CAMBRIDGE ASSESSMENT INTERNATIONAL EDUCATION …V.1 Page 1 IMPORTANT • It is essential to complete this series if you are entering for retake or carry-forward component or staged

V.1 Page 1

IMPORTANT

• It is essential to complete this series if you are entering for retake or carry-forward component or staged assessment at GCE AS & A Level within previous 13months. Please complete information below without which, we may not be able to process your entry.

• Candidates are advised to refer to Cambridge Assessment International Examinations Zone 5 Published Timetable before making any entry on this application form.

Previous Centre Number Previous Candidate Number

Previous Centre Name

October/November 2019 Examinations Registration Deadlines Late Registration Fees per syllabus

Normal Registration Closing Date 09th August 2019 -

First Stage Late Entry 10th August 2019 to 30th August 2019 RM355.00

Second Stage Late Entry 3rd September 2019 to 13th September 2019 RM861.00

Oct/Nov 2019 Examinations Registration Deadlines (RETAKE from May/June 2019) Late Registration Fees per syllabus

Normal Registration Closing Date 30th August 2019 -

Second Stage Late Entry 3rd September 2019 to 13th September 2019 RM861.00

Checklist: 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 or Identity Card A copy of your previous statement of results (Retake & Mark Carried Forward) The total examination fee A medical report for Access Arrangements (if applicable)

CAMBRIDGE ASSESSMENT INTERNATIONAL EDUCATION GENERAL CERTIFICATE OF EDUCATION AS & A - LEVELS

AS/A - LEVEL EXAMINATIONS OCT/NOV 2019

PHOTO Affix your most recent passport size photo

here

Centre Name

LEAVE FOR OFFICIAL USE

Centre Number MY001

(KUALA LUMPUR)

MY002 (PENANG )

Candidate Number

Candidate Name IN BLOCK LETTERS as in Identity Card/Passport (Leave spaces between names and initials)

Date of Birth

IC/Passport Number Nationality Gender

Current School Name School Address

Education Level

Candidate’s Postal Address

Telephone Number Mobile Phone Number Guardian Telephone Number (Mandatory for Under-18’s)

Email Address (Mandatory) **Please provide clear email address. We advise you to regularly check your email for any update on change, announcement, notification and/or communication from us. Do contact British Council if you receive no notification from us two weeks after payment.

Special Consideration: Access Arrangements Applications If you are a candidate with special requirements (Dyslexia, hearing difficulties etc.), please attach a medical report written in English to this application form. Candidates should make sure the report specifies the needs of the candidate for the examination (extra time, headphones etc.) Please tick here if you need Access Arrangements (please attach a supporting letter from a registered medical practitioner)

V.1 Page 2

Syllabus Name & Code (circle the required code you wish to register for)

Component Information Option Code

(circle the required code you wish to register for)

Fee (RM)

Accounting

9706

12: AS Level Multiple Choice 12 22: AS Level Structured Questions 22 32: A Level Structured Questions 32 89: June AS Mark (13,23) Carried Forward 98: November AS Mark (12,22) Carried Forward

AY 12, 22, 32 1100.00

BR 32, 89 (Please submit your result for the option)

586.00

CY 32, 98 (Please submit your result for the option)

586.00

GR 12, 22, 32, 89, 98 1100.00

SY 12, 22 (AS Level) 809.00

Afrikaans #may not be taken in the same exam series as 0512, 0548, 8679

9679 2: Reading & Writing 3: Essay 4: Texts

B 2,3, 4

1100.00

Afrikaans Language #may not be taken in the same exam series as 0512, 0548, 9679

8679

2: Reading & Writing 3: Essay

SA 2,3

809.00

Arabic #may not be taken in the same exam series as 8680

9680

22: Reading and Writing 22 32: Essay 32 42: Texts 42 52: Prose 52

AY 22, 32, 42, 52 1211.00

Arabic Language #may not be taken in the same exam series as 9680

8680

22: Reading and Writing 22 32: Essay 32

AY 22, 32 809.00

Biology

9700

43: A Level Structured Questions 43 53: Planning, Analysis and Evaluation 53 85: June AS Mark (12,22,33) Carried Forward 88: June AS Mark (12,22,34) Carried Forward 96: November AS Mark (13,23,35) Carried Forward 99: November AS Mark (13,23,36) Carried Forward

BU

43, 53, 85, 88 (Please submit your result for the option)

809.00

CZ 43, 53, 96, 99 (Please submit your result for the option)

809.00

Business

9609

12: Short Answer and Essay 12 22: Data Response 22 32: Case Study 32 89: June AS Mark (13,23)Carried Forward 98: November AS Mark (12, 22) Carried Forward

AY 12, 22, 32 1100.00

BR 32, 89 (Please submit your result for the option)

586.00


586.00

GR 12, 22, 32, 89, 98 (Please submit your result for the option)

1100.00

SY 12, 22 (AS Level) 809.00

Chemistry 9701

43: A Level Structured Questions 43 53: Planning, Analysis and Evaluation 53 85: June AS Mark (12,22,33) Carried Forward 88: June AS Mark (12,22,34) Carried Forward 96: November AS Mark (13,23,35) Carried Forward 99: November AS Mark (13,23,36) Carried Forward

BU

43, 53, 85, 88 (Please submit your result for the option)

809.00


809.00

Chinese #may not be taken in the same session as 8681

9715

22: Reading & Writing 22 32: Essay 32 42: Texts 42

AY 22, 32, 42 1100.00

Chinese Language #may not be taken in the same session as 9715

8681

22: Reading & Writing 22 32: Essay 32

Y 22, 32 809.00

V.1 Page 3




Fee (RM)

Classical Studies

9274

13: Greek Civilisation 13 23: Roman Civilisation 23 33: Classical History: Sources & Evidence 33 43: Classical Literature: Sources & Evidence 43 99: November AS Mark (13,23) Carried Forward

AZ

13, 23, 33, 43 1211.00

CZ

33, 43, 99 (Please submit your result for the option)

809.00

DZ

13, 23, 33, 43, 99 (Please submit your result for the option)

1211.00

SZ

13, 23 (AS Level) 809.00

Computer Science #may not be taken in the same session as 9626

9608

12: Theory Fundamentals 12 22: Problem-Solving and Programming Skills 22 32: Advanced Theory 32 42: Further Problem-Solving and Programming Skills 42 89: June AS Mark (13,23) Carried Forward 99: November AS Mark (12,22) Carried Forward

AY

12, 22, 32, 42 1211.00

BR


809.00

CY


809.00

GR

12, 22, 32, 42, 89, 98 (Please submit your result for the option)

1211.00

SY

12, 22 (AS Level) 809.00

Divinity #may not be taken in the same session as 2048 or 9011

8041 23: The Four Gospels 23 Z 23 only (AS Level) 586.00

Divinity #may not be taken in the same session as 2048 or 8041

9011 13: Prophets of the Old Testament 13 23: The Four Gospels 23 33: The Apostolic Age 33

AZ 13, 23 988.00

BZ 13, 33 988.00

CZ 23, 33 988.00

Economics

9708

12: AS Level Multiple Choice 12 22: AS Level Data Response and Essay 22 32: A Level Multiple Choice 32 42: A Level Data Response and Essay 42 88: June AS (12,22) Mark Carried Forward 98: November AS (12,22) Mark Carried Forward

AY 12, 22, 32, 42 1211.00

BY 32, 42, 88 (Please submit your result for the option)

809.00

CY 32, 42, 98 (Please submit your result for the option)

809.00

DY 12, 22, 32, 42, 88, 98 (Please submit your result for the option)

1211.00

SY 12, 22 (AS Level) 809.00

English General Paper

8021 12: Essay 12 22: Comprehension 22

Y 12, 22 (AS Level) 809.00

V.1 Page 4




Fee (RM)

English Language #may not be taken in the same session as 8695

9093

13: Passages 13 23: Writing 23 33: Text Analysis 33 43: Language Topics 43 88: June AS Mark (12,22) Carried Forward 99: November AS Mark (13,23) Carried Forward

AZ 13, 23, 33, 43 1211.00

BU 33, 43, 88 (Please submit your result for the option)

809.00

CZ 33, 43, 99 (Please submit your result for the option)

809.00

GU 13, 23, 33, 43, 88, 99 (Please submit your result for the option)

1211.00

SZ 13, 23 (AS Level) 809.00

First Language Spanish #may not be taken in the same session as 8673, 8685 or 9719

8665 23: Reading & Writing 23 43: Texts 43

Z 23, 43 (AS Level) 809.00

French #may not be taken in the same session as 8670 or 8682

9716

1: Speaking 23: Reading & Writing 23 33: Essay 33 43: Text 43

AZ

1, 23, 33, 43 1211.00

French Language #may not be taken in the same session as 9716

8682

1: Speaking 23: Reading & Writing 23 33: Essay 33

Z

1, 23, 33 (AS Level) 921.00

French Literature #may not be taken in the same session as 9716

8670

43: Text 43

Z

43 (AS Level) 586.00

Further Mathematics

9231 12: Paper 12 22: Paper 22

AY

12, 22 988.00

Geography

9696

13: Core Geography 13 23: Core Human Geography 23 33: Advanced Physical Geography Option 33 43: Advanced Human Geography Option 43 88: June AS Mark (12,22) Carried Forward 99: November AS Mark (13,23) Carried Forward

AZ 13, 23, 33, 43 1211.00

BU 33, 43, 88 (Please submit your result for the option)

809.00

CZ 33, 43, 99 (Please submit your result for the option)

809.00

GU 13, 23, 33, 43, 88, 99 (Please submit your result for the option)

1211.00

SZ 13, 23 (AS Level) 809.00

Hindi #may not be taken in the same session as 8675 or 8687

9687

2: Reading & Writing 3: Essay 4: Texts 5: Prose

2, 3, 4, 5 1211.00

Hindi Language #may not be taken in the

same session as 9687 8687


SB 2, 3 (AS Level) 809.00

V.1 Page 5




Fee (RM)

Hindi Literature #may not be taken in the

same session as 9687

8675 4: Texts

4 only (AS Level) 586.00

Hinduism #may not be taken in the

same session as 2055 or 9014

8058 1: Paper 1

1 only (AS Level) 586.00

Hinduism #may not be taken in the

same session as 2055 or 8058

9014

1: Paper 1 2: Paper 2

1, 2 988.00

History

9389

12: Document Question 12 22: Outline Study 22 32: Interpretations Question 32 42: Depth Study 42 89: June AS Mark (13, 23) Carried Forward 98November AS Mark (12, 22) Carried Forward

AY 12, 22, 32, 42 1211.00

BR


809.00

CY


809.00

GR


1211.00

SY 12, 22 (AS Level)

809.00

Islamic Studies #may not be taken in the same session as 0493, 2058 or 9013

8053

13: Paper 13

AZ

13 (AS Level) 586.00

Islamic Studies #may not be taken in the same session as 0493, 2058 or 8053

9013

13: Paper 13 23: Paper 23

AZ

13, 23 988.00

Language and Literature in English #may not be taken in the same session as 9093 or 9695

8695

23: Writing 23 93: Poetry, Prose, Drama

AZ

23, 93 (AS Level) 809.00

Law

9084

12: Paper 12 22: Paper 22 32: Paper 32 42: Paper 42 89: June AS Mark (13, 23) Carried Forward 98: November AS Mark (12, 22) Carried Forward

AY 12, 22, 32, 42 1211.00

BR


809.00

CY


809.00

GR


1211.00

SY 12, 22 (AS Level)

809.00

V.1 Page 6




Fee (RM)

Literature in English #may not be taken in the same session as 8695

9695

33: Poetry & Prose 33 43: Drama 43 53: Shakespeare & Other Pre 20th Century Texts 53 63: 1900 to the Present 63 73: Comment & Appreciation 73 88: June AS Mark (32, 42) Carried Forward 99: November AS Mark (33, 43) Carried Forward

AZ 33, 43, 53, 63

1211.00

BZ 33, 43, 53, 73

1211.00

DU


809.00

EU


809.00

GZ


809.00

HZ


809.00

OU


1211.00

QU


1211.00

SZ

33, 43 (AS Level) 809.00

Physics 9702

43: A Level Structured Questions 43 53: Planning, Analysis and Evaluation 53 85: June AS Mark (12,22,33)Carried Forward 88: June AS Mark (12,22,34)Carried Forward 96: November AS Mark (13,23,35) Carried Forward 99: November AS Mark (13,23,36) Carried Forward

BU 43, 53, 85, 88 (Please submit your result for the option)

809.00


809.00

Psychology 9990

12: Approaches, Issues & Debates 12 22: Research Methods 22 32: Specialist options: Theory 32 42: Specialist options: Application 42 88: June AS Mark (12,22) Carried Forward 98: November AS Mark (12,22) Carried Forward

AY 12, 22, 32, 42 1211.00

BY 32, 42, 88 (Please submit your result for the option)

809.00

CY 32, 42, 98 (Please submit your result for the option)

809.00

DY 12, 22, 32, 42, 88, 98 1211.00

SY 12, 22 (AS Level) 809.00

V.1 Page 7




Fee (RM)

Mathematics #Option S7 cannot be used as a part of Staged Assessment

9709

13: Pure Mathematics 13 23: Pure Mathematics 23 33: Pure Mathematics 33 43: Mechanics 43 53: Mechanics 53 63: Probability & Statistics 63 73: Probability & Statistics 73 86: June Mechanics AS Mark (13,43) carried forward 89: June Statistics AS Mark (13,63) carried forward 96: November Mechanics AS Mark (13,43) carried forward 99: November Statistics AS Mark (13,63) carried forward

AZ 13, 33, 43, 63 1211.00

BZ 13, 33, 43, 53 1211.00

CZ 13, 33, 63, 73 1211.00

DZ


809.00

EZ


809.00

FZ


809.00

GZ


809.00

HZ


809.00

IZ


809.00

JZ


809.00

KZ


809.00

LZ

13, 33, 43, 63, 86, 89, 96, 99 (Please submit your result for the option)

1211.00

MZ


1211.00

NZ


1211.00

S7 13, 23 (AS Level) 809.00

S8 13, 43 (AS Level) 809.00

S9 13, 63 (AS Level) 809.00

V.1 Page 8




Fee (RM)

Sociology 9699

13: The Family 12 23: Theory and Methods 22 32: Social Inequality and Opportunity 32 89: June AS Mark (13,23) Carried Forward 98: November AS Mark (12,22) Carried Forward

AY 12, 22, 32 1100.00

BR

32, 89 (Please submit your result for the option)

586.00


586.00

GR

12, 22, 32, 89, 98 (Please submit your result for the option)

1100.00

SY 12, 22 (AS Level) 809.00

Spanish Literature #may not be taken in the same examination session as 8665 or 9719

8673 43: Texts Z 43 only (AS Level) 586.00

Tamil #may not be taken in the same examination session as 8689

9689


AY 22, 32, 42, 52 1211.00

Tamil Language #may not be taken in the same examination session as 9689

8689


Y 22, 32 (AS Level) 1032.00

Thinking Skills* 9694

13: Problem Solving M/C 13 23: Critical Thinking 23 33: Problem Analysis and Solution 33 43: Applied Reasoning 43 89: June AS Mark (13,23) Carried Forward 99: November AS Mark (12,23)Carried Forward

AZ 13, 23, 33, 43 1211.00

BZ


809.00

CZ


809.00

DZ 13, 23, 33, 43, 89, 99 1211.00

SZ 13, 23 (AS Level) 809.00

Urdu #may not be taken in the same examination session as 8686

9676


2, 3, 4, 5 1211.00

Urdu Language 8686 2: Reading & Writing 3: Essay

SB 2, 3 (AS Level) 809.00

V.1 Page 9

BREAKDOWN OF EXAMINATION FEES

Item Registration Deadlines No. of

Syllabus

Late Registration

Fees Total Fees

A First Stage Late Entry RM355.00

Second Stage Late Entry RM861.00

B Total Number of Syllabus

No. of Syllabus

Syllabus Fees

RM586.00

RM809.00

RM988.00

RM1032.00

RM1100.00

RM1211.00

Grand Total (A + B)

CANDIDATE DECLARATION

1. I make this entry according to the provisions of the published regulations which I have studied. 2. I agree that it is my responsibility to select the modular units that best meet my needs. 3. I have given all the information required truthfully and accurately to the best of my knowledge and belief. 4. I understand that I shall be allowed to sit only for those subjects and papers for which I have entered on this form. 5. I have not made an entry at any other Cambridge International Examinations centre. 6. I have not made any entry at any other Edexcel examination centre. 7. I agree that there will be no postponement or refund of all fees should I decide to withdraw from the examination after

registration. 8. I accept the responsibility to ascertain the place and date of the examination in case the official notification does not

reach me on time Confidentiality and data protection British Council will use the information that you are providing in connection with your registration. The legal basis for processing your information is in agreement with our terms and conditions. British Council complies with data protection law in the UK and laws in other countries that meet internationally accepted standards. You have the right to ask for a copy of the information we hold on you, and the right to ask us to correct any inaccuracies in that information. If you have concerns about how we have used your personal information, you also have the right to complain to a privacy regulator. For detailed information, please refer to the privacy section of our website, www.britishcouncil.org/privacy or contact your local British Council office. We will keep your information in line with our retention policies from the time of collection. Signature of guardian: _______________________________ (for candidates age below 18) Signature of candidate: _______________________________ Date: ________________________

For official use only

Amount Paid

Date of Payment

Receipt Number

Registered By

Disclaimer 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.

V.1 Page 10

PAYMENT OPTIONS Transaction shall be made payable to “BRITISH COUNCIL”

Office Submit to Cash Credit Card Bank Transfer

Kuala Lumpur KL Office √ √ √

Penang Penang Office √ √ √

Terms of fee and payment:

1. Payment can be made to the British Council either by cash, cheque, credit card, bank draft, or bank transfer. 2. Payment made to the respective British Council office is subject to Bank’s transaction terms and conditions. 3. Registration will be processed upon receipt and validation of the copy of the remittance slip which may be submitted by

hand/courier together with the application form. 4. Payment via cash deposit must be made through the Citibank counter and not via a Cash Deposit Machine. 5. Payment description must be stated clearly.

Bank Details: Payment Description : CAIE OCT/NOV 2019 (Candidate’s Name) Bank : Citibank Bank Swift Code : CITIMYKL Account Number : 0-115889-028 Completed application form is to be submitted by hand/courier to the office which you are registering to sit the examination as shown below:

British Council Ground Floor, West Block Wisma Selangor Dredging 142C Jalan Ampang 50450 Kuala Lumpur Tel. No.: 03 2723 7900 Fax No.: 03 2713 6599 E-mail: [email protected] Counter opening times: Mondays to Fridays 9.00 am to 7.00 pm Saturdays & Sundays 10.00 am to 4.00 pm

British Council Penang Centre Wisma Great Eastern Suite 3A.1 & 3A.2 25 Light Street 10200 Penang Tel. No.: 04 255 9000 Fax No.: 04 263 3262 E-mail: [email protected] Opening times: Tuesdays to Sundays 9.00 am to 5.45 pm

www.britishcouncil.my

http://www.cambridgeinternational.org/

www.cambridgestudents.org.uk

mailto:[email protected]

mailto:[email protected]

V.1 Page 11

Child Safe Collection Consent Form

Child’s name:

Child’s date of birth:

Date of written exam: / /

Date of speaking exam: / / Collection arrangements: (Please sign and complete the corresponding section below)

a) I consent for my child (aged 11 years and over) to leave the

exam premises unaccompanied,

or

b) I do not consent for my child to leave exam premises unaccompanied and choose for them to be collected by the designated person/people identified in the table below.

The British Council believes that the care, protection and welfare of children are paramount and that all children have the right to be protected from harm. This includes our commitment to effective child protection systems and ensuring children are safely collected from exam premises.

Please read this information carefully before you complete and sign this consent form. If you do not complete this form, you will not be able to complete the registration and your child will not be able to take the test. We recommend that you keep a copy of this form for your records.

Who is this form for? This form is to be completed by the parent/carer of any child taking a British Council test. It provides the British Council with information about who will be collecting the child after the test or provides confirmation that the child is permitted to leave exam premises unaccompanied.

Child Safe Collection Policy The following applies to all British Council exam operations:

• A child is defined as any person who has not reached their 18th birthday.

• Children aged 10 years and under are not permitted to leave exam premises unaccompanied. They must be collected by the parent/carer named on this form or by a person for whom the parent/carer has provided details.

• Children aged 11 years or older are only permitted to leave exam premises alone once parental/carer consent has been given in writing via the completion of this form.

• The person identified to collect the child must be age 14 years or older.

• Any subsequent change to the person who comes to collect the child must be authorised in writing by the parent/carer.

V.1 Page 12

Option 1 - Consent for children aged 11 years and over to leave exams premises unaccompanied:

I (your name) hereby give permission to allow (child’s full name) to leave exam’s premises unaccompanied at the end of the test/s.

In case of emergency, please contact (insert name of emergency contact)

on (insert telephone number) _.

Signature (full name) Date / / .

Option 2 - Consent for children to be collected by the designated person/people identified in the table below:

Please note children aged 10 years and under are not permitted to leave exam premises alone and the completion of the information below is mandatory.

Parents/carers of children aged 11 years and older who wish for the child not to leave exam premises alone must complete the information below identifying who is authorised to collect the child.

When the child is collected by the person/people listed 1identification must be presented to confirm identify.

Last Name First Name (s) Relationship to the child (i.e parent, carer,

uncle etc)

I (your name) hereby confirm that the person/people listed are authorised to collect (child’s full name) at the end of the test/s.

In case of emergency, please contact (insert name of emergency contact) on (insert telephone number) . I certify

that the above named people are aged 14 years or older.

Signature (full name): Date: / / _.

Privacy around how we use your data The British Council respects and protects the privacy of people who use our registration systems. The information you provide when registering will not be used for any marketing purposes and will not be shared with any third parties.

Documents

CAMBRIDGE ASSESSMENT INTERNATIONAL EDUCATION …V.1 Page 1 IMPORTANT • It is essential to complete this series if you are entering for retake or carry-forward component or staged