Preliminary Registration Form Please complete the white boxes below in BLOCK CAPITALS Section 1 PERSONAL DETAILS Surname First name Middle name(s) Title Date of Birth Email address Gender Enter any previous known exam numbers Address (including Contact Numbers postcode) below Home: UCI: Mobile: ULN: Section 2 EXAMINATION(S) DETAILS Qualification type Awarding body Exam series e.g. GCSE (month & year) Subject entry code Unit entry codes Subject/specification title (specification code/subject award code) (if applicable for a unitised specification) Include option code if applicable Section 3 ACCESS ARRANGEMENTS or other information relevant to your entry Are you eligible for access arrangements in examination(s)? Appropriate evidence must be provided to support this YES / NO Circle If Yes, provide details here: your response This does not guarantee access arrangements approval. Further communication on this will follow in due course. Consideration will be given to any access arrangements or reasonable adjustments that may need to be put in place. Where appropriate, the centre will lead on the required processes in identifying the need for, requesting and implementing access arrangements. Section 4 IDENTIFICATION - photographic ID is required to verify your identify Driving Licence Number OR Passport Number Copy of photo driving licence OR copy of photo page of passport must be attached to this form* By signing I confirm that I understand all of the information and points to note on page 1 and page 2 of this document Signature: …………………………………………………………………….. Date: ……………………………..
Preliminary Registration Form Please complete the white boxes below in BLOCK CAPITALS Section 1 PERSONAL DETAILS Surname First name Middle name(s) Title Gender Date of Birth Email address Address (including postcode) Contact Numbers Enter any previous known exam numbers below Home: UCI: Mobile: ULN: Section 2 EXAMINATION(S) DETAILS Qualification type e.g. GCSE Awarding body Exam series (month & year) Subject/specification title Subject entry code (specification code/subject award code) Unit entry codes (if applicable for a unitised specification) Include option code if applicable Section 3 ACCESS ARRANGEMENTS or other information relevant to your entry Are you eligible for access arrangements in examination(s)? Appropriate evidence must be provided to support this YES / NO Circle your response If Yes, provide details here: This does not guarantee access arrangements approval. Further communication on this will follow in due course. Consideration will be given to any access arrangements or reasonable adjustments that may need to be put in place. Where appropriate, the centre will lead on the required processes in identifying the need for, requesting and implementing access arrangements. Section 4 IDENTIFICATION - photographic ID is required to verify your identify Driving Licence Number OR Passport Number Copy of photo driving licence OR copy of photo page of passport must be attached to this form* By signing I confirm that I understand all of the information and points to note on page 1 and page 2 of this document Signature: …………………………………………………………………….. Date: ……………………………..
External-Candidate-Registration-Form.docx