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PEARSON EDEXCEL
INTERNATIONAL GCSE EXAMINATIONS
(IGCSE)
JANUARY 2015
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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 available in previous result slip)
Centre Number
94595
P
B
Candidate Number
Full Name (in BLOCK letters as per Identity
Document):
Full address (for correspondence):
Passport/IC No.:
Nationality:
Email(mandatory):
Home Telephone No:
Hand Phone No:
Guardian Tel no.(Mandatory for
candidates below 18years old):
Gender:
Date of birth:
Day
Month
Year
st
th
Normal registration period 1 October 2014 to 20 October 2014
st
th
Late registration period 21 October 2014 to 24 November 2014
International GCSE Subjects
Before make an entry, it is strongly recommended to refer to www.edexcel.com for more details on specification of each available options
Paper Title
Unit code
(circle the
required code you
wish to register
for)
Papers
Option Code
(circle the
required code
you wish to
register for)
Fee per
syllabus
(RM)
Accounting
4AC0
Paper 1
RM740.00
Arabic (First Language)
4AR0
Paper 1 & 2
RM740.00
Bengali
4BE0
Paper 1
RM740.00
Biology
4B10 (R)
Paper 1 & 2
RM740.00
Chemistry
4CM0
Paper 1 & 2
RM740.00
Commerce
4CM0
Paper 1
RM740.00
Economics
4EC0
Paper 1
RM740.00
4EA0
Paper 1 & 2
Paper 1, Coursework 3 &
Coursework 4 marks transferred
from previous series
English Language Specification A
A
RM740.00
BT
RM740.00
Page 1 of 3
Paper Title
English Language Specification B
Unit code (circle
the required
code you wish to
register for)
4EB0
Papers
Option Code
(circle the
required code
you wish to
register for)
Paper 1
RM740.00
Paper 1 & 2
English Literature
4ET0
Fee per
subject (RM)
Paper 1,
Coursework 3 marks transferred
from previous series
A
RM740.00
BT
RM740.00
Further Pure Mathematics
4PM0
Paper 1 & 2
RM740.00
Human Biology
4HB0
Paper 1 & 2
RM740.00
Mathematics Specification A
4MA0
Paper 1F & 2F
F
RM740.00
Paper 3H & 4H
H
RM740.00
Mathematics Specification B
4MB0
Paper 1 & 2
RM740.00
Physics
4PH0
Paper 1 & 2
RM740.00
Science Double Award
4SC0
Biology Paper 1
Chemistry Paper 1
Physic Paper 1
RM900.00
Summary of fees:
The local fees indicated below are inclusive of sterling pound exam fees payable to Pearson Edexcel
Registration fee at RM100.00 per candidate (non-refundable)
RM100.00
______ no. of subjects x RM740.00.00 per subject
RM
______ no. of subjects x RM900.00.00 per subject
RM
st
th
Late entry fees (Late registration period 21 October 2014 to 24 November 2014)
Registration fee at RM100.00 per candidate (non-refundable)
+ ______ no. of International GCSE subjects x RM290.00 per subject
RM 100.00
RM
Total International GCSE exam fee payable in Ringgit Malaysia to “British Council”
RM
Declaration
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.
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Special Considerations
If you are a candidate with special requirements please attach with 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 etc.
Signature of candidate: _____________________________________
Date: ________________________
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.
For official use only
Amount paid
Date of payment
Receipt Number
Registered by: …………………………………………………………………………………………
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 Pearson Edexcel International GCSE
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].
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
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 for enquiries only: [email protected]
Registration times:
Mondays to Fridays
Saturdays & Sundays
9.00am to 4.30pm
9.00am to 4.30pm
British Council
Wisma Great Eastern
Suite 3A.1 & 3A.2,
25 Light Street,
10200 Penang
Tel. No.: 04 263 0330
Fax No.: 04 263 3262
E-mail: [email protected]
Opening times:
Tuesdays to Sundays
9.00am to 5.00pm
www.britishcouncil.my
www.edexcel.com
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