CAMBRIDGE INTERNATIONAL EXAMINATIONS GENERAL CERTIFICATE OF EDUCATION AS & A - LEVELS AS/A LEVEL EXAMINATIONS MAY/JUNE 2015 Centre Name Candidate Number LEAVE FOR OFFICIAL USE Centre Number MY001 (KUALA LUMPUR) PHOTO Affix yur mst recent passprt size pht here (write yur name at the back f the pht) Candidate Name IN BLOCK LETTERS as in Identity Card/Passprt (Leave spaces between names and initials) Date f Birth IC/Passprt Number Natinality Gender Candidate s Address (fr crrespndence) Telephne Mbile Guardian Telephne Number (Mandatry fr Under-18) Email Address (Mandatry) **Please prvide clear email address. We advise yu t regularly check yur email fr any update n change, annuncement, ntificatin and/r cmmunicatin frm us. IMPORTANT It is essential t cmplete this series if yu are entering fr carry-frward cmpnent r staged assessment at GCE AS & A Level within previus 13 mnths. Please cmplete infrmatin belw withut which, we may nt be able t prcess yur entry. Previus Centre Number Previus Centre Name Previus Candidate Number REGISTRATION PERIOD May/June 2015 Examinatins Final Entry Clsing Date 20 th January 2015 t 17 th February 2015 - First Stage Late Entry 18 th February 2015 t 18 th March 2015 First Tier Penalty Secnd Stage Late Entry 19 th March 2015 t 02 nd April 2015 Secnd Tier Penalty Third Stage Late Entry 03 rd April 2015 t 15ht April 2015 Third Tier Penalty Checklist: Yur cmpleted entry frm must be accmpanied by the fllwing (please tick): A recent passprt size phtgraph A cpy f persnal ID r passprt Ttal examinatin fee Updated medical reprt fr access arrangement Special Cnsideratin: Access Arrangements Applicatins If yu are a candidate with special requirements (Dyslexia, hearing difficulties etc.), please attach medical reprt tgether with this applicatin frm. It is necessary t translate if the reprt is in ther than English. Candidates shuld make sure the reprt specifies necessary adjustment fr the examinatin (extra time, headphnes etc.) Please tick here if yu need Access Arrangements. (please attach supprting letter frm Page 1 f 7
[Candidate t retain this page] Nte: Syllabus which requires practical wrks, prjects, r curse wrks may nt be ffered at ur centre althugh they are listed in the timetable belw except, the unit cmes with alternative ptin. * indicates syllabuses that include ptins that can be entered as part f a staged assessment. Page 2 f 7
Syllabus Name & Cde (circle the required cde yu wish t register fr) Cmpnent Infrmatin Optin Cde (circle the required cde yu wish t register fr) Fee (RM) 13: Multiple Chice (Cre) 23: Structured Questins (Cre) Accunting* 33: Multiple Chice (Supplement) 9706 43: Prblem Slving (Supplement) sessin as 7110 Bilgy* 9700 42: A2 Structured Questins 52: Planning, Analysis and Evaluatin BY 42, 52, 66 899.00 CY 42, 52, 67 899.00 Business Studies* 9707 Chemistry* 9701 13: Shrt Answer/Essay 22: Data Respnse 33: Case Study 42: A2 Structured Questins 52: Planning, Analysis and Evaluatin AZ 13, 23, 33 1176.00 BZ 33, 66 585.00 CZ 33, 67 585.00 DZ 13, 23, 33, 66, 67 1176.00 BY 42, 52, 66 899.00 CY 42,52, 67 899.00 Cmputing* series as 9608 Cmputer Science series as 9691 9691 9608 Ecnmics* 9708 13: Written Paper 13 23: Written Paper 23 33: Written Paper 33 84: June Paper 4 Mark Carried Frward 94: Nv Paper 4 Mark Carried Frward 13: Thery Fundamentals 23: Fundamental Prblem-Slving and Prgramming Skills 33: Advanced Thery 43: Further Prblem-Slving and Prgramming Skills 12: Multiple Chice (Cre) 22: Data Respnse & Essay (Cre) 32: Multiple chice (Supplement) 42: Data Respnse & Essays (Supplement) EZ 13, 23, 33, 84 1055.00 FZ 13, 23, 33, 94 1055.00 S3 13, 23 (AS Level) 899.00 AZ 13, 23,33, 43 1333.00 AY 12, 22, 32, 42 1333.00 BY 32, 42, 66 899.00 CY 32, 42, 67 899.00 DY 12, 22,32, 42,66, 67 1333.00 SY 12, 22 (AS Level) 899.00 English Language the same sessin as 8695 9093 12: Passages AY 12, 22, 32, 42 1333.00 22: Writing BY 32, 42, 66 899.00 32: Text Analysis CY 32, 42, 67 899.00 42: Language Tpics DY 12, 22, 32, 42, 66, 67 1333.00 SY 12, 22 (AS Level) 899.00 First Language Spanish the same sessin as 8673, 8685 r 9719 8665 23: Reading & Writing 43: Texts Z 23, 43 (AS Level) 899.00 Page 3 f 7
Syllabus Name & Cde (circle the required cde yu wish t register fr) Cmpnent Infrmatin Optin Cde (circle the required cde yu wish t register fr) Fee (RM) French sessin as 8670, 8682 9716 1: Speaking 23: Reading and Writing 33: Essay 43: Texts AZ 1, 23, 33, 43 1333.00 French Language sessin as 9716 8682 1: Speaking 23: Reading and Writing 33: Essay Z 1, 23, 33 (AS level) 1055.00 French Literature Z 43 nly (AS Level) 585.00 sessin as 9716 8670 43: Texts Further Mathematics 9231 13: Paper 13 23: Paper 23 AZ 13, 23 1019.00 General Paper 8004 12: Paper 12 Y 12 nly (AS Level) 585.00 Gegraphy* *Papers 22 and 32 are taken in the same sessin 9696 12: Cre Gegraphy 22: Advanced Physical Optins 32: Advanced Human Optins 66: June AS Cre Mark Carried Frward 67: Nvember Cre AS Mark Carried Frward AY 12, 22, 32 1166.00 BY 22, 32, 66 899.00 CY 22, 32, 67 899.00 DY 12, 22, 32, 66, 67 1166.00 SY 12 (AS Level) 585.00 Language and Literature in English sessin as 8693 r 9695 8695 Law* 9084 22: Cmpsitin 92: Petry, Prse, Drama 13: Paper 13 23: Paper 23 33: Paper 33 43: Paper 43 66: June Mark Carried Frward 67: Nvember Mark Carried Frward AY 22, 92 899.00 DZ 13, 23, 33,43, 66, 67 1333.00 Literature in English * series as 8695 9695 32: Petry and Prse 42: Drama 52: Shakespeare and ther Pre 20 th Century Texts 62: 20 th Century Texts 72: Cmment and Appreciatin 88: Paper 8 Mark Carried Frward AY 32, 42, 52,62 1333.00 BY 32, 42, 52, 72 1333.00 DY 52, 62, 66 899.00 EY 52, 72, 66 899.00 GY 52, 62, 67 899.00 HY 52, 72, 67 899.00 JY 32, 42, 52,62, 66, 67 1333.00 KY 32, 42, 52, 72, 66, 67 1333.00 MY 32, 42, 52,88 1176.00 SY 32, 42 (AS Level) 899.00 Histry* 9389 13: Dcument Questin 13 23: Outline Study 33: Interpretatins Questin 33 43: Depth Study Page 4 f 7
Syllabus Name & Cde (circle the required cde yu wish t register fr) Cmpnent Infrmatin Optin Cde (circle the required cde yu wish t register fr) Fee (RM) Marine Science* 9693 1: AS Structured Questins 2: AS Data-Handling & Free-Respnse 3: A2 Structured Questins 4: A2 Data Handling & Free-Respnse A 1, 2, 3, 4 1333.00 B 3, 4, 66 899.00 D 1, 2, 3, 4, 66 1333.00 S 1, 2 (AS Level) 899.00 Physics* 9702 Prtuguese Literature inatin sessin as 9718. 42: A2 Structured Questins 52: Planning, Analysis and Evaluatin 66: Carried Frward June AS Mark 67: Carried Frward Nvember AS Mark 8672 4: Texts 9709 13: Paper 13 23: Paper 23 33: Paper 33 43: Paper 43 53: Paper 53 63: Paper 63 73: Paper 73 64: June AS Paper 1 + Paper 4 Optin Mark Carried Frward 66: June AS Paper 1 + Paper 6 Optin Mark Carried Frward 74: Nvember AS Paper 1 + Paper 4 Optin Mark Carried Frward 76: Nvember AS Paper 1 + Paper 6 Optin Mark Carried Frward BY 42, 52, 66 899.00 CY 42, 52, 67 899.00 4 nly (AS Level) 585.00 AZ 13, 33, 43, 63 1333.00 BZ 13, 33, 43, 53 1333.00 CZ 13, 33, 63, 73 1333.00 DZ 33, 63, 64 899.00 EZ 33, 43, 66 899.00 FZ 33, 53, 64 899.00 GZ 33, 73, 66 899.00 Mathematics* HZ 33, 63, 74 899.00 #Optin S7 cannt be used as a part f Staged Assessment Psychlgy* 9698 Scilgy * 9699 Spanish Literature inatin sessin as 8665 r 9719 Thinking Skills* 9694 01: Cre Studies 12 02: Cre Studies 22 32: Specialist Chices 66: Carried Frward June AS Mark 67: Carried Frward Nvember AS Mark 13: The Family 23: Thery and Methds 33: Scial Inequality and Opprtunity 8673 43: Texts 13: Prblem Slving M/C 13 23: Critical Thinking 23 33: Prblem Analysis and Slutin 33 43: Applied Reasning 43 IZ 33, 43, 76 899.00 JZ 33, 53, 74 899.00 KZ 33, 73, 76 899.00 LZ 13, 33, 43, 63, 64, 66, 74, 76 1333.00 MZ 13, 33, 43, 53, 64, 74 1333.00 NZ 13, 33, 63, 73, 66, 76 1333.00 S7 13, 23 (AS Level) 899.00 S8 13, 43 (AS Level) 899.00 S9 13, 63 (AS Level) 899.00 AY 12, 22, 32 1176.00 BY 32, 66 585.00 CY 32, 67 585.00 DY 12, 22, 32, 66, 67 1176.00 SY 12, 22 (AS Level) 899.00 AZ 13, 23, 33 1176.00 BZ 33, 66 585.00 CZ 33, 67 585.00 DZ 13, 23, 33, 66, 67 1176.00 Z 43 nly (AS Level) 585.00 Urdu Language 8686 2: Reading & Writing SB 2, 3 (AS Level) 899.00 3: Essay Page 5 f 7
Date, 2015 Late registratin fee per paper First Stage Late Entry 19 th Feb 18 th March RM 439.00 Secnd Stage Late Entry Third Stage Late Entry 19 th Mar- 02 nd Apr RM 846.00 03 rd Apr 15 th Apr RM 1253.00 Ttal Number f Syllabus X RM 585.00 Ttal Number f Syllabus X RM 899.00 Ttal Number f Syllabus X RM 1019.00 Ttal Number f Syllabus X RM 1055.00 Ttal Number f Syllabus X RM 1166.00 Ttal Number f Syllabus X RM 1176.00 Ttal Number f Syllabus X RM 1333.00 Ttal Cnsent fr Registratin I, the undersigned, hereby agree and authrise the t begin t prcess, use and disclse my persnal data such as my name, date f birth, gender, ID/Passprt N. and infrmatin pertaining t this applicatin t Cambridge Internatinal Examinatin ( CIE ) fr purpse f prviding and registering GCE AS/A-Level examinatins. I understand that any persnal data prvided by the t CIE shall als subject t CIE s privacy plicy. Declaratin I understand and agree; 1. that my persnal data and infrmatin prvided int this applicatin are accurate t the best f my knwledge, adequate, and relevant fr the purpse f this registratin; 2. that I must and have studied each cmpnent specificatins and requirements which available in examinatin bard website at www.cie.rg.uk ; 3. that I have referred t, and nted f the timetable and exam venue advices published in examinatin bard r the British Cuncil website fr which, the shall nt be held liable in the event fficial ntificatin, statement, and/r annuncement fail t reach me in time; 4. that I shall nt make CIE and/r Edexcel entry at any ther centre than the, Kuala Lumpur within same examinatin series fr which the will nt facilitate such clashing; 5. that the date(s) and/r time(s) f each examinatin, at n circumstances shall be deferred, rescheduled, pstpned, cancelled and/r transferred; 6. that I am nt entitled fr refund claim except under medical reasn; 7. that the has a right t request fr ther dcument that is deem necessary fr validatin purpses; and 8. that by cmplying (6) and (7) abve des nt guarantee that I will receive a refund. The refund claim is subject t the apprval and the may determine I am ineligible at its discretin. Signature f candidate: Date: Disclaimer The and the Examining Bards take all reasnable steps t prvide cntinuity f service. We feel sure yu will understand, hwever, that we cannt be held respnsible fr any interruptins caused by circumstances beynd ur cntrl. If examinatins r their results are disrupted, cancelled r delayed, every effrt will be made t resume nrmal service as sn as pssible. The s liability will be limited t the refund f the registratin fee r re-testing at a later date. Page 6 f 7
Payment Details [payable t ] Kuala Lumpur and Penang centres: Payment can be made in cash, by cheque, bank transfer, r credit card. Kuala Lumpur and Penang bank details: Bank: Citibank Bank swift cde: CITIMYKL Accunt Number: 0-115889-028 [Cash depsit must be made thrugh Citibank cunter and nt via depsit machine (ATM machine). If yu wish t pay by cheque, yu may drp the cheque int the crprate bx at Citibank]. Kta Kinabalu centre: Payment can be made by cheque, bank transfer r credit card. Yu can als depsit cash int ur bank accunt. Sabah bank details: Bank: HSBC Bank swift cde: HBMB MYKL Accunt Number: 392-858502-001 Kuching centre: Payment can be made by cheque, bank draft r credit card nly. Fr fficial use nly Date f payment Receipt Number Amunt paid Registered by:.. Date: Yu may hand in r pst the cmpleted entry frm t the ffice which yu are registering t sit the examinatin as shwn belw: Grund Flr, West Blck Wisma Selangr Dredging 142C Jalan Ampang 50450 Kuala Lumpur Tel. N.: 03 2723 7900 Fax N.: 03 2713 6599 E-mail: kualalumpur.exams@britishcuncil.rg.my Registratin times: Mndays t Fridays Saturdays & Sundays 9.00am t 4.00pm 10.00am t 4.00pm Penang centre Wisma Great Eastern Suite 3A.1 & 3A.2 25 Light Street 10200 Penang Tel. N.: 04 263 0330 Fax N.: 04 263 3262 E-mail: penang.exams@britishcuncil.rg.my Opening times: Tuesdays t Sundays 9.00am t 5.45pm Grund Flr 4 Jalan Api-Api Off Jalan Gaya 88000 Kta Kinabalu Sabah Tel. N.: 088 222 059 Fax N.: 088 238 059 E-mail: sabah.exams@britishcuncil.rg.my Opening times: Mndays t Fridays 9.00am t 12.00pm 2.00pm t 4.00pm Rm A15 & A16, Chung Hua Middle Schl N. 1 Jalan Pending, 93450 Kuching Sarawak T +60 (0)82 346 044 F +60 (0)82 342 199 E-mail: sarawak.exams@britishcuncil.rg.my Opening times: Mndays t Fridays 9.00am t 12.00pm 2.00pm t 4.00pm www.britishcuncil.my www.cie.rg.uk Page 7 f 7