DEPARTMENT OF Cambridge O Level, IGCSE & SSC Examinations

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APPLICATION FORM

If you are printing this form, please print on both sides of a single A4 Sheet

DEPARTMENT OF PUBLIC EXAMINATIONS

Cambridge O Level, IGCSE & SSC Examinations

October / November 2012

ID CARD INFORMATION

ID card Number

ID card Serial Number

CENTRE INFORMATION

Centre name

Atoll

Island

CANDIDATE INFORMATION

Full name (as in ID Card in BLOCK letters)

NORMAL ENTRY

For OFFICIAL USE only Candidate number

Centre number

Permanent address Current address Date of birth Contact

Atoll Atoll

DAY

Telephone

Island Island

MONTH

YEAR

Mobile

Address

Address ( House name )

Gender

Male

Female

E-mail

( District )

PARENT INFORMATION (If candidate is below 18 years)

Full name

Permanent address Atoll

Island

Contact

Telephone

Mobile

E-mail

Address

Relationship

DECLARATION OF CANDIDATE AND PARENT

I declare that the information I have provided in this application form is, to the best of my knowledge and belief, correct and complete. I recognise that I am liable to pay fees for any entry amendments made after entry deadline. I understand that I shall be allowed to sit only for those subjects and papers which I have entered on this form. I have not submitted an exam entry at any other centre / school except for the above entry.

Candidate's Signature Date

FOR OFFICIAL USE ONLY PAYMENTS BY

Parent's Signature Date

CHECKED BY

Signature Name Date & Time

PROCESSED BY

DPE-AF-001(V1) 08 April 2012

DEPARTMENT OF PUBLIC EXAMINATIONS, 2nd Floor, Filaa Building 2, Boduthakurufaanu Magu, 20206, Male', Republic of Maldives.

Phone : +960 300 9393, Fax : +960 300 7676, Website:

Place a tick ( ) against each subject you wish to take

GCE ORDINARY LEVEL SUBJECTS

Code Subject

Option Offered

5151 Fisheries Science 5151 Fisheries Science 5054 Physics 5090 Biology 5070 Chemistry 1123 English Language 2010 Literature in English 2158 History 7010 Computer Studies 7010 Computer Studies 2281 Economics 7100 Commerce 7110 Principles of Accounts 7115 Business Studies 6010 Art 6010 Art 6010 Art 6010 Art 7096 Travel and Tourism

Option ( A ) Option ( B ) Option ( BY ) Option ( BY ) Option ( BY ) Option ( Y ) Option ( Y )

Option ( AY ) Option ( CY ) Option ( Y ) Option ( Y ) Option ( Y ) Option ( Y ) Option ( A ) Option ( B ) Option ( G ) Option ( P ) Option ( A )

IGGCCSSEESUSBUJEBCJTESCTS

Code Subject

Option Offered

0580 Mathematics _ Core

Option ( AY )

0580 Mathematics _ Extended

Option ( BY )

0510 English as a Second Language _ Core

Option ( JB )

0510 English as a Second Language _ Extended Option ( KB )

0500 First Language English _ Core

Option ( AU )

0500 First Language English _ Extended

Option ( CU )

0460 Geography

Option ( BY )

SSC SUBJECT

Code Subject

9100 Islamic Studies 9200 Dhivehi Bas 9300 Arabic

FURTHER NOTICE TO CANDIDATE Application forms, with CORRECTION FLUID ( e.g " tippex " ), overwritting will NOT BE ACCEPTED. Fisheries Science 5151 ( option A ) and Computer Studies 7010 ( option AY ) are NOT AVAILABLE for private candidates. English Language 1123 MAY NOT BE taken in the same examination session as English as a Second Language 0510 and First Language English 0500. A valid National Identity Card for Maldivians and Passport for non Maldivians is required with the application. Please attach a copy of your ID Card or passport

This application form should be submitted on or before 20th JUNE 2012 at 1430hrs

DEPARTMENT OF PUBLIC EXAMINATIONS, 2nd Floor, Filaa Building 2, Boduthakurufaanu Magu, 20206, Male', Republic of Maldives.

Phone : +960 300 9393, Fax : +960 300 7676, Website:

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