British Council, PO Box 30222
Capital City, Lilongwe 3, Malawi
T +265 (0)1 773 244
F +265 (0)1 772 945
www.britishcouncil.org/malawi
CAMBRIDGE INTERNATIONAL PRIMARY PROGRAMME
REGISTRATION FORM
May Session
PHOTO
Form No……..…………
Please note that registration for the May/June session starts on4th January
and closes on 12th February 2016
Indemnity:
1.
Please fill in all your particulars including the reliable contact addresses and telephone numbers. Your
contact details below will be used in all correspondence with you.
2. The British Council will not be held responsible for loss or damage to documents sent by post.
3. Please note that certificates and statements of results will be sent to candidates except where prior
arrangement has been made by the candidate with the British Council.
4. Candidates may authorise relatives or friends to collect statements of results and certificates on their behalf
by submitting a signed letter plus their identities.
5. The British Council will not be held responsible for the loss of documents, certificates and statement of
results collected on their behalf by the authorised friends and relatives.
6. Replacements of lost certificates and statements of results attract a fee. Please contact us for fee details and
procedures on how to obtain replacement certificates and results from Examination Boards.
7. Refund of fees will only be made if British Council are notified of the withdrawal of candidate before the
published entry closing date. All claims will attract a refund fee of 20% of the total fees paid to the British
Council.
8. Each candidate is required to submit a passport size photo, which must be attached to this application and
submitted together with the payment.
9. It is the responsibility of candidates to ensure that they fill in the correct codes subjects, units and modules
they would like to take.
10. Please select the venue where you would like to write the examinations. British Council has the right to
change venues but candidates affected will be notified before the exams are held.
11. Payment of fees to the British Council is confirmation of acceptance of these terms and conditions. Payment
must be made directly into British Council bank account at Standard Bank - Capital City Branch Account No. 0140003540900
12. Candidates requiring special assistance to enable them take their exams e.g. disabled are kindly requested to
notify the exams department of the British Council in advance
Declaration by the principle/headmaster:




I make this entry according to the provisions of the published regulations, which I have studied.
I have given all the information required truthfully and accurately to the best of my knowledge and belief.
I understand that I shall be allowed to sit only for those subjects and papers for which I have entered on this
form.
I have not made an entry at another centre.
Signature of principle/headmaster
(Mr/Mrs/Miss/Ms) ________________________________________ Date: ____________________________________________
A.
Candidate personal details in Capital Letters
1. Surname
3. Gender
(Please tick)
F
M
2. Other Names
4. Date of Birth
Date
Month
5. Please choose the venue convenient to you by (Circle it)
Year
Blantyre
Zomba
6. Please indicate school where you are currently studying:
7. Contact Address (parent’s/guardian’s):
10. Telephone:
11. E-mail:
Lilongwe
Mzuzu
B.
This section must be filled by candidate’s principle/headmaster (Please consult subject entry guide
below)
Syllabus Name
C.
Syllabus
Code
Option
Code
Component
Code
This section will be filled by British Council staff only
Registration Fee Paid (MK)
Date paid
Declaration by British Council officer
For the purposes of preventing impersonation in the examination I have examined documentary evidence of the kind
indicated above and am satisfied as to the true identity of the person making this examination entry.
Signature: ________________________________Date: ___________________________________________________
D. CIPP subject entry guide
Syllabus Name and
Code
English
0841
Mathematics
0842
Science
0843
Component Information
1: CIPAT English Paper 1
2: CIPAT English Paper 2
1: CIPAT Mathematics Paper 1
2: CIPAT Mathematics Paper 2
3: CIPAT Mental Mathematics
1: CIPAT Science Paper 1
2: CIPAT Science Paper 2
Duration
Option Code
Notes
Option Code
Components
Leave Blank
1, 2
Option Code
Components
Leave Blank
1, 2, 3
Option Code
Components
Leave Blank
1, 2
Registration fee per subject = Primary £28.35 and secondary £38..80)
Disclaimer: The British Council and the examining boards take all reasonable steps to provide continuity of service.
We feel 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 retesting at a later date.