STEP registration form - sterling

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STEP registration form (for centres invoicing in £ Sterling)
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.
1. CENTRE DETAILS
Centre name:
Address:
Contact name:
Brasshouse Language Centre
Centre number:
2
50 Sheepcote Street
Birmingham
B16 8AJ
Telephone number:
(including country code)
0121 303 1637
Fax number:
(including country code)
0121 464 5375
Email
address:
Jo Johnson
0
1
9
Jo_O_Johnson@birmingham.gov.uk
2. CANDIDATE DETAILS
Family name:
Gender:
First name(s):
Male
Date of birth:
(dd/mm/yyyy)
Female
-
UCAS ID
/
Candidate’s
email:
Candidate’s
address:
University applied to
Telephone
number:
Course code
College code
College name
University of
Cambridge
G
1
0
0
University of
Cambridge
S
T
E
P
University of
Warwick
S
T
E
P
n/a
n/a
Other
S
T
E
P
n/a
n/a
/
9
3. ACCESS ARRANGEMENTS
Not applicable
Modified enlarged A4
question paper
Maximum of 25% extra
time
Reader
Braille question papers
Scribe
Supervised rest breaks
Unmodified A3 question
paper and answer sheet
Use of laptop
Bi-lingual dictionary without
extra time
Other
(please state in box below)
Reason for Access
Arrangement request
(evidence, statement
from school/doctor
etc.)
4. PAYMENT DETAILS
Tick
Paper 1 only
Paper 2 only
Paper 3 only
Paper 1 & Paper 2
Paper 1 & Paper 3
Paper 2 & Paper 3
Paper 1, Paper 2 & Paper 3
Make cheques payable to*
Direct debit payments to*
Send enrolment form with
payment or electronic proof of
payment by 30 April 2013 to*
Admissions Testing Service
fee
£44.25
£44.25
£44.25
£88.50
£88.50
£88.50
£132.75
Brasshouse Language Centre
Brasshouse Language Centre
Total fee including Centre’s fee (where applicable)*
£70.00
£70.00
£70.00
£115.00
£115.00
£115.00
£160.00
Not Applicable
Late entries will be accepted by the Admissions Testing Service from 1 - 24 May 2013. Late entries will be charged an
additional £14.60 per paper.
5. CANDIDATE’S SIGNATURE
AMB
THE ADMISSIONS TESTING SERVICE TERMS
Please note that by registering for STEP Mathematics, you are agreeing that data provided as part of the entry process may be
passed to the Admissions Testing Service and any universities that you have applied to through UCAS, and that data may be used for
research purposes in connection with admissions procedures. You also agree that if you obtain a place for a course where your STEP
Mathematics result was used in the admissions process, then your university and UCAS may supply the Admissions Testing Service
with data about your results in subsequent examinations whilst you are studying, unless you specifically notify the Admissions Testing
Service in writing. The Admissions Testing Service will take reasonable care to keep candidates’ personal details anonymous.
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 STEP MATHEMATICS MUST BE MADE BY REGISTERED CENTRES VIA THE
ADMISSIONS TESTING SERVICE ENTRIES EXTRANET.
Instructions for completing the registration form
Candidate details
Please give your name, gender, 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:
For Cambridge University, please give the College name from the following list:
Christ’s
Churchill
Clare
Corpus Christi
Downing
Emmanuel
Fitzwilliam
Girton
Gonville & Caius
Hughes Hall
A
B
C
Z
D
E
F
G
Y
7
Jesus
King’s
Lucy Cavendish
Magdalene
Murray Edwards
Newnham
Pembroke
Peterhouse
Queens’
Robinson
J
K
L
M
O
N
P
U
Q
R
Selwyn
Sidney Sussex
St Catharine’s
St Edmund’s
St John’s
Trinity
Trinity Hall
Wolfson
Open application
V
3
S
I
X
T
4
W
9
For Oxford University, please give the 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
SHE
SHI
SHU
STJ
STP
Somerville
SOM
Trinity
TRI
University
UNI
Wadham
WAS
Worcester
WOR
Permanent Private Halls
Blackfriars
Campion Hall (M)
Greyfriars
Regent's Park
St Benet's Hall (M)
St Stephen's House
Wycliffe Hall
BKF
CAM
DRY
RPK
STB
SSH
WYC
Universities applied to
If you have applied to a university other than those listed above which has requested STEP, you should be entered for STEP under
’Other’ with the course code STEP. If you have applied to the University of Cambridge for a course other than G100 Mathematics, you
should be entered under the ‘University of Cambridge’ with the course code STEP.
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 below 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.









Maximum of 25% extra time
Braille question papers
Unmodified A3 question paper and answer sheet
Modified enlarged A4 question paper
Reader
Scribe
Supervised rest breaks
Use of laptop for Section 3
Other
Requests for modified question papers (Braille, enlarged paper etc.) must be received by 2 April 2013.
Further information relating to STEP Mathematics can be found at www.stepmathematics.org.uk
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