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Candidate Entry Form

Cambridge English Examination



The United Kingdoms international organisation for educational opportunities and cultural relations. We are registered in England as a charity.

Please note: Write in CAPITAL LETTERS only. Date of birth should be written in the format DD/MM/YYYY.
Signature
Date:
PRINT Signature


To be completed by British Council Serbia
CANDIDATE NUMBER: EA /
CHECKED AND
CONFIRMED BY:
*** The photo remains strictly confidential, and is stored by Cambridge ESOL. The picture increases the security of the test and will help organisations
(universities, employers, immigration authorities) to consult your results if you wish to give them access to it.
CANDIDATE INFORMATION
Name
Surname Gender Male Female
Date of birth
Street Street No
Post code / Town Applying for UK visa? Yes No
Landline phone Mobile phone
Email
School*

Courier Service: Send my certificate with a courier (Din 300 charge, non-refundable)
*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.


NOVEMBER 2014
(registration by Sep 27
th
)
FCE
CAE

NOVEMBER 2014
KET
KET for Schools
PET
PET for Schools

NOVEMBER 2014
FCE for Schools
CPE

DECEMBER 2014
FCE
CAE

NOVEMBER 2014
BEC Preliminary
BEC Vantage
BEC Higher

ILEC
ICFE


DECEMBER 2014
TKT module 1
TKT module 2
TKT module 3
TKT KAL
TKT CLIL
TKT YLE

Delta Module 1

DECEMBER 2014
YLE Starters
YLE Movers
YLE Flyers


I WANT TO SIT** THE EXAMINATION IN:
Beograd Novi Sad

Nis

**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. 5. I agree that a photo* of me (or if under 18: of my child) may be taken on the test day.
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. 4. The candidate has been informed and
has agreed that his/her photo*** may be taken on test day.

I want to be registered at LearnEnglish website

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