EFL EXAM ENTRY FORM 2020/21

Please write IN BLOCK CAPITALS using blue/black pen.

Student Name: Centre: Maidstone AEC
Student No: Module Reference Code: MAI/92933/J/NC

Cambridge PET
Date of
Speaking Exam 04/06/21 Time PM Exam
exam
fee £57.50
Written papers Exams Date of
Time AM
exam 07/06/21

Please write your name IN BLOCK CAPITALS as it is on your passport, national ID card or full
driving licence. It will be easier for you to show proof to employers that it is your certificate or to
get copies from the Examination Board if you need them.
Family Name
First Name(s)
Date of Birth Gender
Address
Address
Address
Tel No Mobile

E-mail

Once you have signed this form, this is how your details will appear on your certificate. If
your details change or you move address, you need to let the Exams Officer know in
writing, using the address below:

Exams Officer – Chris French, Maidstone AEC, St Faiths Street, Maidstone, Kent,
ME14 1LH

Any changes of name prior to certification would incur a fee of £15.00 towards
administration costs.

Student signature Date

EFL Exam Form

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