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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)

Passport Expiry Date: _________________________________ (Please attach copy)

Mobile number: __________________________ Telephone number: ________________

Email address: ___________________________________________________

Previous Exam details: (if applicable) ____________________

Previous Centre no. /Candidate no: _________ / _________

(Candidates who are carrying forwarding their marks/reappearing for the exam taken in the previous session MUST enter their candidate details above and attach a copy of the result (June 2014 and Nov 2014.)

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.

GCE O Level Exam Entry Details

|Candidates must tick (() the subject code/s and option code for which they want to register. |

| # |Subject title |Code |Component information |Options (tick as |Fee per |Enter fee for |

| | | | |required) |subject |chosen subject |

|1 |Additional Mathematics |4037 |12: Paper 12 |( AY: 12,22 |AED. 645 | |

| | | |22: Paper 22 | | | |

| |May not be taken in the same examination session as 0606 |

|2 |Bangladesh Studies |7094 |1: History and Culture of Bangladesh |( 1,2 | | |

| | | |2: Environment and Development of Bangladesh | |AED. 645 | |

| |May not be taken in the same examination session as 0449 |

|3 |Biology |5090 |12: Multiple Choice |( BY:12,22,62 | | |

| | | |22: Theory | |AED. 725 | |

| | | |62: Alt. to Practical | | | |

| |May not be taken in the same examination session as 0610, 0653, 0654, 5129 |

|4 |Business Studies |7115 | |( Y: 12,22 |AED. 645 | |

| | | |12: Short Answer/Structured Response | | | |

| | | |22: Case Study | | | |

| |May not be taken in the same examination session as 0450 |

|5 |Chemistry |5070 | |( BY:12,22,42 |AED. 725 | |

| | | |12: Multiple Choice | | | |

| | | |22: Theory | | | |

| | | |42: Alt. to Practical | | | |

| |May not be taken in the same examination session as 0620, 0652, 0653, 0654 or 5129 |

|6 |Combined Science |5129 | |( AY:12,22 |AED. 645 | |

| | | |12: Multiple Choice | | | |

| | | |22: Theory | | | |

| |May not be taken in the same examination session as 0610, 0625, 0652, 0653, 0654, 5054, 5070, 5090 |

|7 |Commerce |7100 |12: Multiple Choice |( Y: 12,22 |AED. 645 | |

| | | |22: Written | | | |

|8 |Computer Science |2210 |12: Paper 12 Theory |( AY: 12,22 |AED. 645 | |

| | | |22: Paper 22 Problem – Solving and | | | |

| | | |Programming | | | |

| |May not be taken in the same examination session as 0478 |

|9 |Economics |2281 |12: Multiple Choice |( Y: 12,22 |AED. 645 | |

| | | |22: structured Questions | | | |

| |May not be taken in the same examination session as 0455 |

|10 |English Language |1123 |12: Writing 12 |( Y: 12,22 |AED. 645 | |

| | | |22: Reading 22 | | | |

| |May not be taken in the same examination session as 0500, 0510 or 0511. |

|11 |Environmental Management |5014 |12: Paper 12 |( Y: 12,22 |AED. 645 | |

| | | |22: Paper 22 | | | |

| |May not be taken in the same examination session as 0680 |

|12 |First Language Urdu |3247 |1: Reading & Writing |( A: 1,2 |AED. 645 | |

| | | |2: Texts | | | |

| |May not be taken in the same examination session as 3248 |

|13 |French |3015 |12: Translation & Composition |( AY: 12,22 |AED. 645 | |

| | | |22: Reading Comprehension | | | |

| |May not be taken in the same examination session as 0501 or 0520 |

|14 |Geography |2217 | |( Y: 12,22 |AED. 645 | |

| | | |12: Geographical Themes | | | |

| | | |22: Investigation and Skills | | | |

| |May not be taken in the same examination session as 0460 |

|15 |History (Modern World |2134 |1: Modern World Affairs |( 1, 2 |AED. 645 | |

| |Affairs) | |2:International Relations and Developments | | | |

| |May not be taken in the same examination session as 0470. |

|16 |Islamiyat |2058 |12: Paper 12 |( AY: 12,22 |AED. 645 | |

| | | |22: Paper 22 | | | |

| |May not be taken in the same examination session as 0493 |

|17 |Literature in English |2010 |12: Poetry and Prose 12 |( AY:12, 22 |AED. 645 | |

| | | |22: Drama 22 | | | |

| |May not be taken in the same examination session as 0486 |

|18 |Mathematics Syllabus D |4024 |12: Paper 12 |( Y: 12,22 |AED. 645 | |

| |(Calculator) | |22: Paper 22 | | | |

| |May not be taken in the same examination session as 0580 or 0607 |

|19 |Pakistan Studies |2059 |1: History and Culture of Pakistan |( 1,2 |AED. 645 | |

| | | |2: Environment of Pakistan | | | |

| |May not be taken in the same examination session as 0448 |

|20 |Physics |5054 |12: Multiple Choice |(BY: 12,22,42 |AED. 725 | |

| | | |22: Theory | | | |

| | | |42: Alt. to Practical | | | |

| |May not be taken in the same examination session as 0625, 0652, 0653, 0654, 5129 |

|21 |Principles of Accounts |7110 | |( Y: 12, 22 |AED. 645 | |

| | | |12: Paper 12 (Multiple Choice) | | | |

| | | |22: Paper 22 (Structured) | | | |

| |May not be taken in the same examination session as 0452, 9706 |

|22 |Religious Studies (Bible |2048 |12: Luke & Acts (1-21:15) Short-Answer |( Y: 12, 22 |AED. 645 | |

| |Knowledge) | |Questions | | | |

| | | |22: Luke & Acts (1-21:15) Essay Questions | | | |

|23 |Second Language Urdu |3248 |1: Composition & Translation |( A: 1, 2 |AED. 645 | |

| | | |2: Lang. Usage, Summary & Comprehension | | | |

| |May not be taken in the same examination session as 3247 |

|24 |Sociology |2251 |12: Paper 12 |( Y: 12, 22 |AED. 645 | |

| | | |22: Paper 22 | | | |

| |May not be taken in the same examination session as 0495 |

SMS information

Do you want to receive your May/ June 2015 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 mobile number.

Candidate Name: …………………………………………………..…………………………………………………

Mobile Phone Number: …………………...…………………………………………………………………..

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

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: ____________________

-----------------------

Please write your name on back of the three recent coloured photographs and staple here.

No of Subjects____________= AED.__________________

Late Fees: ______________________Cash taker: _____________________ Checked by Exams: ______________

Total fees Paid: AED ______________ Receipt No: ___________ WBS:G/153/01/001/001/002(AbuDhabi)

G/154/01/001/001/002 (Dubai)

Date: _______________________

For office use only

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