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QUEEN’S COLLEGE
CSEC EXAMINATION CONSENT FORM MAY/JUNE 2022

Fill in Form using block letters in black or blue ink.

NAME OF STUDENT:
SURNAME FIRST NAME OTHER NAMES

GENDER: MALE FEMALE

DATE OF BIRTH: CLASS:

DD MM yyyy

STREAM:
SCIENCE BUSINESS ARTS TECHNICAL

PREVIOUS CANDIDATE NO.:

TEL. NO.
HOME CELL PARENT

SUBJECTS TO BE WRITTEN IN MAY - JUNE 2022

Tick
NAME OF
NO. SUBJECT OPTION TEACHER SIGNATURE
1 Additional Mathematics
2 Agricultural Science
3 Biology
4 Building Technology
5 Chemistry
6 Economics
7 Elect. Doc. Preparation and Mang.
8 Electrical and Electronic Technology
9 English A
10 English B
11 Family and Resource Management
12 Food, Nutrition and Health
13 French
14 Geography
15 History
16 Human and Social Biology
17 Information Technology
18 Integrated Science

19 Mathematics
20 Mechanical Engineering Technology
21 Music
22 Office Administration
23 Physical Education
24 Physics
25 Principles of Accounts
26 Principles of Business
Religious Education
27 (Christian/Hindiusm/Muslim/ Judaism
28 Social Studies
29 Spanish

Contact Person: Ms. Liverpool 648-6631 or Mrs Cave-Stephen 623 2278 /2269547
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Technical
Visual ArtDrawing (Mechanical
(2D - Drawing, Painting and
30 Drawing/Building Drawing)
Mixed-media, Graphic and Communication
31 Design,
Textiles,Printmaking,
Clothing andTextile
FashionDesign and
Manipulation
Theatre
32 3D Arts (Drama/Dance/Stage
- (Sculpture Craft)
and Ceramics Leathercraft,
33 Fibre and Decorative Arts)

Total Number of Subjects being written

Request for Subsidy:

Yes No

Signature of Parent:
Date

Signature of Form Teacher:

Date

FOR OFFICIAL USE ONLY

Total Cost of Subjects

Payment:
Government Parent Alumni

Online Registration completed

by: Date

Contact Person: Ms. Liverpool 648-6631 or Mrs Cave-Stephen 623 2278 /2269547