1. hobbies and interests
2. collecting
3. stamps and coins

MUSIC DIPLOMAS
Overseas Entry Form (2015)
SECTION 1: ENTRY DETAILS
General Notes
Centre name: ___________________________________
1. Please complete Sections 1, 2, 3, 4 and 5 clearly, in block capitals.
Session (please circle):
2. This form may not be used for electric, bass, acoustic or jazz guitar
exams; contact Registry of Guitar Tutors on +44 (0)1424 222222.
Spring
Summer
Winter
3. This form may be used for music theatre diplomas.
SECTION 2: CANDIDATE DETAILS
Candidate ID [if entered previously]: _________________
Surname:
___________________________________
Forename(s): ___________________________________
Date of birth
[DDMMYY]
└┴┴┴┴┴┘
Gender
[M / F]
└─┘
Ethnicity
[see chart on p.4]
└┴┘
4. There are no lower age limits for performing, thesis, theoretical or
composition diplomas. Teaching diploma candidates must have
attained the following ages by the date of entry: DipLCM 16 years;
ALCM 17 years; LLCM 18 years. A copy of the birth certificate or
other proof of age must be attached to the entry form.
5. Direct entry to LLCM and FLCM: Please contact LCM Examinations
for the current fee for consideration for direct entry to these
diplomas. Applications should be made to the Chief Examiner in
Music at least FOUR WEEKS in advance of examination entry. (See
guidelines in the syllabus.)
Section 1: Entry Details
1. Please indicate your preferred exam centre. Details are available on
our website, or from the LCM Examinations office.
Section 2: Candidate Details
1. Please complete in full. All correspondence about the examination
will be sent to this address.
Specific needs
[Y / N]
2. Date of birth and ethnicity details are for statistical purposes only,
and are not passed on to the examiner.
└─┘
Address: ______________________________________
______________________________________
______________________________________
______________________________________
Section 4: Examination Details
1. Please tick the appropriate examination, and indicate the
instrument/subject if applicable.
2. On first entry, candidates may only enter for the complete diploma.
Entry for selections of components is allowed only if the candidate is
carrying forward marks achieved previously.
Section 5: Entry Requirements
______________________________________
1. Please ensure this section is completed, and proof of pre-requisites
is attached where applicable. (Photocopies are preferable.)
Tel (day): ______________________________________
2. If retaking part of an exam and carrying forward previously achieved
marks, a photocopy of the original report form must be attached.
Tel (eve): ______________________________________
Submitting the Form
Email:
______________________________________
Have any of these details changed since your previous
entry? Circle if applicable:
Name
Address
Tel (day)
Tel (eve)
Email
1. Send this form, with payment, to the representative of the chosen
examination centre, to arrive on or before the closing date for entry.
2. If you have any specific needs, a letter giving details and requests
for any special requirements (eg. enlarged sight reading), together
with supporting documentation, must be attached.
3. Any timetabling requests (eg. ‘prefer mornings’ or ‘prefer weekdays’)
must be made at the time of entry. LCM and representatives will
take note of the information given; however, no guarantees can be
made that all wishes will be met.
SECTION 3: DECLARATION

I agree to abide by the LCM Examinations Regulations, as
detailed in the current syllabus.
Signature: _____________________ Date: ____________
4. Late entries will be accepted up to 7 days after the closing date with
an additional Late Entry Fee. Entries received later than this cannot
be accepted.
5. Teaching diplomas: The essay/dissertation, and DVD if submitted,
must be submitted to the LCM Examinations office at the time of
entry.
SECTION 4: EXAMINATION DETAILS
Diploma Type
Performance
EXCEPT Jazz and
Music Theatre
[Indicate instrument]
Level
Section(s)
DipLCM (Standard)
DipLCM (Recital)
ALCM (Standard, Option 1)
ALCM (Standard, Option 2)
Complete
Complete
Complete
Complete
Complete
Performance & Viva only
Essay only
Complete
Complete
With Programme Notes carried forward
Complete
Performance only
Programme Notes only
Complete
Performance only
Programme Notes only
Complete
Presentation & Discussion only
Complete
Teaching, Presentation & Disc. only
Essay, Presentation & Discussion only
Presentation & Discussion only
Essay only
Complete
Teaching, Presentation & Disc. only
Dissertation, Presentation & Disc. only
Presentation & Discussion only
Dissertation only
Complete
Complete
Complete
Complete
Complete
Complete
Complete
Complete
Performance only
Programme Notes only
Complete
Complete
Complete
Complete
With Essay/Arranging carried forward
Complete
Complete
Complete
Complete
Complete
Complete
ALCM (Recital, Option 1)
ALCM (Recital, Option 2)
LLCM (Standard)
LLCM (Recital)
FLCM
Teaching
DipLCM
[Indicate instrument]
ALCM
LLCM
Jazz Performance
[Indicate instrument]
Music Theatre
Performance
DipLCM
ALCM
LLCM
FLCM
DipLCM
ALCM
LLCM
FLCM
Church Music
[Indicate principal
instrument]
Conducting
Theoretical
[Summer session only]
DipLCM
ALCM (Option 1)
ALCM (Option 2)
LLCM
DipLCM
ALCM
LLCM
FLCM
DipMusLCM
AMusLCM
LMusLCM
Thesis OR
Composition
ALCM
LLCM
[Indicate which]
FLCM
Professional
Achievement
[NB initial entry must be for the complete diploma]
FLCM
Paper 1 OR Paper 2 only [delete as applicable]
Complete
Paper 1 OR Paper 2 only [delete as applicable]
Complete
Re-submission
Complete
Re-submission
Complete
Re-submission
Complete
LATE FEE [for entries submitted up to 7 days after the closing date]
TOTAL SUBMITTED
Tick
Instrument
Fee
SECTION 5: ENTRY REQUIREMENTS
[COMPLETE THE RELEVANT SECTION AND ATTACH DOCUMENTATION]
Diplomas in Performance (except Jazz and Music Theatre), Diplomas in Church Music
DipLCM in Performance. Candidates must hold Grade 5 Theory.
I enclose proof of:  Grade 5 Theory pass (or alternative; see syllabus for details)
ALCM in Performance: Option 1 (Standard or Recital). Candidates must hold Grade 5 Theory.
I enclose proof of:  Grade 5 Theory pass (or alternative; see syllabus for details)
Enter any marks to be carried forward from a previous attempt at ALCM (Recital, Option 1):
Component: ______________________________ Mark: ____________________ Registration No: ____________________
ALCM in Performance: Option 2 (Standard or Recital). Candidates must hold DipMusLCM (or an approved alternative).
I enclose proof of:  Pre-requisite qualification. Please state pre-requisite qualification: __________________________________
LLCM in Performance. Candidates must hold ALCM in Performance / Teaching in the same subject (or an approved alternative).
I enclose proof of:  Pre-requisite qualification. Please state pre-requisite qualification: __________________________________
Enter any marks to be carried forward from a previous attempt:
Component: ______________________________ Mark: ____________________ Registration No: ____________________
FLCM in Performance. Candidates must hold LLCM in Performance / Teaching in the same subject (or an approved alternative).
I enclose proof of:  Pre-requisite qualification. Please state pre-requisite qualification: __________________________________
Registration number for any section of FLCM in Performance already completed: ____________________
Diplomas in Teaching
DipLCM in Teaching. Candidates must hold Grade 5 Theory (Music Theatre: Grade 8 in the same subject).
I enclose proof of:  Date of birth AND  Grade 5 Theory pass (or alternative; see syllabus for details)
ALCM in Teaching. Candidates must hold Grade 5 Theory (Music Theatre: Grade 8 in the same subject).
I enclose proof of:  Date of birth AND  Grade 5 Theory pass (or alternative; see syllabus for details)
Enter any marks to be carried forward from a previous attempt:
Component: ______________________________ Mark: ____________________ Registration No: ____________________
LLCM in Teaching. Candidates must hold ALCM in Performance / Teaching in the same subject (or an approved alternative).
I enclose proof of:  Date of birth AND  Pre-requisite qualification. Please state pre-requisite: __________________________
Enter any marks to be carried forward from a previous attempt:
Component: ______________________________ Mark: ____________________ Registration No: ____________________
Diplomas in Music Theatre Performance
DipLCM in Performance. There are no pre-requisites.
ALCM in Performance. Candidates must hold DipLCM in Music Theatre Performance or Teaching (or an approved alternative).
I enclose proof of:  Pre-requisite qualification. Please state pre-requisite qualification: __________________________________
LLCM in Performance. Candidates must hold ALCM in Music Theatre Performance or Teaching (or an approved alternative).
I enclose proof of:  Pre-requisite qualification. Please state pre-requisite qualification: __________________________________
FLCM in Performance. Candidates must hold LLCM in Music Theatre Performance or Teaching (or an approved alternative).
I enclose proof of:  Pre-requisite qualification. Please state pre-requisite qualification: __________________________________
Diplomas in Jazz Performance, Diplomas in Conducting
DipLCM & ALCM in Jazz Performance, DipLCM & ALCM in Conducting. Candidates must hold Grade 5 Theory.
I enclose proof of:  Grade 5 Theory pass (or alternative; see syllabus for details)
LLCM in Jazz Performance, LLCM in Conducting. Candidates must hold ALCM in the same subject (or an approved alternative).
I enclose proof of:  Pre-requisite qualification. Please state pre-requisite qualification: __________________________________
FLCM in Jazz Performance, FLCM in Conducting. Candidates must hold LLCM in the same subject (or an approved alternative).
I enclose proof of:  Pre-requisite qualification. Please state pre-requisite qualification: __________________________________
Theoretical Diplomas
DipMusLCM, AMusLCM. There are no pre-requisites.
LMusLCM. Candidates must hold AMusLCM or ALCM in Composition (or an approved alternative).
I enclose proof of:  Pre-requisite qualification. Please state pre-requisite qualification: __________________________________
Diplomas in Composition, Diplomas by Thesis
ALCM in Composition, ALCM by Thesis. There are no pre-requisites.
LLCM in Composition, LLCM by Thesis. Candidates must hold ALCM in the same subject or AMusLCM (or an approved alternative).
I enclose proof of:  Pre-requisite qualification. Please state pre-requisite qualification: __________________________________
FLCM in Composition, FLCM by Thesis. Candidates must hold LLCM in the same subject or LMusLCM (or an approved alternative).
I enclose proof of:  Pre-requisite qualification. Please state pre-requisite qualification: __________________________________
2015 Diploma Written Examinations
SPRING
Saturday 13 June
SUMMER
10am - 1pm [DipMusLCM, AMusLCM Paper 1]
2pm - 5pm [AMusLCM Paper 2, LMusLCM Paper 2]
WINTER
LCM Examinations
University of West London
St Mary’s Road
Ealing
London W5 5RF
tel: +44 (0)20 8231 2364
email: [email protected]
www.uwl.ac.uk/lcmexams
--------------------------------------------------------Regional Representative Office,
Asia Pacific and India:
Lui Events Pte Ltd
57 Mohd Sultan Road, #03-05
Sultan-Link, The Tokyo Suite
Singapore 238997
tel: 65 6622 5868
fax: 65 6622 5867
email: [email protected]
www.lui.com.sg
Ethnic Origin
Classifications
White
01
02
03
British
Irish
Other white background
Mixed
04
05
06
07
White and black Caribbean
White and black African
White and Asian
Other mixed background
Asian or Asian British
08
09
10
11
Indian
Pakistani
Bangladeshi
Other Asian background
Black or Black British
12
13
14
Caribbean
African
Other black background
Chinese or Other Ethnic Group
15
16
Chinese
Other
17
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