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tlr ROYAL INSTITUTE OF MUSIC AND ARTS

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TRINITY COLLEGE LONDON


DIGITAL EXAMINATION FORM

Classical &Jazz Rock & Pop

PLEASE COMPLETE IN BLOCK CAPITALS ONLY

Candidate Name: Vi N B,Rn i\ M AC Date of Birth


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h4 usic School/l nstitute: *)Yar- INSI!tlsTj C,€ ilU|ilL l:i N/usic lnstructor

conract Number. g>L 146c"' 5 Gender: f,/ale Female Age: I v*-


EmailAddress: a no") ,$ ohnaiL.cn m lVlonth: $qV Year-: 2OZ1
lnstrument: \l 0L *+S ,
Grade: OL

PLEASE READ:

. Please provide CORRECT snelling of Narne, Date of Birth, lnstrument/Subject, and Grade.

- Forms that do nat include all candidate tnformation will not be accepted.

- Beiore submitting the Exarninatron Vrdeo, please double check the spelllng oJ your name from your tnstrtictar.
. Digital examination submission schedule are announced 14 days befoi'e the dearliine.

- Exam schedule v',rill NAT be changed anci fees will NOT be refunded.

' There are no relunds for missed exams. lf a candidate will not be able to do the Digrtal Examinalion for me

or fanrily reasons, please provlde supporting documents to be forwarded to Trrniry Cffice.

Slgning this t'orm ls an ogreement that you have read the teffns and understand that yau will not receive a reJun

missed exarns for any rcasons snd that exam schedules will not be maved from the ctpoolnted exam clay/tlme. Forrn:
are nct stgned are not vclld.

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PARENT'S NAIVE IGNATU lt lo ?DU

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