AP Exam Registration Form

Instruction:
 After registering the exams & making the payment Fill-up and Send this form to the test center at apexamnoida@gmail.com.
 You can download and fill-up the form by hand or fill-up electronically or type the whole information in mail box and send us.

NANDINI
 Student’s First Name: ____________________________ TEWARI
Last Name: ______________________________ X6576165
AP ID:____________
nandinitewari80@gmail.com
 Student Registered Email (same as on your College Board account): ________________________________________________
+91 7330002000
 Student’s Mobile: _____________________________ +91 9811010106
Father’s/Mother’s/Guardian’s Mobile: ___________________________
NEW DELHI, DELHI
 Student’s City and State Name: _____________________________________________________________________________
08/05/2007
 Student Date of Birth (DDMMYYYY): _______________________ (see age acknowledgement below)
 Exam Fee Payment Details:
Date of the Payment 9TH NOVEMBER, 2023 (BOTH PARTS OF THE PAYMENT)
: _________________________________
UTR Code/Payment Ref. No. AXOIR33136791251 AXOMB33136799269
: _________________________________
Amount Paid (Rs.) Rs. 40,000 Rs. 25,000
:_________________________________
Account Holder’s Name SHRUTI TEWARI MADHUP KUMAR TEWARI
: _________________________________
Name of the Bank AXIS BANK AXIS BANK
: _________________________________
IFSC Code UTIB0000120 UTIB0003330
: _________________________________
 List of All Exams You Have Registered:

MICROECONOMICS , PHYSICS
Regular Testing (06 MAY to 17 May 2024): _____________________ C MECHANICS _______________________ ,
______________________,

_______________________ , ______________________, ______________________ , _______________________ ,

Late Testing (22 MAY to 24 May 2024): CALCULUS BC

_____________________ , ______________________, _______________________ ,

_______________________ , ______________________, ______________________ , _______________________ ,

 I acknowledge that I will be under 21 years old (born after May 31, 2003) at the time of taking any AP Exams in May 2024.
 I acknowledge that in order to take AP Exam(s), I am meet at least one of the eligibility categories below:
 Students who are actively enrolled in secondary school.
 Secondary school-level students who are homeschooled, participate in independent study, or attend a virtual school.
 Actively enrolled students who may be prepared to take an AP Exam prior to the ninth grade.
 Recent secondary school graduates who need a specific AP Exam for university admission.
 I acknowledge that I meet the student eligibility criteria and have a legitimate need for AP testing.
*If you recently graduated secondary school (typically within but not limited to 1-3 years after graduation) and need an AP Exam to
apply for university, you do not need to contact the AP Program for permission to test in 2024. If you aren’t sure if you’re eligible to
test, please contact your test center coordinator.
 I acknowledge that I will need to pay the test center, register online with the College Board and share the details to the test center
by the stated deadline to complete my AP Exam registration and receive an Admission Ticket from the test center, or I will not be
able to test.
 I acknowledge that I have read and agree to test center policies above, with respect to payment deadline, payment instructions,
refunds and cancellations.
 I acknowledge that I will bring my Admission Ticket along with an original VALID PASSPORT to the test center on exam day, or I
will not be able to test. Photocopies of the ID will not be accepted. If original, valid passport is not available, then I must have the
Aadhaar in either original Letter format or the PVC version with hologram only (both received from UIDAI). No other Aadhaar
versions will be accepted.