Registration Form As A Level June 2021 Series

Cambridge International Advanced Subsidiary and Advanced Levels (AS & A Levels)
June 2021 Examination Session
STANDARD REGISTRATION PERIOD
13 January 2021 to 4 March 2021
LATE REGISTRATION PERIOD
5 March 2021 to 16 April 2021

(Late fee of IDR 1,587,000 per subject applies during this period)
IMPORTANT REMINDER
Please note that NO refund, transfer or postponement is allowed after registration
Board Code ID400

Centre Name
Full Name as in KTP (National ID for Indonesian)/ Passport
(Please attach a copy of your KTP or Passport for International Student)
KTP / Passport No Previous Candidate Number
Gender (please circle) Male / Female Previous Centre Number
Date of birth (dd) (mm) (yyyy) English first language? Yes / No
Full Address
Contact Numbers
(Home) (Mobile) (Email)
Application for Access Arrangements

[1] Place a tick (✓) in the box against the requested access arrangement.
[2] Attach the mandatory supporting documents (e.g. comprehensive medical report).
[3] June series application deadline is 21 January 2021.
25% Extra Time Others (specify) : ______________________
British Council Indonesia Foundation is an Indonesian registered foundation for cultural relations and educational opportunities
established by British Council Holdings UK. Approved by the Minister of Law and Human Rights under Decree No: AHU-6501.AH.01.04 Year 2013.
Page 1 of 7 (as at 13 December 2020)
Cambridge International Advanced Subsidiary and Advanced Levels
Please select subjects and appropriate option codes by placing a (✓) in the boxes below.
Code Subject Paper No & Component Information Option Fee (IDR) ✓
12: AS Level Multiple Choice 12 (Core)

AY 12, 22, 32 4,768,000
22: AS Level Structured Questions 22 (Core)
32: A Level Structured Questions 32 BY 32, 88 2,664,000
88: June AS Mark (12, 22) Carried Forward
98: November AS Mark (12, 22) Carried CY 32, 98 2,664,000
9706 Accounting* Forward
(For option codes BY and DY, the June carry DY 12, 22, 32, 88, 98 4,768,000
forward component (88) is only applicable to
candidates taking the ‘A2 only' route) SY 12, 22 (AS Level) 3,564,000
22: Reading & Writing 22

32: Essay 32
Arabic
8680 AY 22, 32 3,564,000
Language (Candidates may not sit this syllabus in the
same series as 9680)
42: A Level Structured Questions 42

52: Planning, Analysis & Evaluation 52
85: June AS Mark (12, 22, 33) Carried
Forward BY 42, 52, 85, 88 3,564,000
Forward
95: November AS Mark (12, 22, 33) Carried
9700 Biology*
Forward
Forward
CY 42, 52, 95, 98 3,564,000
(For option codes BY, the June carry forward
components (85 and 88) are only applicable
to candidates taking the ‘A2 only' route)
AY 12, 22, 32 4,768,000

12: Short Answer and Essay 12
22: Data Response 22 BY 32, 88 2,664,000
32: Case Study 32
88: June AS Mark (12, 22) Carried Forward CY 32, 98 2,664,000
9609 Business*
98: November AS Mark (12, 22) Carried
Forward
DY 12, 22, 32, 88, 98 4,768,000
(For option codes BY and DY, the June carry
candidates taking the ‘A2 only' route) SY 12, 22 (AS Level) 3,564,000

BY 42, 52, 85, 88 3,564,000
Forward
Forward
9701 Chemistry*
Forward
Forward
CY 42, 52, 95, 98 3,564,000
(For option codes BY the June carry forward
components (85 and 88) are only applicable
12: Theory Fundamentals 12
22: Fundamental Problem-Solving and
Programming Skills 22
Computer SY 12, 22 (AS Level) 4,318,000
9618
Science*
(Candidates may not sit this syllabus in the
same series as 9608 or 9626)
12: AS Level Multiple Choice 12 5,218,000

AY 12, 22, 32, 42
22: AS Level Data Response and Essay 22
32: A Level Multiple Choice 32
BY 32, 42, 88 3,564,000
42: A Level Data Response & Essays 42
88: June AS Mark (12,22) Carried Forward
9708 Economics* 3,564,000
98: November AS Mark (12,22) Carried CY 32, 42, 98
Forward
12, 22, 32, 42, 5,218,000
DY
(For option codes BY and DY, the June carry 88, 98
SY 12, 22 (AS) 3,564,000
candidates taking the ‘A2 only' route)
English
8021 General 12: Essay 12 3,564,000
Y 12, 22
Paper 22: Comprehension 22
12: Reading Paper 12
AY 12, 22, 32, 42 5,218,000
22: Writing Paper 22
32: Language Analysis Paper 32
42: Language Topics Paper 42 3,564,000
BY 32, 42, 88
88: June AS Mark (12, 22) Carried
Forward
English 98: November AS Mark (12, 22) CY 32, 42, 98 3,564,000
9093
Language*
Carried Forward
12, 22, 32,
DY 5,218,000
(Candidates may not sit this syllabus in the 42, 88, 98
same series as 8695, For option codes BY
and DY, the June carry forward component
(88) is only applicable to candidates taking SY 12, 22 (AS Level) 3,564,000
the ‘A2 only' route)
22: Reading & Writing 22
First 42: Texts 42 4,014,000
8665 Language (Candidates may not sit this syllabus in the Y 22, 42
Spanish
same series as 8673, 8685 or 9719, this
syllabus is only available as an AS Level)
12: Further Pure Mathematics 12 5,218,000
AY 12, 22, 32, 42
22: Further Pure Mathematics 22
32: Further Mechanics 32 BY 22, 42, 85 3,564,000
42: Further Probability & Statistics 42
CY 22, 32, 88 3,564,000
85: June Further Mechanics AS Mark (12, 32)
Carried Forward
DY 22, 42, 95 4,318,000
88: June Further Statistics AS Mark (12, 42)
Further Carried Forward
9231
Mathematics* EY 22, 32, 98 4,318,000
95: November Further Mechanics AS Mark
(12, 32) Carried Forward
98: November Further Statistics AS Mark (12, 12, 22, 32, 42, 85, 5,218,000
FY
88, 95, 98
42) Carried Forward
S3 12, 32 (AS Level) 3,564,000
(For option codes BY, CY and FY, the June
carry forward components (85 and 88) are
only applicable to candidates taking the ‘A2 S4 12, 42 (AS Level) 3,564,000
only' route)
AY 12, 22, 32, 42 5,218,000

12: Core Physical Geography 12
9696 Geography*
22: Core Human Geography 22 3,564,000
BY 32, 42, 88
32: Advanced Physical Geography Option 32
42: Advanced Human Geography Options 42
CY 32, 42, 98 3,564,000
Forward 12, 22, 32, 42, 5,218,000
DY
88, 98
(For option codes BY and DY, the June carry

forward component (88) is only applicable to SY 12, 22 (AS Level) 3,564,000
12: Document Question 12
22: Outline Study 22 AY 12, 22, 32, 42 5,218,000
32: Interpretations Question 32
9489 History* 42: Depth Study 42
SY 12, 22 (AS Level) 4,318,000

(Candidates may not sit this syllabus in the
same series as 9389)
* Indicate that the syllabus contains options which can be entered as part of a Staged Assessment.
Please select subjects and appropriate option codes by placing a (✓) in the boxes below.
Code Subject Paper No. & Component Information Option Fee ✓
12: Writing Paper 12

Language
22: Drama, Poetry & Prose Paper 22
8695 and
AY 12, 22 3,564,000
Literature in
English (Candidates may not sit this syllabus in the
same series as 9093 or 9695)
12: Paper 12
AY 12, 22, 32, 42 5,218,000
22: Paper 22
32: Paper 32
BY 32, 42, 88 3,564,000
42: Paper 42
9084 Law* 88: June AS Mark (12, 22) Carried Forward

CY 32, 42, 98 3,564,000
Forward
(For option codes BY and DY, the June DY 12, 22, 32, 42, 5,218,000
carry forward component (88) is only 88, 98
applicable to candidates taking the ‘A2 only'
SY 12, 22 (AS Level) 3,564,000
route)
AY 12, 32, 42, 52 5,218,000
12: Pure Mathematics 1 (12) CY 12, 32, 52, 62 5,218,000
22: Pure Mathematics 2 (22)
DY 32, 52, 85 3,564,000
32: Pure Mathematics 3 (32)
42: Mechanics (42) EY 32, 42, 88 3,564,000
52: Probability & Statistics 1 (52)
GY 32, 62, 88 3,564,000
62: Probability & Statistics 2 (62)
85: June Mechanics AS Mark (12, 42) HY 32, 52, 95 3,564,000
Carried Forward
88: June Statistics AS Mark (12, 52) Carried IY 32, 42, 98 3,564,000
9709 Mathematics* Forward
95: November Mechanics AS Mark (12, 42) KY 32, 62, 98 3,564,000
Carried Forward
12, 32, 42, 52, 85,
98: November Statistics AS Mark (12, 52) LY 5,218,000
88, 95, 98
Carried Forward
12, 32, 52, 62,
NY 5,218,000
88, 98
(Option S4 cannot be used as part of a
staged assessment, For option codes DY, S4 12, 22 (AS Level) 3,564,000
EY, GY, LY and NY, the June carry forward
components (85 and 88) are only applicable S5 12, 42 (AS Level) 3,564,000
S6 12, 52 (AS Level) 3,564,000

9702 Physics* Forward BY 42, 52, 85, 88 3,564,000
Forward
95: November AS Mark (12, 22, 33) CF
Forward
(For option codes BY, DY and IY, the June CY 42, 52, 95, 98 3,564,000
carry forward components (85 and 88) are
only applicable to candidates taking the ‘A2
only' route)
32: Specialist Options: Theory 32

42: Specialist Options: Application 42
BY 32, 42, 88 3,564,000
9990 Psychology* Forward
(For option codes BY, the June carry

forward component (88) is only applicable to CY 32, 42, 98 3,564,000
12: Socialisation 12 AY 12, 22, 32, 42 4,768,000

22: The Family 22
32: Education 32
42: Globalisation, Media, Religion 42 BY 32, 42, 88 2,664,000
98: November AS Mark (12, 22) Carried CY 32, 42, 98 2,664,000
9699 Sociology*
Forward
12, 22, 32, 42,
DY 4,768,000
(For option codes BY and DY, the June 88, 98
carry forward component (88) is only
applicable to candidates taking the ‘A2 only' SY 12, 22 (AS Level) 3,564,000
route)
12: Problem Solving 12 AY 12, 22, 32, 42 5,218,000

22: Critical Thinking 22
32: Problem Analysis & Solution 32
42: Applied Reasoning 42 BY 32, 42, 88 3,564,000
Thinking 98: November AS Mark (12, 22) Carried
9694 CY 32, 42, 98 3,564,000
Skills* Forward
(For option codes BY and DY, the June 12, 22, 32, 42,
DY 5,218,000
carry forward component (88) is only 88, 98
applicable to candidates taking the ‘A2 only'
route) SY 12, 22 (AS Level) 3,564,000
* Indicate that the syllabus contains options which can be entered as part of a Staged Assessment.
Examination Fee calculation in Rupiah (IDR)
Fee (IDR) No. of subjects Amount

No. of subjects @ 2,664,000 2,664,000 x
No. of subjects @ 3,564,000 3,564,000 x
No. of subjects @ 4,014,000 4,014,000 x
No. of subjects @ 4,318,000 4,318,000 x
No. of subjects @ 4,768,000 4,768,000 x
No. of subjects @ 5,218,000 5,218,000 x
Final Stage Late fee (5 March to 16 April 2021) 1,587,000 x =
Total amount for the examination fee IDR
Declaration
▪ I certify that the information given on this form is complete, true and accurate
▪ I understand that I shall be allowed to sit only for the subjects that I entered
▪ I understand that there will be NO transfer or postponement of examination
▪ I understand that there will be NO refund of the fees if I decide to withdraw from the examinations
▪ I acknowledge receipt of Information for candidates & the examination timetable
▪ I understand that I shall not register for Cambridge AS/A-Level examinations/syllabuses with two examination centres
in a particular session
 (please tick ✓ ) For candidates 18 years old and above
Candidate’s Signature: Date:
 (please tick ✓ ) For candidates below 18 years old
Guardian’s Signature: Date:

Official Use
Administrator’s initials Sequence Number C Receipt number E
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personal information and undertakes not to divulge any of the students’ personal information to any third party without the prior consent of the student. Our privacy
policy can be found on our website.
Under UK Data Protection law and the Indonesia Data Protection Act you have the right to ask for a copy of the information we hold on you, and the right to ask us to
correct any inaccurate information. If you want to find out more about this please contact your local British Council office.
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Registration Form As A Level June 2021 Series

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Cambridge International Advanced Subsidiary and Advanced Levels (AS & A Levels)

June 2021 Examination Session

STANDARD REGISTRATION PERIOD

13 January 2021 to 4 March 2021

LATE REGISTRATION PERIOD

5 March 2021 to 16 April 2021

Please note that NO refund, transfer or postponement is allowed after registration

Board Code ID400

Full Name as in KTP (National ID for Indonesian)/ Passport

(Please attach a copy of your KTP or Passport for International Student)

KTP / Passport No Previous Candidate Number

Gender (please circle) Male / Female Previous Centre Number

Date of birth (dd) (mm) (yyyy) English first language? Yes / No

Application for Access Arrangements

25% Extra Time Others (specify) : ______________________

Code Subject Paper No & Component Information Option Fee (IDR) ✓

12: AS Level Multiple Choice 12 (Core)

22: Reading & Writing 22

42: A Level Structured Questions 42

AY 12, 22, 32 4,768,000

42: A Level Structured Questions 42

12: AS Level Multiple Choice 12 5,218,000

AY 12, 22, 32, 42 5,218,000

(For option codes BY and DY, the June carry

SY 12, 22 (AS Level) 4,318,000

Code Subject Paper No. & Component Information Option Fee ✓

12: Writing Paper 12

9084 Law* 88: June AS Mark (12, 22) Carried Forward

42: A Level Structured Questions 42

32: Specialist Options: Theory 32

(For option codes BY, the June carry

12: Socialisation 12 AY 12, 22, 32, 42 4,768,000

12: Problem Solving 12 AY 12, 22, 32, 42 5,218,000

June 2021 Examination Session

Examination Fee calculation in Rupiah (IDR)

Fee (IDR) No. of subjects Amount

No. of subjects @ 3,564,000 3,564,000 x

No. of subjects @ 4,014,000 4,014,000 x

No. of subjects @ 4,318,000 4,318,000 x

No. of subjects @ 4,768,000 4,768,000 x

No. of subjects @ 5,218,000 5,218,000 x

Final Stage Late fee (5 March to 16 April 2021) 1,587,000 x =

Total amount for the examination fee IDR

 (please tick ✓ ) For candidates 18 years old and above

Candidate’s Signature: Date:

 (please tick ✓ ) For candidates below 18 years old

Guardian’s Signature: Date:

Administrator’s initials Sequence Number C Receipt number E

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