CAMBRIDGE INDIVIDUAL ENTRY FORM - DOC - DOC by xiangpeng

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									                                                              Cambridge Individual Entry Form                                                              Candidate Number
                                                                       Winter 2011                                                                            …………..
                                                                                                                                                       .

    GENERAL INSTRUCTIONS
     Write in capital letters or type.
     Make sure your name is spelled as stated in your passport/ID.
     Return the Entry Form and the One-Off Payment Authorisation to the exam centre where you want to sit
       your exam.
     Return your form by one method only: by post, email or fax.
     Add a copy of your passport.

    PERSONAL DETAILS

     First Name (s)

     Surname
     Date of Birth
     (DD / MM / YYYY)
     Phone (day time)

     Mobile number

     Email


     Address


     Postcode and City


Please tick the exam you wish to register for. You can find the exam dates on page 5.
                                                           FCE (December)                           CAE (December)                          CPE (December)
     Amsterdam (NL001)
     Den Haag (NL003)
     Rotterdam (NL071)
     Eindhoven (NL004)
     Maastricht (NL004)
     Leeuwarden (NL007)
     Utrecht (NL005)
     Nijmegen (NL005)
     Vlissingen (NL050)

    I wish to be registered for the above examination. I have read the General Regulations and agree to comply with
    the regulations stipulated by CambridgeESOL and by the British Council. I have informed the Centre Exams
    Manager if I have special needs of any kind. I understand that I cannot withdraw from the examinations and
    cannot change to another session.


     Signature                                                                                                Date




    The United Kingdom’s international organisation for educational opportunities and cultural relations. We are registered in England as a charity.
ONE-OFF PAYMENT AUTHORISATION

   I, the undersigned and account holder, give permission to the British Council to withdraw the sum of

   EUR |___|___|___|___|      from my bank account.

   I understand and accept that I will not receive proof of payment apart from my bank statement.

    Name of Account
    Holder
    Town
    Bank Account
    Number
    Name Candidate

    Exam                                                               Centre number


    Signed                                                             Date



   Please note that payments can only be taken from a Dutch bank account.

   If you have a foreign bank account please contact your Centre Exams Manager for further information.

   Important information
              Please only send pages 1 and 2 of this form and a copy of your passport or another official
               identification to the centre where your wish to sit your exam. We advise you to keep a copy of this
               form.
              The registration deadline for the winter exams is 14 October 2011. You will receive your official
               confirmation of entry and timetable after this date.
              Confirmation will come from Cambridge. Make sure you allow emails from the British Council and
               Cambridge into your inbox. To do this add them to your safe senders list. exams@britishcouncil.nl
               and cambridgeesolonline@cambridgeesol.org.
              All 5 papers must be taken in the same exam session.
              All 5 papers are personalised with the candidate’s name and centre number. Transferral after the
               closing date is therefore not possible.
              Pens, pencils and erasers are NOT supplied for your exam.
              For enquiries after the closing date always quote your centre number and candidate number.



   Please check that you’ve done the following:

   □       Your name is spelled as in your passport
   □       Your date of birth is correct
   □       You have entered your email address correctly
   □       Write the speaking day(s) for the location you have chosen in your diary and keep free
   □       You have added the British Council and Cambridge to the safe list in your email account
   □       You have filled in the one-off payment form accurately
   □       You have read the general regulations




                                                       Page 2 of 5
CONTACT DETAILS EXAM CENTRES BRITISH COUNCIL

Amsterdam                            Utrecht / Nijmegen                   Eindhoven / Maastricht
NL001                                NL005                                NL004

British Council                      British Council Ctr. Exams Manager   British Council Ctr. Exams Manager
Weteringschans 85a                   Reinoudt Kooijmans                   Janine Bellefroid
1017 RZ Amsterdam                    Kerkstraat 6                         De Biestermannen 30
                                     4023 AP RIJSWIJK (Gld)               5591 NH HEEZE
T +31 (0)20 550 6068
F +31 (0)20 620 7389                 T +31 (0)345 55 86 19                T +31 (0)40 226 1281
E exams@britishcouncil.nl            E esol.utrecht@hetnet.nl             E esol.eindhoven@xs4all.nl

Leeuwarden/Groningen/Emmen           Den Haag                             Vlissingen
NL007                                NL003                                NL050

British Council Ctr, Exams Manager   British Council                      British Council Ctr. Exams Manager
Frouk Froling / Mary-Ann Werger      Weteringschans 85a                   Hogeschool Zeeland
Stenden University                   1017 RZ Amsterdam                    Astrid Umbgrove
Rengerslaan 8                                                             Edisonweg 4
8917 DD Leeuwarden                   T +31 (0)20 550 6068                 4382 NW VLISSINGEN
                                     F +31 (0)20 620 7389
M +31 (0)615319600/(0)613519697      E exams@britishcouncil.nl            T +31 (0)118 489719
E cambridgeexams@stenden.com                                              E cambridge@hz.nl

                                     Rotterdam
                                     NL071

                                     Masterclass English
                                     Francis Hawken
                                     Mariniersweg 151
                                     3011NK ROTTERDAM

                                     T 010-4028915
                                     E cambridge@masterclassenglish.com




                                                       Page 3 of 5
GENERAL REGULATIONS

SPECIAL NEEDS
It is possible to make arrangements with CambridgeESOL for extra time, large print, or Braille. Poor spelling,
due to dyslexia, is not taken into consideration. Please see our website (www.britishcouncil.nl) under “terms and
conditions” for more information. Should you wish to apply for special arrangements, please send your medical
evidence (not older than 2 years) with your registration form.

CONFIRMATION OF ENTRIES
Candidates will be issued with a Confirmation of Entry, including the timetable, which will be sent by email.
Candidates must keep them safe until their results are released online, as their candidate number and results
online details are printed on them.

TRANSFERS
Entries cannot be transferred to a future session, a different level or different centre.

RESULTS
Results can be accessed six weeks after the exam via the internet by means of a personal code. DO NOT
LOSE YOUR PERSONAL CODE. No paper results will be issued. Queries may be made within one month of
the results. However it should be noted that it is extremely rare for such queries to lead to a change in the
result for the following reasons: the majority of papers are either machine marked or clerically marked and
double-checked; examiner marked papers are double checked and in borderline or disputed cases marked
three or four times. Hence a query about a result is generally limited to checking that marks have been
correctly calculated and recorded.

CERTIFICATES
Certificates are sent to candidates approximately 6 weeks after the results by registered post. A candidate who
has lost a certificate may apply for a form from the British Council for a Certified Statement of Results, for
which a fee is charged.

PAYMENT
We must receive your completed entry form and one off payment authorisation before the final closing date as
mentioned on the form.

REFUNDS
If candidates are unable to sit their exams due to medical reasons, or special family circumstances they may
receive an exam voucher to be used for the same exam within a year. Written requests must be made to the
British Council’s examination centres. The letter should be accompanied by a doctor’s note or other official
evidence IN ENGLISH. Requests should be sent within two weeks of the exam. Refunds are not given.

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.




                                                       Page 4 of 5
Timetable Winter Examinations
Cambridge General English Exams                                                                   Winter 2011
                                     Written papers                                     Closing
 Level               Location                                     Speaking test                       Price
                                     & Listening test                                   Date

                     Rotterdam       Sat 10 December              18 and 19 November*   14 October    €193
                     Amsterdam       Tue 6 December               25 and 26 November*   14 October    €193
                     Den Haag        Tue 6 December               18 and 19 November*   14 October    €193
                     Eindhoven       Tue 6 December               2 and 3 December*     14 October    €193
 FCE Winter          Maastricht      Tue 6 December               26 November           14 October    €193
                     Leeuwarden      Tue 6 December               2 December            14 October    €193
                     Utrecht         Tue 6 December               3 and 10 December*    14 October    €193
                     Nijmegen        Tue 6 December               9 December            14 October    €193
                     Vlissingen      Tue 6 December               9 December            14 October    €193

                     Rotterdam       Sat 3 December               18 and 19 November*   14 October    €208
                     Amsterdam       Wed 7 December               25 and 26 November*   14 October    €208
                     Den Haag        Wed 7 December               18 and 19 November*   14 October    €208
                     Eindhoven       Wed 7 December               2 and 3 December*     14 October    €208
 CAE Winter          Maastricht      Wed 7 December               26 November           14 October    €208
                     Leeuwarden      Wed 7 December               2 December            14 October    €208
                     Utrecht         Wed 7 December               3 and 10 December*    14 October    €208
                     Nijmegen        Wed 7 December               9 December            14 October    €208
                     Vlissingen      Wed 7 December               9 December            14 October    €208

                     Rotterdam       Sat 3 December               18 and 19 November*   14 October    €225
                     Amsterdam       Thu 8 December               25 and 26 November*   14 October    €225
                     Den Haag        Thu 8 December               18 and 19 November*   14 October    €225
                     Eindhoven       Thu 8 December               2 and 3 December*     14 October    €225
 CPE Winter          Maastricht      Thu 8 December               26 November           14 October    €225
                     Leeuwarden      Thu 8 December               2 December            14 October    €225
                     Utrecht         Thu 8 December               3 and 10 December*    14 October    €225
                     Nijmegen        Thu 8 December               9 December            14 October    €225
                     Vlissingen      Thu 8 December               9 December            14 October    €225

*) It is NOT possible to choose your own speaking date, a date will be assigned to you by us. You will be
informed of the date on your Confirmation of Entry. Please keep both dates free.




                                                    Page 5 of 5

								
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