Advanced Placement® Exam REGISTRATION FORM - 2015
Test Center: City Montessori School , Gomti Nagar-I Campus
Vishal Khand-2, Gomtinagar, Lucknow – 226010 Uttar Pradesh, INDIA
Telephone: +91-522-2394740
Contact: Sadaf Fatima (AP Coordinator)
Phone: +91-5222-394740; Mobile: +91-9616831500
Email: gomtinagar_sat@cmseducation.org; gomtinagar1@cmseducation.org; fatima.sadaff@gmail.com
Website: http://www.cmseducation.org/gomtinagar1/ap
Guidelines:
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Cost per AP test : Rs 8,900/-. (Please note that this fee is per exam, and NOT per student. So, if one student is taking 4 different AP
Exams, they will pay a total of 8,900 x 4 = Rs. 35,600/-)
Mode of payment: A Demand Draft in favour of "City Montessori School, Lucknow" payable at "Lucknow".
Registration: Each applicant should submit the filled registration form with payment in form of Demand Draft and bring one valid
photo identity (Passport or National/State ID card preferred, or School ID) in person. Registration deadline is March 27th, 2015.
Submission: The registration form along with the Demand Draft can be submitted between 9.00 am to 12.00 noon to Ms Sadaf
Fatima, AP Coordinator at CMS Gomti Nagar Campus-1 or it can be sent by courier to above address.
Must be under 21 (born after May 31, 1993) to register. Exceptions considered for students who have taken a gap-year between high
school and university, or military service.
Payment Receipt and Admission Ticket will be issued once registration is complete.
Cancellation/Refund Policy: In case a candidate does not appear, 50% of the total registration amount will be refunded in the end of
July 2015.
i.
Student Name ………..………………………………………………………………………………………………………………………………………..
ii.
Permanent Address …………..……………………………………………………………………………………………………………………..…….
...……………….……………………………………………………………………………………………………………………………………………….………..
iii. Email …………………………………………………………………….……..………......
v.
iv. Mobile ……………………………………………
School you are currently enrolled/graduated (include branch if applicable) ………………………………………………………
…………………………………………………………………………………………………………………………………………………………………………..
vi. School Address …………………………………………………………………………………………………………………………..…….……………..
…………………………………………………………………………………………………………………………………………………………..……………..
vii. I am not currently enrolled at a school (Check if yes) 
viii. Current grade ……………………………………..
x.
ix. Date of Birth ……………………………………….
AP exams you want to register for (check all that apply):
Date
Mon, May 5
Tues, Mar 6
Weds, May 7
Thurs, May 8
Fri, May 9
Mon, May 12
Tues, May 13
Weds, May 14
Thurs, May 15
Fri, May 16
Morning (08:00 AM)
 Chemistry
 Environmental Science
 Computer Science
 Calculus AB
 Calculus BC
 English Literature & Composition
 English Language and Composition
 Biology
Afternoon (12:00 PM Noon)
 Psychology
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 Human Geography
 European History
 Microeconomics
United States Government & Politics
United States History
Macroeconomics
World History
Comparative Government & Politics
 Art History
 Statistics
 Physics B
 Physics C: Mechanics
Physics C: Electricity and
Magnetism (14:00 PM)