PAT 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
Female
-
UCAS ID:
/
Candidate’s
email:
Candidate’s
address:
PAT
Date of birth:
(dd/mm/yyyy)
Telephone
number:
Course code
College code
Physics
(3-year BA)
F
3
0
0
Physics
(4-year MPhys)
F
3
0
3
Physics and
Philosophy
V
F
5
3
Engineering
H
1
0
0
Civil
Engineering
H
2
0
0
Mechanical
Engineering
H
3
0
0
Electrical
Engineering
H
6
2
0
College name
/
Information
Engineering
H
6
3
0
Chemical
Engineering
H
8
0
0
Biomedical
Engineering
H
8
1
1
Materials
Science
F
J
2
2
3. ACCESS ARRANGEMENTS
Not applicable
Maximum of 25% extra
time
Braille question
papers
Supervised rest
breaks
Reason for Access
Arrangement request
(evidence, statement
from school/doctor
etc.)
Modified enlarged A4
question paper
Use of laptop
Reader
Other
(please state in box below)
Scribe
Unmodified A3 question
paper and answer sheet
4. CANDIDATE’S SIGNATURE
CAMB
DATA PROTECTION NOTICE / CONSENT
Please note that by registering and taking the Physics Aptitude Test (PAT), you are agreeing that data provided as part of the entry or
admission process may be passed to the Admissions Testing Service and the University of Oxford, and also that your data may be used for
research purposes.
If you obtain a place for a course where your PAT result was used in the admissions process, you also agree that the University of Oxford
may supply the Admissions Testing Service with data about your results in subsequent assessments whilst you are studying at the
University of Oxford 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.
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 PAT 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 give the Oxford College name from the following list:
Open application
Balliol
Brasenose
Christ Church
Corpus Christi
Exeter
Harris Manchester
Hertford
Jesus
Keble
Lady Margaret Hall
Lincoln
Magdalen
OPEN
BAL
BNC
CCH
CCC
EXT
HMC
HTF
JES
KBL
LMH
LIN
MAG
Mansfield
Merton
New College
Oriel
Pembroke
Queen's
St Anne's
St Catherine's
St Edmund Hall
St Hilda's
St Hugh's
St John's
St Peter's
MAN
MER
NEW
ORL
PBK
QNS
STA
STC
SEH
SHI
SHU
STJ
STP
Somerville
Trinity
University
Wadham
Worcester
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 30 September 2015.
Further information relating to the PAT can be found at www.admissionstestingservice.org/pat