BULGARIA CAMBRIDGE ENGLISH EXAMINATIONS INDIVIDUAL REGISTRATION FORM CLA Centre No: BG001 Candidate number: Please write in CAPITAL LETTERS OR TYPE. This form may be printed or photocopied. Registrations sent by fax or email cannot be accepted. The form must be signed, dated and submitted to us. Please tick the exam you wish to register for in one of the boxes below in the appropriate column (computer or paper based). Write the date of the exam and then complete the information on the rest of the pages. Examination date: Which Exam? Computer- Based Paper- Based First Certificate In English (FCE) First Certificate In English (FCE) For Schools Certificate In Advanced English (CAE) Certificate Of Proficiency In English (CPE) Key English Test (KET) Preliminary English Test (PET) Key English Test (KET) For Schools Preliminary English Test (PET) For Schools Business English (BEC) Preliminary Business English (BEC) Vantage Business English (BEC) Higher International Legal English Certificate (ILEC) International Certificate In Financial English (ICFE) Teaching Knowledge Test (TKT) Module........ Where would you like to take the exam? (Please use numbers to indicate the order of your Please Choose preferences) Important! Examinations Services may not be able to Sofia organise an exam session at your preferred town, if the Varna number of registered candidates does not meet the Plovdiv Centre’s minimum entry requirements. Bourgas Stara Zagora You should indicate your 2nd and 3rd choices in case V. Tarnovo we are not able to organise the exam in a given town. Pleven Other The Centre reserves the right for a final decision on the choice of examination venues. First Certificate In English (FCE) First Certificate In English (FCE) For Schools Certificate In Advanced English (CAE) Certificate Of Proficiency In English (CPE) Key English Test (KET) Preliminary English Test (PET) Key English Test (KET) For Schools Preliminary English Test (PET) For Schools Business English (BEC) Preliminary Business English (BEC) Vantage Business English (BEC) Higher Teaching Knowledge Test (TKT) Module ........ Page 1 of 5 PERSONAL DETAILS Gender Male Female Family name First and middle name(s) Date of birth: Passport/National ID card number (please state which) Date Month Year Postal address for correspondence Post code: City/Town/ Village: Email address Telephone(s), mobile Parents’/Legal guardians’ contact number (if you are under 18) Where are you preparing for the exam? Do you know about dates when you cannot sit Speaking within the announced Speaking periods? Give a reason for each date given. The Centre may not be able to consider your preferences and reserves the right to schedule your speaking exam appointment on any of the dates within the official speaking exam window Do you have any special exam needs (hearing/visual impairments)? If yes, please state & support with medical documents. Please contact the Centre 3 weeks before the deadline for registration as additional forms and medical documentation are required. Cambridge English Language Assessment holds the copyright on all question papers and examination material. Your answers and other work done by you as part of an examination are the property of Cambridge English Language Assessment and will not be returned to you, your school or centre. British Council is committed to deliver the examinations services according to the rules and regulations set by Cambridge English Language Assessment. However, we cannot be held responsible for any interruptions, which are caused by circumstances beyond our control. If examinations or their results are disrupted, cancelled, or delayed, every effort will be made to resume normal services as soon as possible and the British Council liability will be limited to the refund of the registration fee or re-testing at a later date. Page 2 of 5 GENERAL TERMS AND CONDITIONS TEST DATE TRANSFER Once you have registered and before the deadline for registration, you will be able to transfer your entry to a future examination or to cancel your registration for no charge. After the deadline for registration and before the test date, you will be able to transfer your entry to a future examination for an administrative fee of 50% of the standard registration fee for the particular level. All requests for a test day transfer will only be accepted if submitted in writing. SPECIAL ARRANGEMENTS Please tell us if you have a permanent or long-term disability. Examination services and Cambridge English Language Assessment are ready to make suitable arrangements for such candidates whenever possible provided that we have received your application at least three weeks before the deadline for registration, supported by medical documents. EXAM DATE CANCELLATION Examinations Services reserve the right to cancel an exam if the number of registered candidates does not meet the Centre’s minimum entry requirements. REFUNDS If you are unable to sit your examination because of illness, Cambridge English Language Assessment will accept requests for partial refunds (50% of the exam fee paid), that are made through our Centre and accompanied by an original medical document (bolnichen list for candidates who are employed, or medicinska belezhka accompanied by ambulatoren list for candidates who are not employed). If you are over 18 years old, but not employed, you have to submit proof (a copy of a university or school student card, registration as unemployed, etc.). The statement should be submitted to Examinations Services, British Council Bulgaria, within five calendar days of the fixed written examination date. If you are taken ill on the Speaking date, please contact us immediately to check if a new arrangement is possible. An administrative fee of BGN 60 may be applied for any Speaking interview transfer for nonmedical reasons. No refund will be issued in respect of a timetable clash with a local or other examination as well as with professional commitments and planned trips. COMPLAINTS If you wish to make a complaint, you must do so in written before you leave the test venue (for computer-based exams) or within three calendar days of the test date (for paper based exams). CONFIRMATION OF ENTRIES AND EXAMINATION TIMETABLES All candidates will receive their Confirmation of Entry email with detailed timetable information including venues for all exam components, Notice to Candidates and Summary Regulations for Candidates by email. If you have not received these documents it is your responsibility to contact Examinations Services at British Council for details at least three weeks in advance before the paper-based exam or one week before the computer-based exam. I wish to be registered for this examination and declare that: 1. I accept the Cambridge ESOL regulations as outlined in the Summary Regulations for Candidates and the British Council arrangements. 2. I agree the British Council to pass on my personal data to Cambridge ESOL for the administration of the examination. 3. I accept the Cambridge English Language Assessment Terms and Conditions as outlined above 4. Only for candidates who are registered by their school of preparation: My personal details will be passed on to my school for statistical purposes. 5. Only for candidates who wish to be admitted for a paper-based or a computer-based session of KET*/PET/FCE/CAE/CPE/BEC/ILEC/ICFE: (for candidates under 18 an additional Parents’ / Legal guardians’ declaration of consent is required and can be downloaded from our website) I consent to have my photo taken by the centre on the day of the Speaking test and/or the written papers. I agree for this photo to be held on the secure Cambridge English language Page 3 of 5 Assessment Results Verification website, and the photo shall only be available to organisations/individuals that I give my details to or that I authorise to view my result. *Candidates for Cambridge English: Key (KET) will only be photographed if they want to use their result for immigration purposes and need a test day photo. If you are a KET candidate and would like to use your result for immigration purposes, please tick the box and inform us at registration: 5. Additionally, if I use my exam result for a visa/immigration application I agree for the exam result to be available on other sites shown at http://www.cambridgeenglish.org/cambrifgeenglish-for/visas-and-immigration if I give my consent. I hereby authorise the following to access my information (tick if appropriate): UKVI United Kingdom Visas and Immigration Fill in if you ticked yes, on the question above Reason for Exam Passport No Passport Expiry I give consent for my voice to be recorded on the test day I give consent for my details to be sent to the UKVI United Kingdom Visas and Immigration By signing this form I declare that I am aware of and agree to comply with the Terms and Conditions of this examination. Signature Date: NEWSLETTER SUBSCRIPTION We may want to use your information to send you details of British Council activities, services and events (including social events) which you may find of interest. Yes, I would like to receive information about British Council activities, services and events. DATA PROTECTION The British Council will use the information that you are providing to register you for a Cambridge English Language Exam. Your personal information will be used in line with British Council standards. The British Council will treat all personal information in accordance with the UK Data Protection Act 1998, Bulgaria’s Personal Data Protection Law and its own privacy policy. The British Council will not sell or disclose your details to third parties for commercial reasons. Under Data Protection law you have the right to ask for a copy of the information we hold on you, for which we may charge a fee, and the right to ask us to correct any inaccurate information. If Page 4 of 5 you want more information about this please contact your local British Council office at bc.sofia@britishcouncil.bg or the data protection team dataprotection@britishcouncil.org. ABOUT US British Council is the United Kingdom’s international organisation for cultural relations and educational opportunities. A registered charity: 209131 (England and Wales) SC037733 (Scotland). British Council – branch Bulgaria is registered as a branch of a foreign non-profit organisation in public benefit with local tax number 176540548. PAYMENT DETAILS (office use only) FEE (in BGN): Date of payment / / (day / month / year) Cash Receipt Number: Bank Transfer Number: ID checked (please tick) Signature of registering officer: BRITISH COUNCIL Examination Services 7 Krakra Street 1504 Sofia, Bulgaria T +359 (0) 2 942 43 44 exams@britishcouncil.bg www.britishcouncil.bg Page 5 of 5