEMENTS
Not applicable
Maximum of 25% extra
time
Braille question papers
Supervised rest breaks
Modified enlarged A4
question paper
Use of laptop
Reader
Other
(please state in box below)
Scribe
Unmodified A3 question
paper and answer sheet
Reason for Access
Arrangement request
(evidence, statement
from school/doctor
etc.)
4. CANDIDATE’S SIGNATURE
AMB
DATA PROTECTION NOTICE / CONSENT
Please note that by registering and taking the Mathematics Admissions Test (MAT), you are agreeing that data provided as part of the entry or
admission process may be passed to the Admissions Testing Service, the University of Oxford and Imperial College London, and also that
your data may be used for research purposes.
If you obtain a place for a course where your MAT result was used in the admissions process, you also agree that the University of Oxford and
Imperial College London may supply the Admissions Testing Service with data about your results in subsequent assessments whilst you are
studying at the University of Oxford or Imperial College London for the purposes of on-going predictive validity studies. We store personal data
securely and will ensure that if your data is used in any publications or research that it is used anonymously. You can withdraw your consent
for your data to be used in the evaluation exercise by requesting this in writing from the University of Oxford or Imperial College London.
CENTRE’S TERMS*
SIGNATURE ____________________________________________________________________
DATE ______________________
*Centres should update this part of the form to suit their centre’s local terms.
PLEASE RETURN THIS FORM TO YOUR CENTRE.
THIS REGISTRATION FORM SHOULD NOT BE RETURNED TO THE ADMISSIONS TESTING SERVICE.
ALL ENTRIES FOR MAT MUST BE MADE BY REGISTERED CENTRES VIA THE ADMISSIONS TESTING
SERVICE ENTRIES EXTRANET BY 18.00 BST ON 15 OCTOBER 2015.
Instructions for completing the registration form
Candidate details
Please give your name, gender and date of birth exactly as provided to the universities or UCAS. Please select the universities in the list
that you have applied to, and give the course code that you are applying for:
Institution
Course Codes
University of Oxford (O33)
Imperial College London (I50)
G100 Mathematics
GG14 Mathematics and Computer Science
GV15 Mathematics and Philosophy
GG13 Mathematics and Statistics
G400 Computer Science
IV15 Computer Science and Philosophy
G100 Mathematics (3-year course)
G103 Mathematics (4-year course)
G125 Mathematics (Pure Mathematics)
GG31 Mathematics, Optimisation and Statistics
G104 Mathematics with a Year in Europe
G1F3 Mathematics with Applied Mathematics/Mathematical
Physics
G102 Mathematics with Mathematical Computation
G1G3 Mathematics with Statistics
G1GH Mathematics with Statistics for Finance
For Oxford University, please give the College name from the following list:
Open application
OPEN
Balliol
Brasenose
Christ Church
Corpus Christi
Exeter
Hertford
Jesus
Keble
Lady Margaret Hall
Lincoln
BAL
BNC
CCH
CCC
EXT
HTF
JES
KBL
LMH
LIN
Magdalen
Mansfield
Merton
New College
Oriel
Pembroke
Queen’s
St Anne’s
St Catherine’s
St Edmund Hall
St Hilda’s
St. Hugh’s
MAG
MAN
MER
NEW
ORL
PBK
QNS
STA
STC
SEH
SHI
SHU
St. John’s
St Peter’s
Somerville
Trinity
University
Wadham
Worcester
STJ
STP
SOM
TRI
UNI
WAD
WOR
Please consult the University of Oxford website to ensure that your chosen College is accepting applications for your chosen course.
Access arrangements
If you are normally allowed access arrangements such as extra time or enlarged papers to take public examinations, please
note this on your registration form. Please see section 3 of this form for a list of access arrangements available. If your
access arrangement is not listed, please provide more detail of it on the registration form. It is your responsibility to make
your centre aware of any access arrangements you may need.
Requests for modified question papers (Braille, enlarged paper etc.) must be received by 30th September 2015.
Further information relating to the MAT can be found at www.admissionstestingservice.org/mat
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