CAMBRIDGE ASSESSMENT INTERNATIONAL EDUCATION PHOTO

GENERAL CERTIFICATE OF EDUCATION AS & A - LEVELS Affix your most recent

passport size photo
AS/A LEVEL EXAMINATIONS MAY/JUNE 2019 here (write your name
Centre Name LEAVE FOR OFFICIAL USE at the back of the
Centre Number Candidate Number photo)
MY001
(KUALA LUMPUR)

MY002
(PENANG )

Candidate Name IN BLOCK LETTERS as in Identity Card/Passport (Leave spaces between names and initials)

Date of Birth IC/Passport Number Nationality Gender

Current School Name Education Level

School Address

Candidate’s Address (for correspondence)

Telephone Mobile Guardian Telephone Number (Mandatory for Under-18)

Email Address (Mandatory)

**Please provide clear email address. We advise you to regularly check your email for any update on change, announcement, notification
and/or communication from us.

IMPORTANT
It is essential to complete this series if you are entering for retake or carry-forward component or staged assessment at A-Level
within previous 13 months. Please complete information below without which, we may not be able to process your entry.
Candidates are advised to refer to Cambridge Assessment International Education Zone 5 Published Timetable before making any
entry on this application form.

Previous Centre Number Previous Candidate Number

Previous Centre Name

May/June 2018 Examinations Registration Deadlines Late Registration Fees per syllabus
Normal Registration Closing Date 15th February 2019 -
th th
First Stage Late Entry 16 February 2019 to 15 March 2019 RM349.00
th st
Second Stage Late Entry 16 March 2019 to 31 March 2019 RM845.00
Checklist: Your completed entry form must be accompanied by the following (please tick):

Special Consideration: Access Arrangements Applications

If you are a candidate with special requirements (Dyslexia, hearing difficulties etc.), please attach a medical report written in English to this
application form. Candidates should make sure the report specifies the needs of the candidate for the examination (extra time, headphones
etc.)

 Please tick here if you need Access Arrangements (please attach a supporting letter from a registered medical practitioner)

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 Syllabus Name & Code Option Code
Fee
(circle the required code Component Information (circle the required code you wish
(RM)
you wish to register for) to register for)

AZ 13, 23, 33 1085.00

13: AS Level Multiple Choice 13 BZ 33, 89 747.00
Accounting 23: AS Level Structured Questions 23
#may not be taken in the 9706 33: A Level Structured Questions 33 CU 33, 98 747.00
same exam series as 89: June AS Mark (13,23) Carried Forward
7110 98: November AS Mark (12,22) Carried Forward FU 13, 23, 33, 89, 98 1085.00
SZ 13, 23 (AS Level) 809.00
42: A Level Structured Questions 42
52: Planning, Analysis and Evaluation 52 BY 42, 52, 85, 88 972.00
85: June AS Mark (12,22,33) Carried Forward
Biology 9700 88: June AS Mark (12,22,34) Carried Forward
96: November AS Mark (13,23,35) Carried Forward
99: November AS Mark (13,23,36) Carried Forward CR 42, 52, 96, 99 972.00

AZ 13, 23, 33 1085.00

13: Short Answer and Essay 13 BZ 33, 89 747.00
23: Data Response 23
Business 9609 33: Case Study 33 CU 33, 98 747.00
89: June AS Mark (13,23) Carried Forward
98: November AS Mark (12,22) Carried Forward FU 13, 23, 33, 89, 98 1085.00
SZ 13, 23 (AS Level) 809.00
42: A Level Structured Questions 42
52: Planning, Analysis and Evaluation 52 BY 42, 52, 85, 88 972.00
85: June AS Mark (12,22,33) Carried Forward
Chemistry 9701
88: June AS Mark (12,22,34) Carried Forward
96: November AS Mark (13,23,35) Carried Forward CR 42,52, 96, 99 972.00
99: November AS Mark (13,23,36) Carried Forward
13: Theory Fundamentals 13 AZ 13, 23,33, 43 1197.00
23: Fundamental Problem-Solving and BZ 33, 43, 89 972.00
Computer Science Programming Skills 23
#may not be taken in the
9608 33: Advanced Theory 33 CU 33, 43, 98 972.00
same exam series as
9626 43: Further Problem-Solving and Programming 43
89: June AS Mark (13,23) Carried Forward FU 13, 23, 33, 43, 89, 98 1197.00
98: November AS Mark (12, 22) Carried Forward SZ 13, 23 (AS Level) 809.00
AY 12, 22, 32, 42 1197.00
12: AS Level Multiple Choice 12
22: AS Level Data Response & Essay 22 BY 32, 42, 88 972.00
32: A Level Multiple Choice 32
Economics 9708 CY 32, 42, 98 972.00
42: A Level Data Response & Essays 42
88: June AS Mark (12,22) Carried Forward DY 12, 22,32, 42,88, 98 1197.00
98: November AS Mark (12,22) Carried Forward
SY 12, 22 (AS Level) 809.00
English General 12: Essay 12
8021 Y 12, 22 (AS Level) 809.00
Paper 22: Comprehension 22
12: Passages 12 AY 12, 22, 32, 42 1197.00
22: Writing 22 BY 32, 42, 88 972.00
English Language 32: Text Analysis 32 CR 32, 42, 99 972.00
#may not be taken in the 9093
same series as 8695 42: Language Topics 42 FR 12, 22, 32, 42, 88, 99 1197.00
88: June AS Mark (12,22) Carried Forward
SY 12, 22 (AS Level) 809.00
99: November AS Mark (13,23) Carried Forward
First Language
Spanish 23: Reading & Writing 23
#may not be taken in the 8665 Z 23, 43 (AS Level) 584.00
same session as 8673,
43: Texts 43
8685 or 9719

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 Syllabus Name & Code Option Code
Fee
(circle the required code Component Information (circle the required code you wish
(RM)
you wish to register for) to register for)

French 1: Speaking
#may not be taken in the 23: Reading and Writing 23
9716 AZ 1, 23, 33, 43 1197.00
same session as 8670, 33: Essay 33
8682 43: Texts 43
French Language 1: Speaking
#may not be taken in the 8682 23: Reading and Writing 23 Z 1, 23, 33 (AS Level) 922.00
same session as 9716 33: Essay 33
French Literature
#may not be taken in the 8670 43: Texts 43 Z 43 only (AS Level) 584.00
same session as 9716
Further 13: Paper 13
9231 AZ 13, 23 972.00
Mathematics 23: Paper 23
AY 12, 22, 32, 42 1197.00
12: Core Physical Geography 12
Geography 22: Core Human Geography 22 BY 32, 42, 88 972.00
*Papers 22 and 32 are
taken in the same session 32: Advanced Physical Geography Options 32
9696 CR 32, 42, 99 972.00
42: Advanced Human Geography Options 42
88: June AS Mark (12,22) Carried Forward FR 12, 22, 32, 42, 88, 99 1197.00
99: November AS Mark (13,23) Carried Forward
SY 12, 22 (AS Level) 809.00
AZ 13, 23, 33, 43 1197.00
13: Document Question 13
BZ 33, 43, 89 972.00
23: Outline Study 23
History 33: Interpretations Question 33 CU 33, 43, 98 972.00
9389
43: Depth Study 43
89: June AS Mark (13,23) Carried Forward FU 13, 23, 33, 43, 89, 98 1197.00
98: November AS Mark (12,22) Carried Forward SZ 13, 23 (AS Level) 809.00
Language and
Literature in
English 22: Writing 22
8695 AY 22, 92 (AS Level) 809.00
#may not be taken in the 92: Poetry, Prose, Drama 92
same session as 9093 or
9695
AZ 13, 23, 33, 43 1197.00
13: Paper 13
23: Paper 23 BZ 33, 43, 89 972.00
33: Paper 33
Law 9084 CU 33, 43, 98 972.00
43: Paper 43
89: June AS Mark (13,23) Carried Forward FU 13, 23, 33,43, 89, 98 1197.00
98: November AS Mark (12,22) Carried Forward
SZ 13, 23 (AS Level) 809.00
AY 32, 42, 52,62 1197.00
BY 32, 42, 52, 72 1197.00
32: Poetry and Prose 32 DY 52, 62, 88 972.00
Literature in 42: Drama 42 EY 52, 72, 88
th
52: Shakespeare and other Pre 20 Century Texts 972.00
English
#may not be taken in the 9695 62: 1900 to the Present 62 GR 52, 62, 99 972.00
same exam series as 72: Comment and Appreciation 72
8695 88: June AS Mark (32, 42) Carried Forward HR 52, 72, 99 972.00
99: November AS Mark (33,43) Carried Forward NR 32, 42, 52, 62, 88, 99 1197.00
PR 32, 42, 52, 72, 88, 99 1197.00
SY 32, 42 (AS Level) 809.00
13: AS Structured Questions 13 AZ 13, 23, 3, 4 1197.00
23: AS Data-Handling & Free-Response 23
3: A2 Structured Questions B 3, 4, 89 972.00
Marine Science 9693
4: A2 Data Handling & Free-Response DZ 13, 23, 3, 4, 67, 89 1197.00
67: November AS Mark Carried Forward
89: June AS Mark Carried Forward SZ 13, 23 (AS Level) 809.00

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 Syllabus Name & Code Option Code
Fee
(circle the required code Component Information (circle the required code you wish
(RM)
you wish to register for) to register for)

13: Pure Mathematics 13 AZ 13, 33, 43, 63 1197.00

23: Pure Mathematics 23 BZ 13, 33, 43, 53 1197.00
33: Pure Mathematics 33
CZ 13, 33, 63, 73 1917.00
43: Mechanics 43
53: Mechanics 53 DZ 33, 63, 86 972.00
63: Probability & Statistics 63 EZ 33, 43, 89 972.00
73: Probability & Statistics 73 FZ 33, 53, 86 972.00
86: June Mechanics AS Mark (13,43) Carried
Forward GZ 33, 73, 89 972.00
Mathematics 89: June Statistics AS Mark (13,63) Carried HZ 33, 63, 96 972.00
#Option S7 cannot be Forward IZ 33, 43, 99 972.00
9709
used as a part of Staged 96: November Mechanics AS Mark (13,43) Carried
Assessment Forward JZ 33, 53, 96 972.00
99: November Statistics AS Mark (13,63) Carried KZ 33, 73, 99 972.00
Forward LZ 13, 33, 43, 63, 86, 89, 96, 99 1197.00
MZ 13, 33, 43, 53, 86, 96 1197.00
NZ 13, 33, 63, 73, 89, 99 1197.00
S7 13, 23 (AS Level) 809.00
S8 13, 43 (AS Level) 809.00
S9 13, 63 (AS Level) 809.00
1: Multiple Choice
Nepal Studies 8024 1,2 (AS Level) 809.00
2: Written Paper
42: A Level Structured Questions 42
52: Planning, Analysis and Evaluation 52 BY 42, 52, 85, 88 972.00
85: June AS Mark (12,22,33)Carried Forward
Physics 9702 88: June AS Mark (12,22,34)Carried Forward
96: November AS Mark (13,23,35) Carried Forward
99: November AS Mark (13,23,36) Carried Forward CR 42, 52, 96, 99 972.00

Portuguese
Literature
#may not be taken in the 8672 4: Texts 4 only (AS Level) 584.00
same examination
session as 9718
AY 12, 22, 32, 42 1197.00
12: Approaches, issues and debates
22: Research methods 22 BY 32, 42, 88 972.00
32: Specialist Choices: Theory 32
Psychology 9990 CY 32, 42, 98 972.00
42: Specialist Choices: Application 42
88: June AS Mark (12,22) Carried Forward DY 12, 22, 32, 42, 88, 98 1197.00
98: November AS Mark (12,22) Carried Forward
SY 12, 22 (AS Level) 809.00
AZ 13, 23, 33 1085.00
13: The Family 13 BZ 33, 89 747.00
23: Theory and Methods 23
Sociology 9699 33: Social Inequality and Opportunity 33 CU 33, 98 747.00
89: June AS Mark (13,23) Carried Forward
98: November AS Mark (12,22) Carried Forward FU 13, 23, 33, 89, 98 1085.00
SZ 13, 23 (AS Level) 809.00
Spanish Literature
#may not be taken in the 8673 43 only (AS Level)
same examination
43: Texts Z 584.00
session as 8665 or 9719

AZ 13, 23, 33, 43 1197.00

13: Problem Solving M/C 13
23: Critical Thinking 23 BZ 33, 43, 89 972.00
33: Problem Analysis and Solution 33
Thinking Skills* 9694 CZ 33, 43, 99 972.00
43: Applied Reasoning 43
89: June AS Mark (13,23) Carried Forward DZ 13, 23, 33, 43, 89, 99 1197.00
99: November AS Mark (13,23)Carried Forward
SZ 13, 23 (AS Level) 809.00
2: Reading & Writing
Urdu Language 8686 SB 2, 3 (AS Level) 809.00
3: Essay

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BREAKDOWN OF EXAMINATION FEES

Late
No. of
Item Registration Deadlines Registration Total Fees
Syllabus
Fees
th th
First Stage Late Entry 16 February 2019 to 15 March 2019 RM349.00
A Second Stage Late th st
16 March 2019 to 31 March 2019 RM845.00
Entry
No. of
Syllabus Fees
Syllabus

RM584.00

RM747.00

RM809.00
B Total Number of Syllabus
RM922.00

RM972.00

RM1085.00

RM1197.00

Grand Total (A + B)

CANDIDATE DECLARATION
1. I make this entry according to the provisions of the published regulations which I have studied.
2. I agree that it is my responsibility to select the modular units that best meet my needs.
3. I have given all the information required truthfully and accurately to the best of my knowledge and belief.
4. I understand that I shall be allowed to sit only for those subjects and papers for which I have entered on this form.
5. I have not made an entry at any other Cambridge International Examinations centre.
6. I have not made any entry at any other Edexcel examination centre.
7. I agree that there will be no postponement or refund of all fees should I decide to withdraw from the examination after
registration.
8. I accept the responsibility to ascertain the place and date of the examination in case the official notification does not
reach me on time

Confidentiality and data protection

British Council will use the information that you are providing in connection with your registration. The legal basis for processing
your information is in agreement with our terms and conditions.
British Council complies with data protection law in the UK and laws in other countries that meet internationally accepted
standards. You have the right to ask for a copy of the information we hold on you, and the right to ask us to correct any
inaccuracies in that information. If you have concerns about how we have used your personal information, you also have the right
to complain to a privacy regulator.
For detailed information, please refer to the privacy section of our website, www.britishcouncil.org/privacy or contact your local
British Council office. We will keep your information in line with our retention policies from the time of collection.

Signature of guardian: _______________________________

(for candidates age below 18)

Signature of candidate: _______________________________ Date: ________________________

For official use only

Amount Paid Date of Payment

Receipt Number Registered By

Disclaimer
The British Council and the Examining Boards take all reasonable steps to provide continuity of service. We feel sure you will understand,
however, that we cannot be held responsible for any interruptions caused by circumstances beyond our control. If examinations or their results are
disrupted, cancelled or delayed, every effort will be made to resume normal service as soon as possible. The British Council’s liability will be
limited to the refund of the registration fee or re-testing at a later date.

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 PAYMENT OPTIONS

Transaction shall be made payable to “BRITISH COUNCIL”

Office Submit to Cash Credit Card Bank Transfer

Kuala Lumpur KL Office √ √ √

Penang Penang Office √ √ √

Terms of fee and payment:

1. Payment can be made to the British Council either by cash, cheque, credit card, bank draft, or bank transfer.
2. Payment made to the respective British Council office is subject to Bank’s transaction terms and conditions.
3. Registration will be processed upon receipt and validation of the copy of the remittance slip which may be submitted by
hand/courier together with the application form.
4. Payment via cash deposit must be made through the Citibank counter and not via a Cash Deposit Machine.
5. Payment description must be stated clearly.

Bank Details:
Payment Description : CAIE MAY/JUNE2019 (Candidate’s Name)
Bank : Citibank
Bank Swift Code : CITIMYKL
Account Number : 0-115889-028

Completed application form is to be submitted by hand/courier to the office which you are registering to sit the
examination as shown below:

British Council British Council

Ground Floor, West Block Penang Centre
Wisma Selangor Dredging Wisma Great Eastern
142C Jalan Ampang Suite 3A.1 & 3A.2
50450 Kuala Lumpur 25 Light Street
Tel. No.: 03 2723 7900 10200 Penang
Fax No.: 03 2713 6599 Tel. No.: 04 255 9000
E-mail: kualalumpur.exams@britishcouncil.org.my Fax No.: 04 263 3262
E-mail: penang.exams@britishcouncil.org.my
Counter opening times:
Mondays to Fridays 9.00 am to 7.00 pm Opening times:
Saturdays & Sundays 10.00 am to 4.00 pm Tuesdays to Sundays 9.00 am to 5.45 pm
www.britishcouncil.my
http://www.cambridgeinternational.org/
www.cambridgestudents.org.uk

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Dear Parents/Guardians,

Child Safe Collection Policy

British Council takes the safety of your child seriously.

Our current Child Safe Collection Policy states that:

 Children aged up to 10 years are not permitted to leave the premises alone.

 Teenagers aged 11 – 17 years should only be permitted to leave the premises alone if parental consent to this has
been given in writing. [Kindly complete and return the Consent Form below]. Otherwise, they must be collected by
the parent or by a person for whom the parent has provided written authorisation. [Kindly contact us for alternate
arrangement on a case-by-case basis.]

Thank you.

Yours truly,
Examination Services
British Council

Consent Form
I, ______________________________ (NRIC/Passport number: _______________), the parent/legal guardian of candidate
______________________________ hereby consent to my
child/charge leaving the premises on his/her own after the examination.

Yours truly,

_______________
Name:
Date:

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