CAMBRIDGE INTERNATIONAL EXAMINATION (CIE) GENERAL CERTIFICATE OF EDUCATION

GCE AS and A LEVELS EXAMINATIONS MAY/JUNE 2012 Centre Name FOR OFFICIAL USE ONLY

PHOTO Candidate Number

Affix your most recent passport size photo here (write your name at the back of the photo)

Centre Number

MY001
Name IN BLOCK LETTERS (Leave spaces between names and initials as per Identity Document)

Date of birth Address:

IC/Passport Number

Nationality Tel H/P Email/Fax

Gender

Postcode:
REGISTRATION PERIOD . Final Entry Closing Dates 1st level penalty GCE AS & A exam entry details: Syllabus code (circle the Syllabus Name required code you wish to register for) 13: 23: 33: 43: 66: 67:

May/ June Examination 16 January to 14 February 2012 15 February to 13 March 2012

Component Information

Option Code (circle the required code you wish to register for)

Fee (RM)

Accounting*
- may not be taken in the same exam session as 7110

9706

Multiple Choice (Core) Structured Questions (Core) Multiple Choice (Supplement) Problem Solving (Supplement) Carried Forward June AS Mark Carried Forward November AS Mark

AZ BZ CZ DZ SZ

13, 23, 33,43 33, 43, 66 33, 43, 67 13, 23, 33, 43,66, 67 13, 23 (AS Level Only)

RM970.00 RM590.00 RM590.00 RM970.00 RM590.00

Biology

9700

42: A2 Structured Questions 52: Planning, Analysis and Evaluation 66: Carried Forward June AS Mark 67: Carried Forward November AS Mark 13: 22: 33: 66: 67: Short Answer/Essay Data Response Case Study Carried Forward June AS Mark Carried Forward November AS Mark

BY CY

42, 52, 66 42,52, 67

RM590.00

Business Studies*

9707

AZ BZ CZ DZ SZ

13, 23, 33 33, 66 33, 67 13, 23,33, 66,67 13, 23 (AS Level Only)

RM970.00 RM590.00 RM590.00 RM970.00 RM590.00

Chemistry

9701

42: A2 Structured Questions 52: Planning, Analysis and Evaluation 66: Carried Forward June AS Mark 67: Carried Forward November AS Mark 12: 22: 32: 42: Multiple Choice (Core) Data Response & Essay (Core) Multiple choice (Supplement) Data Response & Essays (Supplement) 66: Carried Forward June AS Mark 67: Carried Forward November AS Mark

BY CY

42, 52, 66 42,52, 67

RM590.00

Economics*

9708

AY BY CY DY SY

12, 22, 32, 42 32, 42, 66 32, 62, 67 12, 22,32, 42,66, 67 12, 22 (AS Level Only)

RM970.00 RM590.00 RM590.00 RM970.00 RM590.00

Page 1 of 6

Syllabus Name

Syllabus code (circle the required code you wish to register for) 8693

Component Information

Option Code (circle the required code you wish to register for)

Fee (RM)

English Language
-may not be taken in the same session as 8695

12: Passages for Comment 22: Composition

AY

12, 22 (AS level Only)

RM590.00

First Language Spanish

-may not be taken in the same session as 8673, 8685, 9719

8665

23: Reading & Writing 43: Texts

23,43 (AS Level Only)

RM590.00

French Language
- may not be taken in the same exam session as 9716

8682

1: Speaking 23: Reading and Writing 33: Essay 1: Speaking 23: Reading and Writing 33: Essay 43: Texts 43: Texts 13: Paper 13 23: Paper 23 12: Paper 12 12: Core Geography 22: Physical Geography Advanced 32: Human Options Advanced 66: Carried Forward June AS Core Mark 67: Carried Forward November Core AS Mark

1,23,33 (AS level Only) 1,23,33,43 (A Level Only)

RM720.00

French
- may not be taken in the same exam session as 8670, 8682

9716

AZ

RM970.00

French Literature
- may not be taken in the same exam session as 9716

8670

43 (AS Level Only) 13,23 (A Level Only) 12 (AS Level Only)

RM590.00

Further Mathematics General Paper

9231 8004

AZ Y

RM970.00 RM590.00

Geography*
- Papers 22and 32are taken in the same session

9696

AY BY CY DY SY

12, 22, 32 22, 32, 66 22, 32, 67 12, 22, 32, 66, 67 12 (AS Level only)

RM970.00 RM590.00 RM590.00 RM970.00 RM590.00

History*

9697

13: Paper 13 33: Paper 33 53: Paper 53 6: Paper 6 61: June Paper 1 AS Mark Carried Forward 63: June Paper 3 AS Mark Carried Forward 65: June Paper 5 AS Mark Carried Forward 66: June Paper 6 AS Mark Carried Forward 71: November Paper 1 AS Mark Carried Forward 72: November Paper 2 AS Mark Carried Forward 73: November Paper 3 AS Mark Carried Forward 74: November Paper 4 AS Mark Carried Forward 75 November Paper 5 AS Mark Carried Forward

BZ ZB DZ ZD EZ ZE JZ ZJ KZ ZK MZ ZM NZ OZ RZ SZ SM SO SQ SF VZ WZ XW YW

13,33 13,33,61,63,71,73 13,53 13,53,61,65,71,75 13,6 13,6,61,66,71 33,53 33,53,63,65,73,75 33,6 33,6,63,66,73 53,6 53,6,65,66,75 13,63,65,66 13,72,73,74,75 33,61,65,66 33,71,72,74,75 13 only (AS level only) 33 only (AS level only) 53 only (AS level only) 6 only (AS level only) 53,61,63,66 53,71,72,73,74 6,61,63,65 6,71,72,73,74,75

RM590.00

Page 2 of 6

Syllabus Name

Syllabus code (circle the required code you wish to register for)

Component Information

Option Code (circle the required code you wish to register for)

Fee (RM)

Law*

9084

13: Paper 1 23: Paper 2 33: Paper 33 43: Paper 43 66: June carried Forward Mark 67: November Carried Forward Mark

AZ BZ CZ DZ SZ

13, 23, 33, 43 33, 43, 66 33, 43, 67 13, 23, 33,43,66,67 13, 23 (AS Level)

RM970.00 RM590.00 RM590.00 RM970.00 RM590.00

Literature in English*
- may not be taken in the same exam session as 8695

9695

32: Poetry & Prose 42: Drama 52: Shakespeare & Other Pre-20th Century Texts th 62: 20 Century Texts 72: Comment & Appreciation 66: June AS Mark Carried Forward 67: November AS Mark Carried Forward 88: Paper 8 Mark Carried Forward

AY BY DY EY GY HY JY KY MY SY

32, 42, 52, 62 32, 42, 52, 72 52, 62, 66 52, 72, 66 52, 62, 67 52, 72, 67 32,42,52,62,66,67 32,42,52,72,66,67 32, 42, 52, ,88 32, 42 (AS Level)

RM970.00 RM970.00 RM970.00 RM970.00 RM590.00 RM590.00 RM970.00 RM970.00 RM970.00 RM590.00

Marine Science*

9693

1: AS Structured Questions 2: AS Data-Handling & Free-Response 3: A2 Structured Questions 4: A2 Data Handling & Free-Response 66: June AS Mark Carried Forward

A B D S

1,2,3,4 3,4,66 1,2,3,4,66 1,2

RM970.00 RM590.00 RM970.00 RM590.00

Mathematics*
-Option S7 cannot be used as a part of Staged Assessment

9709

13: Paper 13 23: Paper 23 33: Paper 33 43: Paper 43 53: Paper 53 63: Paper 62 73: Paper 73 64: June AS Paper 1+ Paper 4 Option Mark Carried Forward 66: June AS Paper 1+ Paper 6 Option Mark Carried Forward 74: November AS Paper 1+ Paper Option Mark Carried Forward 76: November AS Paper 1+ Paper 6 Option Mark Carried Forward

AZ BZ CZ DZ EZ FZ GZ HZ IZ JZ KZ LZ MZ NZ S7 S8 S9

13, 33, 43, 63 13, 33, 43, 53 13, 33, 63, 73 33, 63, 64 33, 43, 66 33, 53, 64 33, 73, 66 33, 63, 74 33, 43, 76 33, 53, 74 33, 73, 76 13,33,43,63,64,66,74,76 13,33,43,53,64,74 13,33,63,73,66,76 13, 23 (AS Level Only) 13, 43 (AS Level Only) 13, 63 (AS Level Only)

RM970.00 RM970.00 RM970.00 RM590.00 RM590.00 RM590.00 RM590.00 RM590.00 RM590.00 RM590.00 RM590.00 RM970.00 RM970.00 RM970.00 RM590.00 RM590.00 RM590.00

Physics*

9702

42: A2 Structured Questions 52: Planning, Analysis and Evaluation 66: Carried Forward June AS Mark 67: Carried Forward November AS Mark

BY CY

42, 52, 66 42, 52, 67

RM590.00 RM590.00

Portuguese Literature
- may not be taken in the same examination session as 9718.

8672

4: Texts

4 (AS Level Only)

RM590.00

Page 3 of 6

Syllabus Name

Syllabus code (circle the required code you wish to register for)

Component Information

Option Code (circle the required code you wish to register for)

Fee (RM)

Psychology*

9698

1: Core Studies 12 2: Core Studies 22 32: Specialist Choices 66: Carried Forward June AS Mark 67: Carried Forward November AS Mark

AY BY CY DY SY

12, 22, 32 32, 66 32, 67 12, 22, 32, 66, 67 12, 22 (AS Level Only)

RM970.00 RM590.00 RM590.00 RM970.00 RM590.00

Sociology *

9699

13: Essay 23: Data Response 33: Essay 2 66: Carried Forward June AS Mark 67: Carried Forward November AS Mark

AZ BZ CZ DZ SZ

13, 23, 33 33, 66 33, 67 13, 23, 33, 66, 67 13, 23 (AS Level Only)

RM970.00 RM590.00 RM590.00 RM970.00 RM590.00

Spanish *
- may not be taken in the same examination session as 8665, 8673, 8685.

9719

1: Speaking 23: Reading & Writing 33: Essay 43: Texts

AZ

1,23,33,43 (A Level Only)

RM970.00

Spanish Language
- may not be taken in the same examination session as 8665, 9719.

8685

1: Speaking 23: Reading & Writing 33: Essay

1,23,33 (AS Level Only)

RM720.00

Spanish Literature
- may not be taken in the same examination session as 8665, 9719.

8673

43: Texts

43 (AS Level Only)

RM590.00

Thinking Skills*

9694

12: Problem Solving and Critical Thinking, Multiple Choice 22: Critical Reasoning 32: Problem Solving and Critical Thinking (Advanced) 42: Applied Reasoning 66: Carried Forward June AS Mark 67: Carried Forward November AS Mark 2: Reading & Writing 3: Essay

AY BY CY DY SY

12, 22, 32, 42 32, 42, 66 32, 42, 67 12, 22, 32, 42, 66, 67 12, 22 (AS Level Only)

RM970.00 RM590.00 RM590.00 RM970.00 RM590.00

Urdu Language

8686

SB

2,3 (AS Level Only)

RM590.00

* indicates syllabuses that include options that can be entered as part of a staged assessment.

Page 4 of 6

Please note that the fees indicated below are inclusive of the sterling pound entry fees payable to Cambridge International Examinations:

Registration fee per candidate (non-refundable): RM200.00 Late Registration penalty fee: 1st stage : RM100.00 per candidate (non-refundable)

RM 200.00

RM RM

+
______ no. of syllabus x RM100.00 per syllabus (non-refundable) Total number of subjects or syllabus _________ x RM970.00 Total number of subjects or syllabus _________ x RM590.00 Total number of subjects or syllabus _________ x RM720.00 Total amount (payable to British Council) Declaration

RM RM RM RM

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 CIE examination 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

Signature of candidate: __________________________________

Date: ________________________

Special Consideration: Access Arangements 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.) Deadline for Access Arrangement Applications is 20 January 2012. Please tick here if you need Access Arrangements.

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 Councils liability will be limited to the refund of the registration fee or re-testing at a later date.

Your completed entry form must be accompanied by the following (please tick): A recent coloured passport size photograph affixed to the entry form A copy of your passport or Identity Card A copy of your previous statement of results if you have taken the GCE AS or A Level Examination before The total examination fee A medical report for Access Arrangements (if applicable)

Page 5 of 6

Payment Details [payable to British Council] Kuala Lumpur and Penang centres: Payment can be made in cash, by cheque, bank draft, bank transfer, or credit card. Kuala Lumpur and Penang bank details: Bank: Citibank Bank swift code: CITIMYKL Account Number: 0-115889-028
[Cash deposit must be made through the Citibank counter and not via the cash machine (ATM machine). If you wish to pay by cheque deposit, you may drop the cheque into the corporate box at Citibank].

Kota Kinabalu centre: Payment can be made by cheque, bank draft, bank transfer or credit card. You can also deposit cash into our bank account. Sabah bank details: Bank: HSBC Bank swift code: HBMB MYKL Account Number: 392-858502-001 Kuching centre: Payment can be made by cheque, bank draft or credit card only.
Note: For payment made by bank transfer, cash or cheque deposits please call the relevant test centre to obtain a reference code first.

For official use only

Date of payment

Receipt Number

Amount paid

Registered by: ..

Date:

You may hand in or post the completed entry form to the office which you are registering to sit the examination as shown below:
British Council Ground Floor, West Block Wisma Selangor Dredging 142C Jalan Ampang 50450 Kuala Lumpur Tel. No.: 03 2723 7987 Fax No.: 03 2713 6599 E-mail: kualalumpur.exams@britishcouncil.org.my Counter opening times: Mondays to Fridays Saturdays & Sundays British Council

Penang centre Wisma Great Eastern Suite 3A.1 & 3A.2 25 Light Street 10200 Penang
Tel. No.: 04 263 0330 Fax No.: 04 263 3262 E-mail: penang.exams@britishcouncil.org.my Opening times: Tuesdays to Sundays

9.00am to 8.00pm 10.00am to 5.00pm

9.00am to 5.45pm

British Council Ground Floor 4 Jalan Api-Api Off Jalan Gaya 88000 Kota Kinabalu Sabah Tel. No.: 088 222 059 Fax No.: 088 238 059 E-mail: sabah.exams@britishcouncil.org.my Opening times: Mondays to Fridays

British Council Room A15 & A16, Chung Hua Middle School No. 1 Jalan Pending, 93450 Kuching Sarawak T +60 (0)82 346 044 F +60 (0)82 342 199 E-mail: sarawak.exams@britishcouncil.org.my Opening times: Mondays to Fridays

9.00am to 12.00pm 2.00pm to 4.00pm

9.00am to 12.00pm 2.00pm to 4.00pm

www.britishcouncil.org.my www.cie.org.uk www.cambridgestudents.org.uk

Page 6 of 6