Edexcel International Examination January 2005



Name____________________________________ Surname Name_______________________________

(Please write your full name in capital letters 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 __________________________ Landline number: ________________

Email address: __________________________________________________________

Past UCI number (if available): ______________________________________________

Please include a copy of your past Statement of Results if you had appeared for EDEXCEL exams.

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.

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 should produce original passport/ UAE National ID when collecting my Statement of Entry (before the examination session begins) and my original Statement of Entry and original passport / UAE National ID when collecting the results (2 months after the exams). Statement of Entry, Results & Certificates can be collected by candidates’ parents/guardians on submitting a copy of their ID document along with an authorisation letter signed by the candidate.

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.

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 cannot, 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.

Signature of candidate:____________________________Date: _____________________

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Statement of Entry

• Please ensure that the 'statement of entry' is collected 14 days before the start of your exam. Please visit .uk to access the timetable for the session.

INTERNATIONAL AS/A LEVEL Exam Entry Details

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

| # |Subject title |Component information |Options – Must tick on A/ AS boxes if you |

| | | |require a Certificate (all units must be |

| | | |complete) |

|1 |Accounting | |Accounting |

| | |( WAC01 : Unit 1: The Accounting System and Costing | |

| | |( WAC02 : Unit 2: Corporate and Management Accounting |( AS XAC01: (WAC01) |

| | | | |

| | | |( A YAC01: (WAC01 AND WAC02) |

| | |Unit: AED. 895 Total fee: _________ | |

| | | |UCI Mandatory for subject award, all units |

| | | |must be attempted |

| | | |( Module ______ |

|2 |Biology | | |

| | |( WBI01: Lifestyle, Transport, Genes and Health |Biology |

| | |( WBI02: Development, Plants and the Environment |( AS XBI01: (WBI01, WBI02 and WBI03) |

| | |( WBI03: Practical Biology and Research Skills | |

| | |(Written Alternative Paper) |( A YBI01: (WBI01, WBI02, WBI03, WBI04, WBI05|

| | |( WBI04: The Natural Environment and Species Survival |and WBI06) |

| | |( WBI05: Energy, Exercise and Co-ordination | |

| | |( WBI06: Practical Biology and Investigative Skills |UCI Mandatory for subject award, all units |

| | |(Written Alternative Paper) |must be attempted |

| | | |( Module_______ |

| | | | |

| | |Unit: AED. 505 Total fee: _________ | |

|3 |Business Studies | |Business Studies |

| | |( WBS01: Business Enterprise | |

| | |( WBS02: Business Structures and Processes |( AS XBS01: (WBS01 and WBS02) |

| | |( WBS03: Strategic Business Decisions | |

| | |( WBS04: Business in a Global Context |( A YBS01: (WBS01, WBS02, WBS03 and WBS04) |

| | | | |

| | | |UCI Mandatory for subject award, all units |

| | |Unit: AED. 645 Total fee: _______ |must be attempted |

| | | |( Module_______ |

|4 |Chemistry | | |

| | |( WCH01: The Core Principles of Chemistry |Chemistry |

| | |( WCH02: Application of Core Principles of Chemistry | |

| | |( WCH03: Chemistry Laboratory Skills I |( AS XCH01: (WCH01, WCH02 and WCH03) |

| | |(Written Alternative Paper ) | |

| | |( WCH04: General Principles of Chemistry I: Rates, Equilibria and Further |( A YCH01: (WCH01, WCH02, WCH03, WCH04, WCH05|

| | |Organic Chemistry |and WCH06) |

| | |( WCH05: General Principles of Chemistry II : Transition Metals and Organic Nitrogen| |

| | |Chemistry |UCI Mandatory for subject award, all units |

| | |( WCH06: Chemistry Laboratory Skills II |must be attempted |

| | |(Written Alternative Paper ) |(Module________ |

| | | | |

| | | | |

| | |Unit: AED. 505 Total fee: _________ | |

|5 |Economics |( WEC01: Markets in Action | |

| | |( WEC02: Macroeconomic Performance and Policy |Economics |

| | |( WEC03: Business Behaviour | |

| | |( WEC04: Developments in the Global Economy |( AS XEC01: (WEC01 and WEC02) |

| | | | |

| | | |( A YEC01: (WEC01, WEC02, WEC03 and WEC04) |

| | |Unit: AED.645 Total fee: ________ | |

| | | |UCI Mandatory for subject award, all units |

| | | |must be attempted |

| | | |( Module_______ |

|6 |Mathematics | |AS Levels |

| | |( WMA01: Core Mathematics C12 | |

| | |( WMA02: Core Mathematics C34 |(IAS Maths - XMA01: |

| | |_______________________________________________________ |WMA01(C12) plus 1 of WME01 (M1) or |

| | | |WST01 (S1 ) or WDM01 ( D1) ________ |

| | |Unit: AED.740 Total fee: ________ | |

| | | |(IAS Further Maths - XFM01: WFM01 (F1), plus 2|

| | | |of the following application units |

| | |( WFM01: Further Pure F1 |WFM02 (F2), WFM03 (F3), WME01 (M1), WME02 |

| | |( WME01: Mechanics M1 |(M2), WME03 (M3), WST01 (S1), WST02 (S2), |

| | |( WME02: Mechanics M2 |WST03 (S3), WDM01 (D1) __________ , __________|

| | |( WME03: Mechanics M3 | |

| | |( WST01: Statistics S1 |(IAS Pure Maths - XPM01: WMA01(C12) and WFM01 |

| | |( WST02: Statistics S2 |(F1) |

| | |( WDM01: Decision Mathematics D1 | |

| | | |A Levels |

| | | | |

| | | |( IAL Maths - YMA01: |

| | |Unit: AED. 505 Total fee: ________ | |

| | | |WMA01 (C12), WMA02 (C34), |

| | | |plus 1 of the following pairs |

| | | |WME01 (M1)+ WST01 (S1) or |

| | | |WME01 (M1)+WDM01 (D1) or |

| | | |WME01 (M1)+WME02 (M2) or |

| | | |WST01 (S1)+WDM01 (D1) or |

| | | |WST01 (S1)+ WST02 (S2) |

| | | |(______________ , ______________) |

| | | | |

| | | |(IAL Further Maths – YFM01: WFM01 (F1) |

| | | |plus 1 of |

| | | |WFM02 (F2), or WFM03 (F3), |

| | | |plus 4 of |

| | | |WME01(M1), WME02 (M2), WME03 (M3), WST01 (S1),|

| | | |WST02(S2),WST03 (S3),WDM01 (D1) |

| | | |_______, ________, _______, _______ |

| | | | |

| | | |OR |

| | | | |

| | | |WFM01 (F1), WFM02 (F2), WFM03 (F3), |

| | | |plus 3 of |

| | | |WME01(M1), WME02 (M2), WME03 (M3), WST01 (S1),|

| | | |WST02(S2), WST03(S3), WDM01 (D1) |

| | | |__________ , __________, __________ |

| | | | |

| | | |(IAL Pure Maths –YPM01 : |

| | | |WMA01(C12),WMA02(C34), WFM01(F1) plus 1 of |

| | | |WFM02(F2), WFM03(F3) __________ |

| | | | |

| | | |UCI Mandatory for subject award, all units |

| | | |must be attempted |

| | | |( Module_______ |

| | | | |

|7 |Physics |( WPH01: Physics on the go |Physics |

| | |( WPH02: Physics at work | |

| | |( WPH03: Exploring Physics (Written Alternative) |( AS - XPH01: (WPH01, WPH02 and WPH03) |

| | |( WPH04: Physics on the Move |( A - YPH01: (WPH01, WPH02, WPH03, WPH04, |

| | |( WPH05: Physics from Creation to Collapse |WPH05 and WPH06) |

| | |( WPH06: Experimental Physics (Written Alternative Paper) | |

| | | |UCI Mandatory for subject award, all units |

| | | |must be attempted |

| | |Unit: AED. 505 Total fee: ________ |( Module_______ |

SMS information

Do you want to receive your January 2016 EDEXCEL 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, by completing the form:

Please note that we will SMS you for the following:

✓ When your Statement of Entry/Venue Notice is ready for collection.

✓ When your Statement of Provisional and Final Results are ready for collection.

✓ When 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 ‘Enquiry About Results’ 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 Number:.…………………….………………….……………………………………………………………..

E-mail ID: ………………………………..……………………………………………………………………………..

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/ sign

(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 in sharp focus and clear

5. show the candidate looking straight at the camera

6. not show any reflection or glare on glasses

7. 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 or Statement of Entry if the candidate has not yet received the Statement of Result).

□ I have inserted my correct UCI number on the application form (applicable for candidates who have previously done an Edexcel examination).

□ I have attached a clear copy of my passport (pages showing personal identification details and expiry date).

□ I have checked if the fees are collected correctly. In case of any discrepancies, British Council is not responsible for the same. Entries will be sent to the board for the fees collected only.

□ I will ensure that my original passport / emirates ID will be valid all through the examination session and the same will be carried with me for all the examinations along with the original SOE.

□ I have paid the examination fees (your application will not be processed without this).

□ I have attached an NOC from 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 the reverse of three recent coloured photographs (not less than 6 months old) and attach here.

Total Units: _____ AS/A level: AED ____________ Late fees: AED ___________

Late cash-in fees: AED 100/300 x _________ (per code) Total fees: AED ________________

Checked by CS officer: ________________ Receipt number: ______________ Date: __________________

Documents Submitted: [pic] Passport copy / Emirates ID [pic]Statement of Results [pic] Child Protection form [pic]NOC [pic] Authorisation Letter

WBS: G/153/01/002/003/003 (Abu Dhabi)

Checked by Exams Officer: ________________ G/154/01/002/003/003 (Dubai)

For office use only

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