CIE - BRITISH COUNCIL REGISTRATION FORM FOR
O Level, IGCSE, AS & A LEVEL EXAMS – 2015
Candidate’s
Photograph
PLEASE READ BOTH SIDES OF THIS FORM CAREFULLY BEFORE YOU SIGN
NOTE:
1. The British Council only registers candidates for Cambridge International Exams.
2. You must not register for any subject with a practical component. These subjects include
a. All A & AS Level Sciences subjects;
b. IGCSE Options with practical component in Chemistry, Biology & Physics
c. ICT
3. You MUST ensure that the entry details are accurate. Any changes made after the registration
documents have been submitted to Cambridge may be charged a penalty fee and this will
include an additional registration fee.
4. Please ensure that you collect your Statement of Entries before the start of your exams. Kindly
note that we will not be held responsible should you miss an exam as a result of not collecting
your Statement of Entry.
NO Refunds once registration has been submitted by the candidate and the first entry
deadline has passed
Syllabus name
Syllabus code
Ensure that this
code is accurate
using the
syllabus code
book.
Level (A, O
Option code
Level, IGCSE, AS)
Indicate the
correct level for
each entry
Component
(papers)
Amount
(No exams with
practical
components will
be offered)
TOTAL
Candidate’s Particulars
1.
Family Name (Surname)
______ __________________________
2.
Other name(s)______ ____________________________________________
3.
P O Box ________________Code ________________Town ______________
4.
Mobile Tel. Number.
______________________________ (We may use
your phone number to send you an SMS with details about your exam, or last minute
changes.) *** Please ensure it is accurate****
2
5.
Date of Birth ______/______/_____ (day/month/year) Gender Female / Male
6.
Nationality:_______________________________
7.
E-mail address (if any). Please print clearly ____________________________
8.
ID/Passport Number __________________________ (All non-Kenyans MUST
attach a copy of their passport)
9.
Do you have any special needs due to health/medical conditions? ___________
If yes, please specify your requirements below. Please note that you must supply a
full medical report supporting this request. You must also see a member of the
Exams Team for submission of the special request. Kindly do this before you leave.
It is your responsibility to receive confirmation from the Exams Team of any special
arrangements that you may require
________________________________________________________________
** Viewed by Exams Team – Name_______________Signature ____________
FEE PAYMENT
1) KNEC fee @ 2,000/- per candidate =
2,000/-
Amount ______________________
2) CIE fee for O Level, IGCSE, AS Level and A
Level (Please see the CIE Fee Price List for
Private Candidates)
Date fee was banked_____/______/______
Total Banked (attach bank slip) __________
The exam fee is correct YES/NO (tick one)
There is overpayment (candidate must be
given the refund form)
There is underpayment (registration will be
pended until full fee is received)
Amount __________________________
Is there a special needs request? Has CST
personally notified Exams Team?
TOTAL TO BE PAID: ________________________
British Council Customer Service staffer who
handled the registration + confirmed as
accurate and complete
Name: _____________________
Signature: ____________________
** For Refund, please ask to see our Refunds Policy**
Disclaimer
The British Council and the Examining Boards take all reasonable steps to provide continuity of service. We feel
sure 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 re-testing at a later date. Please note that your data will be passed to Cambridge and other
3rd Parties.
Kindly note that electronic items are not allowed into the British Council premises or in the Exam Room
Candidate’s Signature _____________________Date_____________________
Effective January 2015