Ashton Sixth Form College External Candidate Registration 2014‐15 Please complete this form in full and return with payment and copies of appropriate ID. Candidate Details (*indicates a required field) Legal Name First Name* Middle Name Surname* Date of Birth * D D M M Y Y Y Y Gender * Age Male Female Years/months** Address * House Number Street Town/City County Post Code E‐Mail Address* Telephone * Daytime: Mobile: Exam History If you have undertaken any exams within the past few years, you will have a Unique Candidate Identification code, comprised of 12 digits and 1 letter. The UCI will be detailed on certificate or results statements. My UCI: 1 2 3 4 5 6 7 8 9 1 2 3 A I do not have a UCI My previous school was: I left in: M M Y Y Access Arrangements I have contacted the Exams Office to discuss my access Yes No arrangements.* The passcode provided by the college is *: Do you require access arrangements? If yes, please specify:* Yes No Ashton Sixth Form College External Candidate Registration 2014‐15 A‐Levels £75 per unit *AS/A‐Level oral exams £150 per unit (in addition to fees above) Awarding Body Subject & Unit Unit Code Fee Total: £ GCSE Fees £100 per subject Awarding Body Subject & Unit Unit Code Fee Total: £ iGCSE Fees £125 per subject (£175 per double award subject) Awarding Body Subject & Unit Unit Code Fee Total: £ Ashton Sixth Form College External Candidate Registration 2014‐15 Payment I enclose £___________ for payment of my examination fees. Payment has been made by (tick as appropriate): Payment Method Amount (£) Cash Cheque (payable to Ashton Sixth Form College) Debit/Credit Card (see below) Card Type Valid to/from Security Code (3 digits (e.g. visa debit/ 16 Digit number mm/yy / mm/yy on signature panel) mastercard) Identification I have enclosed copies of the following forms Photographic ID Other form of ID of ID: ** Any applicant enrolled at another school/college in Year 7‐13, must provide written consent from their head teacher, authorising you to sit examinations as an external candidate at Ashton 6th form College. Declaration By signing this I confirm that I have read and understood the terms and conditions in the information guide for external candidates. I have obtained an up‐to‐date copy of the specification from the relevant awarding body. I confirm that if any of the details change, it is my responsibility to inform Ashton Sixth Form College. If under 18, a parent or guardian should sign this form. Signed: ______________________________________________ Date: _____________________ For office use only: Admin Number: _ _ _ _ Candidate Number: _ _ _ _ Entries made: Cash in/certification made