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Centre number: 0 .1 2 3 4 5 6 7 8 9
Please write your full name in CAPITAL letters on the line below: 0 .1 2 3 4 5 6 7 8 9
0 .1 2 3 4 5 6 7 8 9
0 .1 2 3 4 5 6 7 8 9
Then write your six-digit Candidate number in the boxes and
shade the number in the grid on the right. 0 .1 2 3 4 5 6 7 8 9
Test date (shade ONE box for the day, ONE box for the month and ONE box for the year):
Day: 01 02 03 04 05 06 07 08 09 10 11 1 2 1 3 1 4 1 5 1 6 1 7 1 8 1 9 2 0 2
i . 1 2 2 2 3 2 4 2 5 2 6 2 7 2 8 2 9
3 0 3 1
Month:
01 02 03 04 05 06 07 08 09 10 11 12 Year (last 2 digits): 09 10 11 12 13 14 15 16 17 18
1 . 21
1 21
2 . 22
2 22
3 . 23
3 23
4 . 24
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5 . 25
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6 . 26
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7 . 27
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8 . 28
8 28
9 . 29
9 29
. 10 . 30
10 30
. 11 . 31
11 31
. 12 . 32
12 32
. 13 . 33
13 33
. 14 . 34
14 34
. 15 . 35
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. 16 . 36
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. 17 . 37
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. 18 . 38
18 38
. 19 . 39
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. 20 . 40
20 40