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Version 1.6 June 2007 2007 ISACA/ITGI Nothing from this publication may be duplicated and/or published by using print, photocopy, microfilm, or electronic means or in any other way. In addition, it may not be stored in any way without preceding, written permission from ISACA/ITGI.
After completion please fax to XA Systems ATT: Education Service Delivery Desk EMAIL: exams@xasystems.com FAX: 703-766-5048
To be completed by the exam candidate and returned to ITpreneurs Step 1 Personal details: First/Given Name: Middle Name: Last/Family Name: Your certificate will be mailed to the address on this form: Exact name to be printed on your certificate: Business or Home Address (please indicate) Home Business Organization Name (if applicable): Address Line 1: Address Line 2: City: State/Province: Postal Code: Country: E-mail address: Telephone Number: (please indicate) Home Business YES / NO Classroom / E-learning Did you complete the COBIT Foundation course: If yes, where did you take the course: Language of the exam Version of the exam Preferred examination details: Preferred examination date: Preferred examination time: As a candidate, you have to read and agree to the following requirements:
(Please forward your course completion certificate to XA Systems for the e-learning course) (Please state the name of the Web site from which you purchased the course or the name of the training organization.) English / Japanese/Portuguese/Spanish Please select which version you would like to take: COBIT v4.0 (Japanese) / COBIT v4.1 (English/Spanish/Portuguese) (Please provide a specific date and time, such as 10.00 AM August 12, 2006. Please take 10 working days into account.)
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Any intellectual and industrial property, rights to materials, as well as the preparatory material thereof are vested exclusively with ISACA/ITGI. The candidate will keep the material confidential and will not make the information available to any third party whatsoever, whenever, and wherever. The candidate shall not publish the materials or make copies thereof. The candidate is not permitted to remove or change any indication concerning the copyrights or the intellectual property rights of the material, including the statement of confidential nature and nondisclosure of material. The candidate has read and is aware of Terms and Conditions for the Exam, which can be found at the bottom of this document.
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Step 4
Proctor information: Proctors first name: Proctors last name: Proctors e-mail address: Please sign this document and return it to XA Systems:
(A proctor will supervise you taking the exam. The proctor will have to complete Annex 1.0 of the Proctor Registration sheet in the Proctor Package).
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Date: Signature:
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Terms and Conditions for Taking the COBIT Foundation Exam Registration: The details provided by you when registering are important. You must ensure they are true and accurate and inform us of any changes in the information you provided when registering by contacting XA Systems at exams@xasystems.com. Conduct during the examination: Every candidate shall make sure that a supervisor proctors and attends the exam. The candidate shall follow the instructions of this supervisor. Using books, notes, Web sites, or other supporting material is not allowed during the examination. Candidates will not speak to each other during a group examination. Candidates committing foul play may be disqualified from the examination immediately, and that candidates results will not be accepted. Technical Requirements and timing: The COBIT exam is online. Candidates should have stable Internet access for one hour to complete the exam. Exam candidates must start the exam at the pre-agreed scheduled start of the exam. In case of any technical malfunction at the candidates end, no refunds will be granted. Results and appeals: The exam result will be shown after submitting the exam. Appeals against an examination result will not be considered. In case of failing Page 3/4
the CobiT exam, the candidate has the right to sign up again for the exam, following the standard signup procedure and subsequent payment. Refunds and Cancellation: In case of the candidates cancelling the exam, no refunds will be made. Ownership: The exam questions are the property of Information Systems Audit and Control Association (ISACA). Candidates shall not use, publish, or copy the exam questions.
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