Cambridge English Exams Registration Form (01/08/2017 ?· Cambridge English Exams Registration Form…

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  • Cambridge English Exams Registration Form (01/08/2017 31/07/2018)

    (01/08/2017 31/07/2018)

    Please complete in BLOCK LETTERS and attach a copy of candidates ID Card/Birth Cert./Passport with the candidates name displayed in English

    // Section 1: Candidate Details

    Given Name (in English)

    Family Name (in English)

    Date of Birth

    (dd/mm/yy

    /

    /

    )

    Gender

    Male

    Female

    ID Card/Birth Cert./Passport Number

    /

    /

    Tel. Mobile

    Email

    Address

    (NOTE: Certificate will be sent to this address

    )

    Are you registering through a school / an education

    centre?

    /

    ?

    No Yes (If yes, please state the name , /)

    Section 2: Exam Levels

    Level

    :

    *Please tick (

    )

    *

    (

    )

    YLE

    Young Learners English (YLE):

    Starters/ (HKD$585)

    Movers/ (HKD$645)

    Flyers/ (HKD$715)

    Cambridge English: For Schools exams

    Key for Schools/KETfS (HKD$995)

    Preliminary for Schools/PETfS (HKD$1,190)

    First for Schools/FCEfS (HKD$1,720)

    Cambridge English: General exams

    Key/KET (HKD$995)

    Preliminary/PET (HKD$1,190)

    First/FCE (HKD$1,720)

    Advanced/CAE (HKD$2,040)

    Choice

    :

    1st Choice for Exam Session

    /

    2nd Choice for Exam Session

    /

    Section 3: Payment Options

    By Cheque

    Cheque Number

    (Payable to

    GPEX Central HK Limited)

    Bank name

    :

    Bank Account Details

    Banks Name

    :

    Name of Account

    :

    Account Number

    :

    China Construction Bank (Asia) Corporation Ltd

    GPEX Central HK Limited

    1393 4268

    Section 4: Special Arrangement

    Do you have any special needs due to ill health/medical conditions?

    If yes, please specify your requirements below. Please attach supporting medical evidence to this form.

    /

    In preparation for the exams, are you be interested in supplying official Cambridge English past papers to your students at special rates?

    ,

    ? Yes No Section 5: Declaration

    I declare that all information given in this registration form and the attached documents are, to the best of my knowledge, accurate and complete. I understand that all individuals who want to take Cambridge English exams are required to agree to all the terms and conditions set by Cambridge English and the exam centre.

    To be signed by parent/guardian if the candidate is under 18 years of age. 18

    Name

    Signature

    Date

    IMPORTANT NOTES:

    1. CHECK LIST: Complete Registration Form Copy of Birth Certificate / HKID / Passport Cheque OR Deposit slip copy

    2. LATE REGISTRATIONS WILL BE ACCOMMODATED WHERE POSSIBLE. PLEASE CHECK WITH OUR GPEX TEAM (Tel:3928 5669)

    3. EMAIL TO : INFOHK@GPEXCENTRAL.ORG OR MAIL TO: UNIT 1001, 10/F MIRAMAR TOWER, 132 NATHAN ROAD, TSIM SHA SHUI, KOWLOON, HONG KONG

    4. APPROXIMATELY ONE WEEK PRIOR TO EXAM A CONFIRMATION OF ENTRY & TIMETABLE LETTER WILL BE SENT TO THE DESIGNATED EMAIL ADDRESS PROVIDED.

    :

    ::

    :

    1.

    / / 2.

    ,

    Tel: 852-5281-2391 / 5281-2392

    3.

    : INFOHK@GPEXCENTRAL.ORG

    (HK113)

    132

    10

    1001

    4. GPEX

    ,

    ,

    ,

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