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EDEXCEL January 2023 Registration Form and Declaration

This document is a Pearson Edexcel registration form for AL-Rowad International School's January 2023 exam session. It collects student details like name, ID, and contact information. It also outlines the exam subjects and fees as well as declarations that the student and guardian must agree to regarding exam regulations and results collection.

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mdridomd15
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27 views

EDEXCEL January 2023 Registration Form and Declaration

This document is a Pearson Edexcel registration form for AL-Rowad International School's January 2023 exam session. It collects student details like name, ID, and contact information. It also outlines the exam subjects and fees as well as declarations that the student and guardian must agree to regarding exam regulations and results collection.

Uploaded by

mdridomd15
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Pearson Edexcel Registration Form

January 2023
AL-Rowad International School

Step 1: Candidate Details


Please ensure that your contact details and information provided are accurate and all necessary
documents are attached to this form to prevent any delay in processing your application

Candidate
Name:

(Please write your full name in capital letters as per your passport. The same will appear on the Edexcel
certificate. Any inaccuracies on the Exam documents must be reported in writing to the
British Council immediately)

Previous Centre & Unique candidate


Candidate Number: identifier (UCI) Number:

Date of Birth: Gender Male  Female  ID Type Passport  Saudi ID 


Day Month Year Please tick appropriate Please tick appropriate.
This ID document must have your
Passport No photograph.

Passport Expiry date: ………………………………………………


All candidates are required to attach a copy of their valid Passport or a copy of Saudi ID / Iqama.

Home Parent’s
Telephone Mobile
Fax no.
Candidate’s
email
Parent’s email

Address

Special Arrangements and Special Needs


Do you have any special needs due to ill health/medical conditions? Yes No
If yes, please specify your requirements below. You must attach the latest Medical Report and supporting evidence with the
form.
Pearson Edexcel Registration Form
January 2023

Step 02: Fee Calculation


Enter all subject codes and option codes registering for the exam session. The entry details will guide you
regarding available subject/options codes.

Qualification Subject Option Fee in


S. No Subject title
Level Code Code SAR

E.g.
1

7
8

10

11

12

Step 3: Declaration

DECLARATION BY THE CANDIDATE / PARENT


 I have read all the instructions carefully.
 I, at this moment, confirm that I have enrolled in the School for the Academic year
2022/2023
 I certify that the information on this form is complete and accurate to the best of my
knowledge and that I have referred to the syllabus specifications to ensure that I register
for the correct subject.
 I also certify that I have checked and signed the copy of the registration
summary/statement of entry and, as a result, confirm that the application name is per
the passport. I have entered the correct subject and option codes.
Pearson Edexcel Registration Form
January 2023

• I am aware that I am liable to pay fees for any entry/amendment fee after the deadline
for registration is over.
• I understand that School is not responsible for any clash of timetables due to the above.
• I agree to comply with the EDEXCEL regulations for the EDEXCEL examinations and
with the arrangements made by the school.
• I understand that fees are neither refundable nor carried forward to the next
examination session after the deadline.
• I am aware that although I have entered my details correctly in the application form, it
may differ in the statement of entry. Hence, it’s my responsibility to collect the statement
or entry and check before the deadline. Also, I understand that I must collect the school's
username and password when instructed.

AFTER EXAMINATION SERVICES


• I know that it’s my responsibility to collect the statement of results and original certificates
as instructed by the school. I also know that the school will return the certificates and
statement of results to the EDEXCEL if not collected from the school within six
months from the date of release.
• I also know that no services related to external examination (such as collecting
documents) will be available from 30th May till the 15th August 2023.
• I also understand that neither statement of results nor a certificate will be issued without
submitting the statement of entry.
Name of Student :…………………………………………………………
Grade :………………………………………………………………………
Name of Guardian :…………………………………………………………………………
Mobile & Email :…………………………………………………………………………
Signature :…………………………………………………………………………
Date :………………………………………………………………………………

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