Candidate Entry Form Cambridge ESOL Examinations: Winter 2009 Please note: Write in CAPITAL LETTERS only. Date of birth should be written in the format DD/MM/YYYY. CANDIDATE INFORMATION Name Surname Gender Male Female Date of birth Street Street No Post code Town Landline phone Mobile phone Email School* *This field is optional: If you took your exam course in a school and want to receive information through them, please write down the school name in this field. TICK THE EXAMINATION YOU WILL TAKE YLE Starters KET CAE BEC Preliminary TKT module 1 YLE Movers KET for Schools CPE BEC Vantage TKT module 2 YLE Flyers PET ILEC BEC Higher TKT module 3 PET for Schools ICFE TKT KAL FCE TKT CLIL I WANT TO SIT* THE EXAMINATION IN: Belgrade Novi Sad Subotica Sombor Niš Podgorica (MNE) *Please note that the examination session will be held in the city of your choice only if there is a sufficient number of registered candidates. DECLARATION I DECLARE THAT 1. I have received all relevant information relating to the Cambridge examinations, 2. I have read the Exam Regulations and agree to the conditions stated therein, 3. I agree to my personal data being processed for purposes related to the administration of the Cambridge ESOL exams in accordance with the Data Protection Act, 4. My personal data stated above is correct. FOR THIRD PARTIES AUTHORISED TO REGISTER A CANDIDATE: 1. I have received and read all relevant information relating to the Cambridge examinations (including Exam Regulations) and will pass it on to the person I have registered for the exam if that is the case, 2. The candidate agrees to his/her personal data being processed for purposes related to the administration of the Cambridge exams in accordance with the Data Protection Act 3. The candidate's personal data stated above is correct. If you want to receive further updates in the form of emails, e-newsletters, SMS reminders and other information about British Council examinations and related activities, please tick this box: I agree Signature Date: PRINT Signature To be completed by British Council Montenegro CHECKED AND CONFIRMED BY: CANDIDATE NUMBER: EA / PAYMENT SLIP NUMBER: The United Kingdom’s international organisation for educational opportunities and cultural relations. We are registered in England as a charity.
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