Cambridge International Examinations AS level - May / June 2014 Dubai First Name: ____________________________________Family Name________________________________ (Please write your full name as it appears on your Passport. Any inaccuracies must be reported to the British Council immediately) Date of Birth: ……/…..…/……… Gender: M/F (Please circle as appropriate) Please write your name on back of the three recent Mobile number :(ETISALAT ONLY) ___________________ Telephone number: ________________ coloured Email address: ___________________________________________________ photographs and staple here. Previous Exam details: (if applicable)______________ Passport Expiry Date: ___________________ ____________(Please attach copy) Previous Centre no. /Candidate no.: _________ / _________ (Candidates who are reappearing for the exam taken in the previous session MUST enter their candidate details above and attach a copy of the result.) Please turn overleaf to choose subjects for which you would like to register. Declaration by candidate: 1. I certify that the information on this form is complete and accurate to the best of my knowledge and that I have referred to the syllabus to ensure that I am registering for the correct subject and option. 2. I understand that I am liable to pay fees for any entry/amendment made after the initial registration. 3. I have not and will not make an entry for chosen subject/s or different subject/s at any Centre/School/Exam Board which may result in a timetable clash. The British Council will not facilitate for clash between subjects/ boards, as separate venues will be used during this session. 4. I confirm that, in order to qualify for registration as a private candidate: (Tick as applicable) a) I am not currently registered at a school in the UAE recognized by the Ministry of Education b) I am at a school recognized by the Ministry of Education but have provided a ‘No Objection Certificate’ from the school with this application which states that the subject(s) I am entering for is/are not being offered by my school. I understand that: 5. I shall be allowed to sit only for those subjects and papers for which I have entered on this form. 6. Fees mentioned within the form are neither refundable nor carried forward to next examination session under any circumstances. 7. I shall produce my original receipt of payment and passport when collecting my Statement of Entry (2 weeks before the examination session begins) and my original Statement of Entry when collecting the results (2 months after the exams). 8. The British Council reserves the right to disallow me to take the examination if they are not satisfied with the identification produced at the time of collection of Statement of Entry or during the examination. 9. I am aware that as a private candidate, my certificate will not be endorsed by the Ministry of Education and Youth (MoEY) and I will not be able to continue my studies in any private school in the U.A.E. Signature of candidate: _____________________________Date: ___________________ The British Council prides itself on providing quality service and will take all reasonable steps to make sure that the examinations take place on time and are properly conducted. To help us do this, please ensure that you are familiar with the arrangements and any relevant regulations concerning your examination. The British Council can not, however, be held responsible for events or circumstances, which are outside its control or for any error, fault or omission by an examining board or any other third party. For office use only Candidate GCE Fee: AED. 295 + (No of Subjects (AS) _____X AED.____+ Venue Fee AED. 75 (per module) = _____ Late Fees: __________________Cash taker: _______________________ Checked by Exams: ____________ Total fees Paid: _______________________ Receipt No: ___________ Date: _______________________ WBS: G/154/01/001/001/003 (Dubai) The United Kingdom’s international organisation for educational opportunities and cultural relations. We are registered in England as a charity. Cambridge International Examinations AS level - May / June 2014 Dubai GCE AS level Entry Details: Candidates must tick () the subject code/s and option code for which they want to register. # 1 2 3 4 5 6 7 Subject title Subject Code Component information Options (tick as required) Fee per subject 12: Multiple Choice (Core) SY: 12,22 22: Structured Questions (Core) May not be taken in the same examination session as 7110 12: Short Answer/Essay Business Studies 9707 SY: 12,22 22: Data Response 12: Written Paper 12 Computing 9691 S2: 12,22 22: Written Paper 22 12: Multiple Choice (C) Economics 9708 SY: 12,22 22: Data Response & Essay (C) 12: Passages English Language 9093 SY 12,22 22: Writing May not be taken in the same examination session as 8695 22: Reading and Writing First Language 8665 Y 22,42 Spanish 42: Texts 42 May not be taken in the same examination session as 8673, 8685 or 9719 AED. 495 + Venue Fee Y: 42 only AED. 495 + Venue Fee Y: 12 only AED. 495 + Venue Fee SY: 12 only AED. 495 + Venue Fee Accounting French literature 9706 8670 42: Texts Enter stated fee for chosen subject AED. 495 + Venue Fee AED.495 + Venue Fee AED. 495 + Venue Fee AED. 495 + Venue Fee AED. 495 + Venue Fee May not be taken in the same examination session as 9716 8 General Paper 8004 12: Papers 12 9 Geography 9696 12: Core Geography 12: Document Question AED. 495 + SY:12,22 22: Outline Study Venue Fee A Level options will be available in this syllabus starting in June 2015. May not be taken in the same examination session as 9697 Language & 22: Composition AED. 495 + Literature in 8695 AY: 22, 92 92: Poetry, Prose, Drama Venue Fee English May not be taken in the same examination session as 9093 or 9695 12: Paper 1 AED. 495 + Law 9084 22: Paper 2 SY: 12,22 Venue Fee History 10 11 12 13 14 9389 Literature 32: Poetry and Prose 9695 in English 42: Drama May not be taken in the same examination session as 8695 1: AS Structured Questions 2: AS Data-Handling and Marine Science 9693 SY: 32, 42 AED. 495 + Venue Fee S: 1,2 AED. 495 + Venue Fee Free- Response S4: 12,22 S5: 12,42 S6: 12,62 15 Mathematics 9709 12: Paper 12 22: Paper 22 42: Paper 42 62: Paper 62 16 Psychology 9698 12: Core Studies 12 22: Core Studies 22 SY: 12,22 AED. 495 + Venue Fee 17 Sociology 9699 12: Essay 22: Data Response SY: 12,22 AED. 495 + Venue Fee 18 Thinking Skills 9694 12: Problem Solving M/C SY: 12, 22 AED. 495 + Venue Fee 19 Urdu Language 8686 SB: 2,3 AED. 495 + Venue Fee 22: Critical Thinking 2: Reading & Writing 3: Essay AED. 495 + Venue Fee If there are any subjects not listed on the form that you would like to take please contact the British Council, Dubai – Toll Free No: 600529995 Page 2 of 4 Cambridge International Examinations AS level - May / June 2014 Dubai SMS information Do you want to receive your May/June 2014 Cambridge International Examinations (CIE) session related information as soon as they are available straight through to your UAE mobile phone wherever you are? If the answer is YES, then all you have to do is register for this service, leaving the following details: Please note that we will SMS/contact you for the following: Date of your Oral examination if you are taking an Oral Option Date of Statement of Entry/Venue Notice is ready for collection Date your Statement of Provisional- and Final- Results are ready for collection Date your Certificate is ready for collection The British Council gives no guarantee as to the accuracy of all or any such information. You should wait until you receive your Final Results before starting an EAR procedure based on that information. It is your responsibility to provide the British Council with accurate and up-to-date information and neither the British Council nor the Awarding Body will accept any responsibility in the event that this information fails to reach you by SMS, whether due to any technical fault or due to the loss or theft of your mobile phone or any other circumstances. The British Council will only be able to SMS you to a UAE ETISALAT mobile number. Candidate Name: …………………………………………………………………………………… Mobile Phone Number: 050 / 056 .…………………………………………………………… E-mail Address: …………………………………………………………………………………….. DATA PROTECTION The British Council will use the information that you are providing to send you your Exam information only and your details will not be passed on to any organisations outside the British Council. By signing below you agree that we may do this. Signed………………………………………………………Date………………………………… 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. If you want us to contact you in this way, please tick this box. If you do not tick this box, we can not send you any information If there are any subjects not listed on the form that you would like to take please contact the British Council, Dubai – Toll Free No: 600529995 Page 3 of 4 Cambridge International Examinations AS level - May / June 2014 Dubai Check list I have signed the Application form I have provided 3 recent passport sized photographs (signed on the back). Photographs must meet the requirements below. Photographs must: 1. be identical 2. be no more than 6 months old 3. be taken against plain background so that features are clearly distinguishable 4. be undamaged 5. be in sharp focus and clear 6. show the candidate looking straight at the camera 7. not show any reflection or glare on glasses 8. not show anything covering the face, the outlines of eyes, nose or mouth I have attached a copy of my most recent previous result (Statement of Marks) I have attached a clear copy of my passport (pages showing personal identification details and expiry date) I have ensured that my passport will be valid all through my examination session I have paid the examination fees (your application will not be processed without this ) I have attached a NOC from the principal of my school (if you are currently a school student) I have read and understood the Candidate information flyer Signature of candidate:__________________________ Date:____________________ If there are any subjects not listed on the form that you would like to take please contact the British Council, Dubai – Toll Free No: 600529995 Page 4 of 4