INTERNATIONAL GCSE EXAMINATIONS (IGCSE) MAY/JUNE 2018 The .

**All fees are inclusive of GSTPEARSON EDEXCELINTERNATIONAL GCSE EXAMINATIONS(IGCSE)PHOTOAffix your most recentpassport size photohere (write your name atthe back of the photo)MAY/JUNE 2018Centre NameHave you taken the Edexcel examination before? YES / NO *(If YES, please provide the UCI number)FOR OFFICE USE ONLYUCI (Unique Candidate Identification) numberCentre NumberCandidate NumberB94595 / 94598Given Name (in BLOCK letters as per identity document)Surname / Family Name (in BLOCK letters as per identitydocument)Current School NameSchool AddressEducation LevelFull Address (for correspondence)Passport/IC NumberNationalityDate of Birth (DD/MM /YYYY)Home Telephone NumberMobile Telephone NumberGuardian Contact Number (MANDATORY for candidatesbelow 18 years old)GenderEmail Address (MANDATORY)May/June 2018 Examinations Registration DeadlinesNormal Registration Closing Date28 February 2018First Stage Late Entry01 March 2018 – 23 March 2018Second Stage Late Entry24 March 2018 – 06 April 2018Checklist: Your completed entry form must be accompanied by the following (please tick): A recent coloured passport size photograph affixed to the entry formA copy of your passport or Identity CardThe total examination feeA medical report for Access Arrangements (if applicable)Special Consideration: Access Arrangements ApplicationsIf you are a candidate with special requirements (Dyslexia, hearing difficulties etc.), please attach a medical report written in Englishto this application form. Candidates should make sure the report specifies the needs of the candidate for the examination (extratime, headphones etc.) Please tick here if you need Access Arrangements (please attach a supporting letter from a registered medical practitioner)V.1Page 1

Component and OptionCodeSubject and Unit Code(circle the Code you wish to register for)(circle the Option code you wish toregister lPricing(Low latefee)MalaysiaEdexcelPricing(High latefee)(MYR)(MYR)(MYR)Accounting4AC001: Accounting625.001251.001866.00Arabic (First Language)4AR0Paper 1 & 2965.001590.002215.00Art and Design: Fine Art4FA0Paper 11007.001622.002247.00Bangladesh Studies4BN0Paper 1 & 2965.001590.002215.00Bengali4BE001: Bengali700.001314.001940.00Biology4B10Paper 1 & 2965.001590.002215.00Business Studies4BS001: Business Studies625.001251.001866.00Chemistry4CH0Paper 1 & 2R965.001590.002215.00R1208.001887.002576.00R01: ListeningChinese4CN002: Reading & Writing03: SpeakingClassical Arabic4CA001: Classical Arabic700.001314.001940.00Commerce4CM001: Commerce625.001251.001866.00Economics4EC001: 0001: Reading & WritingEnglish as a Second Language4ES002: ListeningEnglish Language Specification A4EA0Paper 1 & 2AR965.001590.002215.00English Language Specification B4EB001: Specification BBR700.001314.001940.00Paper 1Paper 2AR965.001590.002215.00CR625.001251.001866.0003: SpeakingEnglish Literature4ET0Paper 1Coursework 3(mark transferredfrom previous series)Further Pure Mathematics4PM0Paper 1 & 2965.001590.002215.00Geography4GE001: Geography700.001314.001940.00Global Citizenship4GL0Global Citizenship (paper 1)625.001251.001866.00Gujarati4GU001: Gujarati700.001314.001940.00Hindi4HN001: HindiHistory4HI0Paper 1 & 2700.00965.001314.001590.001940.002215.00Human Biology4HB0Paper 1 & 2965.001590.002215.00Islamiyat4IS001: aper 1F & 2FFRPaper 3H & 4HHRMathematics Specification A4MA0Mathematics Specification B4MB0Paper 1 & 2Modern Greek4MG001: Modern GreekPakistan Studies4PA0Paper 1 & 2Physics4PH0Paper 1 & 2Religious Studies4RS001: Religious StudiesV.1RRPage 2

Subject and Unit Code(circle the Code you wish to registerfor)Science (Double Award)MalaysiaEdexcelPricing(Standard)Component and OptionCode(circle the Option code you wish toregister for)4SC0Science Double Award(Biology, Chemistry, andPhysics Paper 1)01: SinhalaR(MYR)MalaysiaEdexcelPricing(Low latefee)(MYR)MalaysiaEdexcelPricing(High 01314.001940.00Swahili4SW001: Swahili700.001314.001940.00Tamil4TA001: Tamil700.001314.001940.00Turkish4TU001: Turkish700.001314.001940.00Urdu4UR001: Urdu700.001314.001940.00**All fees are inclusive of GSTBREAKDOWN OF EXAMINATION FEESno. of subjects x RMper subjectRMno. of subjects x RMper subjectRMno. of subjects x RMper subjectRMno. of subjects x RMper subjectRMTotal International GCSE exam fee payable in Ringgit Malaysia to “British Council”RMCANDIDATE DECLARATION1. 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 Edexcel examination centre.6. I have not made any entry at any other Cambridge International Examinations 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 ontimeCONSENT FOR EXAMINATIONI, the undersigned, hereby agree and authorize the British Council to disclose my personal data, such as my name, date of birth,gender, ID/Passport No., and information pertaining to this application to Edexcel Pearson (“Edexcel”) for purpose of providing andregistering IGCSE/GCE O-Level/AS/A-Level examinations. I understand that any personal data provided by the British Council toEdexcel shall also be subject to Edexcel’s privacy policy.Signature of candidate:Date:Signature of legal guardian:( for the under-18’s)For official use onlyAmount PaidDate of PaymentReceipt NumberRegistered ByDisclaimerThe 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 refundof the registration fee or re-testing at a later date.V.1Page 3

PAYMENT OPTIONSTransaction shall be made payable to “BRITISH COUNCIL”1.2.3.4.5.OfficeSubmit toCashCredit CardBank TransferKuala LumpurKL Office PenangPenang Office Terms of fee and payment:Payment can be made to the British Council either by cash, cheque, credit card, bank draft, or bank transfer.Payment made to the respective British Council office is subject to Bank’s transaction terms and conditions.Registration will be processed upon receipt and validation of the copy of the remittance slip which may be submitted byhand/courier together with the application form.Payment via cash deposit must be made through the Citibank counter and not via a Cash Deposit Machine.Payment description must be stated clearly.Bank Details:Payment DescriptionBankBank Swift CodeAccount Number::::EDEXCEL MAY/JUNE 2018 (Candidate’s Name)CitibankCITIMYKL0-115889-028Completed application form is to be submitted by hand/courier to the office which you are registering to sit theexamination as shown below:British CouncilGround Floor, West BlockWisma Selangor Dredging142C Jalan Ampang50450 Kuala LumpurTel. No.: 03 2723 7900Fax No.: 03 2713 6599E-mail: kualalumpur.exams@britishcouncil.org.myCounter opening times:Mondays to FridaysSaturdays & SundaysBritish CouncilPenang CentreWisma Great EasternSuite 3A.1 & 3A.225 Light Street10200 PenangTel. No.: 04 255 9000Fax No.: 04 263 3262E-mail: penang.exams@britishcouncil.org.my9.00 am to 7.00 pm10.00 am to 4.00pmOpening times:Tuesdays to Sundays9.00 am to 5.45 pmwww.britishcouncil.mywww.edexcel.comV.1Page 4

Dear Parents,Child Safe Collection PolicyBritish Council takes your safety seriously.Our current Child Safe Collection Policy states that: Children aged up to 10 years are not permitted to leave the premises alone. Teenagers aged 11 – 17 years should only be permitted to leave the premises alone if parental consent to thishas been given in writing [Consent Form A ]. Otherwise, they must be collected by the parent or by a person forwhom the parent has provided written authorisation [Consent Form B].Kindly complete the form upon registration (as relevant).Thank you.Yours truly,Examination ServicesBritish CouncilConsent Form AI, (NRIC/Passport number: ), the parent/legal guardianof candidate hereby consent to mychild/charge leaving the premises on his/her own after the examination.Yours truly,Name:Date:Consent Form BI, (NRIC/Passport number: ), the parent/legal guardianof candidate hereby authorise(NRIC/Passport number: ) to collect my child/chargeafter his/her examinations.Yours truly,Name:Date:V.1Page 5

PEARSON EDEXCEL INTERNATIONAL GCSE EXAMINATIONS (IGCSE) MAY/JUNE 2018 PHOTO Affix your most recent . Urdu 4UR0 01: Urdu 700.00 1314.00 1940.00 . Total International GCSE exam fee payable in Ringgit Malaysia to “British Council .