3H, 4H. 4420. Physics. ○. FA. 1F, 3. ○ HA. 2H, 3. 4425. Religious Studies. ○. A.
1, 2. 4437. Science (Double Award). ○. FA. 1F,2F,3F,7,8. ○ HA. 4H,5H,6H,7,8.
HONG KONG EXAMINATIONS AND ASSESSMENT AUTHORITY
LONDON EXAMINATIONS IGCSE EXAMINATION – NOVEMBER 2008
FOR HKEAA USE
PRIVATE CANDIDATE ENTRY FORM
A
2
(9)
(10)
Serial No. (11-14)
(You should read the “Notes for Persons Entering for the Examination” before completing this form) # Blacken as appropriate Full Name (BLOCK LETTERS) (leave one box empty between words)
# { Mr
{ Ms (35)
(16)
Surname
(36)
Other names
(65)
Postal Address (BLOCK LETTERS) (153) (66)
(95)
(96)
(125)
(126)
(152)
Examination Centre (156)
Kowloon Side only
(155)
#{ H K
{K L N {N T
Contact Telephone No.: .................................. Facsimile No.: .................................................. E-mail Address: ...............................................
# { H.K. Identity Card No. (157)
(167)
(
Name in Chinese (if applicable)
Sex
Date of Birth
(168)
(169)
(174)
1 9
) M/F
Day
Month
Year
# { Other Identification Document If you do not have a HKID Card, please provide: Name of Other Identification Documents (175)
(194)
Other Identification Document No. (195)
(214)
For registration by post or through a representative, a photocopy of the valid H.K.I.D. Card or the I.D. document should be sent with the entry form. WARNING - The entry of false or incorrect personal particulars in this form may render the candidate liable to prosecution under the Laws of Hong Kong. G:\\oe_gce\GCE\Edexcel\UL IGCSE\Entry Forms\IGCSE Private Oct/ Nov 2008.doc
#
Blacken the circle against each subject entered
Foundation Tier
Subject Code (228)
4305 4308 4325 4330 4335 4340 4350 4355 4357 4360 4365 4370 4375 4380 4400 4420 4425 4437 4437 4437 4440
Subject Name Accounting Arabic (First Language) Biology Business Studies Chemistry Commerce Economics English Language English as a Second Language English Literature French Geography German History Mathematics Physics Religious Studies Science (Double Award) Science (Double Award) Science (Double Award) Spanish
#
{ { { { { {
{
Option Code
FA FA FA FA FA FA
FA
Paper No.
1F, 3 1F, 3 1F, 3 1F, 3 1F, 3 1F, 3
1F, 3
Higher Tier
#
{ { { { { {
{
Option Code
Single Tier
Paper No.
HA HA HA HA HA HA
#
Option Code
Paper No.
{ {
* *
1 1, 2
{ { {
*
1, 2 1, 2 1, 2
{
*
1, 2
{
A
1, 2
{
*
1, 2
2H, 3 2H, 3 2H, 3 2H, 3 2H, 3 2H, 3
HA
2H, 3
{ { {
FA F FA
1F, 3 1F, 2F 1F, 3
{ { {
HA H HA
2H, 3 3H, 4H 2H, 3
{ { {
FA
1F,2F,3F,7,8
HA
4H,5H,6H,7,8
FB
1F,2F,3F,7,9
HB
4H,5H,6H,7,9
FC
1F,2F,3F,8,9
{ { {
HC
4H,5H,6H,8,9
A
*
Examination Fees
No. of Subjects Entered
Total Fees
Entries @ $ 1,095
$
Entries @ $ 2,045 (Science, Double Award)
$
Private
Candidate
Total Fees $ (215 - 216)
(217)
(221)
I agree to the conditions set forth in the “Notes for Persons Entering for the Examination” including the collection of personal data for the purposes stated.
Signature of Candidate
Date FOR HKEAA USE ONLY
INSTRUCTIONS Candidates are advised to consult the timetable and the Regulations and Syllabuses of the Awarding Body carefully before entering any subject so as to avoid subjects that clash on the timetable and prohibited combinations of subjects. No special arrangements will be made for such subjects.
Demand Note No.
: (222)
(227)
