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Camb Exam Entry Form (Checkpoint)

The student is required to choose three subjects - English, Mathematics, or Science - to register for the November 2020 Cambridge Checkpoint series. The registration form requests the student's personal details such as full name, date of birth, class, parent and student contact information, and signatures agreeing to the rules of the Cambridge International Examinations.

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Ahmadi Irvan
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90 views

Camb Exam Entry Form (Checkpoint)

The student is required to choose three subjects - English, Mathematics, or Science - to register for the November 2020 Cambridge Checkpoint series. The registration form requests the student's personal details such as full name, date of birth, class, parent and student contact information, and signatures agreeing to the rules of the Cambridge International Examinations.

Uploaded by

Ahmadi Irvan
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Cambridge CHECKPOINT Registration Form

November 2020 Series


Put a check () next to the subject that you want to register

English (1110) :

Mathematics (1112) :

Science (1113) :

The student is compulsary to choose three subjects to register.

CANDIDATE’S DETAIL

Student’s Full Name :


(as it will appear on the Cambridge Statement of Achievement and Report)

Date of Birth : _ _/_ _/_ _(DD/ MM/ YY)Male Female (put a check “”)

Class :
Parent’s Name :
Address :
Phone Number (Parent’s & Student’s) :
E-mail Address (Parent’s & Student’s ):

I am fully aware of the rules and regulations of CIE and agree to abide by them. The information given
is correct and I understand that any request for changes may not be entertained without the required
applicable fee. The spelling of my child’s name and date of birth has been checked.

Parent’s Name and Signature Student’s name and Signature

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