NLT OASIS INSTITUTE

ID #: 2013______________________

CXC CSEC STUDENTS REGISTRATION PROFILE

PLEASE READ CAREFULLY BEFORE COMPLETING THIS FORM

An original copy of your BIRTH CERTIFICATE must be SUBMITTED with this
form. All information MUST be accurate. Correction of errors is costly. USE
ONLY BLOCK CAPITALS ON THIS FORM.
Surname: _____________________________________ First Name:
_______________________________
Middle Name: ______________________________ Previous Candidate #:
100______________
Date of Birth (as recorded on Birth Certificate) Day: ____________ Month:
___________ Year: __________
Gender:_____________________ Students Contact #:
___________________________________________
Students Email Address:
_________________________________________________________________
Address:_______________________________________________________________________________
_
Contact Person:
__________________________________________________________________________
Contact Number: _______________________________________ BB PIN:
____________________________
Address (if different from above):
_____________________________________________________________
_________________________________________________________________________________________

CSEC PAYMENT MAY/JUNE 2014 EXAMINATIONS

NOTE:
Entry Fee for the registration of students:
$3420.00
Cost per Subject:
$2535.00
Service Charge (covers auxiliary expenses associated with your registration):

_________________________________________________________________________________________
SUBJECT BEING ENTERED FOR:
MATHEMATICS [

]ENGLISH [

CHEMISTRY* [

SOCIAL STUDIES* [

ACCOUNTS* [

PRINCIPLES OF BUSINESS* [

] OFFICE ADMINISTRATION* [

] H S BIOLOGY [

OTHERS (Please specify) ____________________________________________________________

*You can carry forward your SBA grades instead of doing the Paper 3/2. Please
indicate if you will be doing so and the subject(s):
__________________________________________________________________________________
COSTING:
Entry Fee (A):

$3420.00

Service Charge (B):

Total # of Subjects being entered (C): ___________ @$2535.00

$_____________
TOTAL COST (A+B+C):
$_____________
MAKE PAYMENT TO NLT OASIS INSTITUTE VMBS A/C: AND SUBMIT FORMS WITH PROOF OF
PAYMENT ON OR BEFORE SATURDAY, NOVEMBER 2, 2013.