Pearson Edexcel IAL Application Form

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Jan 8, 2014 ... MAY/JUNE 2014 ... Have you taken the Edexcel examination before? ... Total IAL local fee payable in Ringgit Malaysia to “BRITISH COUNCIL”.
PEARSON EDEXCEL INTERNATIONAL ADVANCED SUBSIDIARY AND ADVANCED LEVEL EXAMINATIONS

PHOTO

MAY/JUNE 2014

Affix your most recent passport size photo here (write your name at the back of the photo)

Centre Name

FOR OFFICIAL USE ONLY

UCI (Unique Candidate Identification) number Have you taken the Edexcel examination before? YES / NO * (If YES, please provide the UCI number)

P

Centre Number

B



94595

Candidate Number Full Name (in BLOCK letters as per Identity Document):

Full address (for correspondence):

Passport/IC No:

Nationality:

Home Telephone No:

Hand Phone No:

Gender:

Email (mandatory): Guardian Tel No (mandatory for candidates below 18 years old):

Date of birth: Day

Month

Year

Normal registration period 8 January 2014 – 17 March 2014 Late registration period 18 March 2014 – 03 April 2014



Tick (√) the box against each unit you wish to take or, in the case of a unit with a paper choice, the appropriate option code.



Circle the cash-in code if you wish to get a certificate for a particular subject.

SUBJECT

CASH IN CODE (please circle the relevant

UNIT

SUBJECT TITLE

cash-in code)

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XAC01 (IAS)

WAC01

The Accounting System and Accounting

YAC01 (IAL)

WAC02

Corporate and Management Accounting

WB101

Lifestyle, Transport, Genes and Health

WB102

Development, Plants and the Environment

WB104

The Natural Environment and Species Survival Energy, Exercise and Co-ordination

Accounting

XB101 (IAS) Biology

YB101 (IAL)

WB105 WB103 WB106 WBS01 WBS02 WBS03 WBS04

Business Enterprise Business Structure and Process Strategic Business Decisions Business in Global Context

WCH01

The Core Principles of Chemistry

WCH02

Application of Core Principles of Chemistry

XCH01 (IAS)

WCH04

General Principles of Chemistry1 : Rates, Equilibria and Further Organic Chemistry

YCH01 (IAL)

WCH05

General Principles of Chemistry 2: Transitional Metals and Organic Nitrogen Chemistry

WCH03

Chemistry Lab. Skills 1 (Written Alternative)

WCH06

Chemistry Lab. Skills 2 (Written Alternative)

WEC01 WEC02 WEC03 WEC04

Markets in Action Macroeconomic Performance & Policy Business Behaviour Developments in the Global Economy

9345/1 9345/2

Law

WPH01

Physics on the Go

WPH02

Physics at Work

XPH01 (IAS)

WPH04

Physics on the Move

YPH01 (IAL)

WPH05

Physics from Creation to Collapse

WPH03

Exploring Physics (Written Alternative)

WPH06

Experimental Physics (Written Alternative)

WMA01 WMA02 WFM01 WFM02 WFM03 WME01 WME02 WME03 WST01 WST02 WST03 WDM01

Core Mathematics C 12 Core Mathematics C 34 Further Pure F1 Further Pure F2 Further Pure F3 Mechanics M1 Mechanics M2 Mechanics M3 Statistics S1 Statistics S2 Statistics S3 Decision Mathematics D1

XBS01 (IAS) Business Studies YBS01 (IAL)

Chemistry

XEC01 (IAS) Economics YEC01 (IAL) Law

Practical Biology and Research Skills (Written Alternative) Practical Biology and Investigative Skills (Written Alternative)

YLA0

Physics

XMA01 (IAS) XFM01 (IAS) XPM01 (IAS) Mathematics YMA01 (IAL) YFM01 (IAL) YPM01 (IAL)

Summary of fees: The local fees indicated below are inclusive of sterling pound exam fees payable to Pearson Edexcel

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(A) Registration fee at RM100.00 per candidate (non-refundable)

RM100.00

(B) IAL subject units: _____ units x RM410.00 per unit

RM

(B1) Late entry fees – 18 March 2014 – 15 April 2014 RM100.00 per candidate (non-refundable) IAL subject units: _____ units x RM230.00 per unit

RM

(C) Accounting Unit 1 or Unit 2 : _______ units x RM760.00 per unit

RM

(C1) Late entry fees – 18 March 2014 – 15 April 2014 RM100.00 per candidate (non-refundable) Accounting Unit 1 or Unit 2: ______ units x RM380.00 per unit

RM

Total IAL local fee payable in Ringgit Malaysia to “BRITISH COUNCIL”

RM

Cash-In Codes Candidates cannot be awarded a full IAL grade if the cash-in code has not been included as part of the entry when the award requirements are being met. Certificates cannot be issued unless the cash-in codes are supplied. Decline of grades Candidates no longer need to decline their grades once the results are issued. They are able to re-take their units and receive a new certificate with the higher marks. Candidates do not need to return their old certificates with the grades they do not wish to keep. Candidates are advised to visit Edexcel’s website www.edexcel.com for the IAL units regarding syllabus and regulations.

Declaration by Candidate 1. 2. 3. 4. 5. 6.

7.

I make this entry according to the provisions of the published regulations which I have studied. I have given all the information required truthfully and accurately to the best of my knowledge and belief. I understand that I shall be allowed to sit only for those subjects and papers for which I have entered on this form. I have not made an entry at any other Edexcel examination centre. I agree that there will be no postponement or refund of all fees should I decide to withdraw from the examination after the close of the registration period. The British Council will take reasonable steps to provide information or advice but cannot be held liable should there be any errors that arise in the choice of units or subjects. I agree that it is ultimately my responsibility to confirm that the units or subject I entered are correct and if I want to amend the units or subjects, I will need to pay the additional fees and late charges. I accept the responsibility to ascertain the starting times and date of the examination in case the official notification does not reach me on time.

Special Considerations If you are a candidate with special requirements please attach a medical report written in English to this application form. Candidates must ensure the doctor's report specifies the needs of the candidate for the examination e.g. extra time, headphones for listening test, laptop etc. Deadline for Access Arrangement Applications is 20 February 2014. Deadline for Modified question paper applications is 29 January 2014.

Signature of candidate: _____________________________________

Disclaimer

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Date: _______________________

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.

Your completed entry form must be accompanied by the following (please tick): A recent coloured passport size photograph affixed to the entry form A copy of your passport (Non-Malaysians) or Identity Card (Malaysians) A copy of your previous statement of results if you have taken the Edexcel London GCE Examination before The total examination fee _______________________________________________________________________________________________________    

Payment Details [payable to “British Council”] Kuala Lumpur and Penang centres: Payment can be made in cash, by cheque, bank draft, bank transfer, or credit card. Kuala Lumpur and Penang bank details: Bank: Citibank Bank swift code: CITIMYKL Account Number: 0-115889-028 [ Cash deposit must be made through the Citibank counter and not via the cash machine (ATM machine). If you wish to pay by cheque deposit, you may drop the cheque into the corporate box at Citibank ].

Note : For payment made by bank transfer, cash or cheque deposits please call the relevant test centre to obtain a reference code first.

For official use only Date of payment

Receipt Number

Amount paid

Registered by: ………………………………………………………………………………

You may hand or post the completed entry form to either of our offices which you are registering to sit the examination as shown below: British Council British Council Wisma Great Eastern Ground Floor, West Block Suite 3A.1 & 3A.2 Wisma Selangor Dredging 25 Light Street 142C Jalan Ampang 10200 Penang 50450 Kuala Lumpur Tel. No.: 04 263 0330 Tel. No.: 03 2723 7985/7940 Fax No.: 04 263 3262 Fax No.: 03 2713 6599 E-mail: [email protected] E-mail: [email protected] Opening times: Mondays to Fridays Saturdays & Sundays

9.00am to 7.00pm 9.00am to 4.00pm

Opening times: Tuesdays to Sundays

www.britishcouncil.my www.edexcel.com

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9.00am to 5.00pm