Exam Enrolment form for Private Candidates

Please complete both sides of form

Name: ………………………………………………………

Address: …………………………………………………….

……………………………….……………………………….

Postcode : …………………………

Mandatory

Email address: ……………………………………………………………

Home Tele: ……………………… Mobile Tele ………………………..

Date of Birth:………………………Gender: M/F

School/College: ………………………………………..

Information needed for entry of exams.

Should be able to find most of this on old result slips or examination board website

Level: GCSE GCE (underline which level you wish to enter)

Exam Board: ………………. Series: May/June, Nov, Jan, March underline option

Subjects: ……………. …………….. …………….. …………..

Modules: ……………. …………….. …………….. …………..

Codes: ……………. …………….. …………….. …………..

Options ……………. …………….. …………….. …………..

For GCSE only Tier ………Foundation/Higher GCSE only

Cash in Code ………… GCE only if necessary

UCI Number: …………………………….

Will find this on examination slips usually 13 digits in total

Any special requirements due to illness or learning needs:

It’s important that Conway Education Centre receive copies of all Medical report

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Have you entered exams in this centre before Yes/No

Cost of exams will vary with every examination board.

There will be an administration fee between £25 & £50 per exam board (per series) depending on the number of exams. See Separate price list for costs

Please make chequepayable to Conway Education Centre

Unfortunately we are unable to take payment by credit/debit cards

All fees must be paid on submission of registration form

Note:

  • If after exam entry date a late entry fee will have to be paid
  • We cannot facilitate practical exams
  • We can only facilitate talking and listening of language exams with CCEA.
  • We will require the student to get an estimated grade from their tutor to complete estimated grade entry forms.
  • We will require photographic identification on day of exams

Please return to Brenda Kelly, Conway Education Centre, 5/7 Conway Street, Belfast

BT13 2DE, Telephone number 028 90248543

Email: /