abrsm practical exam entry form april/may 2017 · abrsm practical exams entry form april/may 2017...

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Once properly completed and received, this document will be treated as CONFIDENTIAL by HKEAA. 此表格一經填妥及收悉,考評局將以「密件」方式處理。 ABRSM Practical Exams Entry Form April/May 2017 2017 4 5 月份 ABRSM 術科考試報名表 (Practical Grades 1 – 8 and ARSM) Please read carefully the “Notes on Completion of ABRSM Practical Exams Entry Form April/May 2017” and “ABRSM Exam Information & Regulations 2017” before completing this form. 填表前,請仔細閱讀「2017 4 5 月份 ABRSM 術科考試 - 填寫報名表指引」及「2017 ABRSM 考試資料及規則」。 *Please put a ‘’ where appropriate 請在適當的方格內加上「」號 1 Applicant (aged 18 or above) information 申請人(年滿 18 歲或以上)資料 Candidates aged below 18 can apply through parent/guardian, teacher or studio/school 18 歲以下考生可以經家長/監護人、老師或樂室/學校報名 Adult candidates can apply themselves or apply through parent/guardian, teacher or studio/school 成年考生可自行報名或經家長/監護人、老師或樂室/學校報名 * Relationship with candidate Teacher 老師 Studio/School 樂室/學校 申請人與考生關係 Candidate 考生本人 Parent/Guardian 家長/監護人 Others 其他 20 *Title 稱謂 Dr 博士 Mr 先生 Mrs 太太 Miss 小姐 Ms 女士 21 Please complete this form in BLOCK capital letters 請以英文大楷填寫這表格 Surname 姓氏 22 46 *Given name first Given name 名字 名字置於姓氏前 48 72 (Optional 如適用) 47 HKID no. 香港身分證號碼 ( ) 319 327 Other official ID document no. 其他法定身分證明文件號碼 (if no HKID, 如沒有香港身分證) 328 347 Telephone no. 電話號碼 Mobile phone no. 手提號碼 Fax no. 傳真號碼 77 89 263 270 90 97 E-mail 電郵地址 98 137 2 School/Studio information (optional) 學校/樂室資料 (如適用) Required only if the candidate(s) is presented by a studio or school and wishes the institution to be named on the certificate(s) 只適用 於由樂室或學校保送,並要求將機構的名稱列印在合格證書上的考生 School / Studio 學校/樂室 138 177 3 Correspondence address 通訊地址 Flat/Room Floor Block 184 187 189 191 199 202 Line 1 第一行 203 227 Line 2 第二行 228 252 Line 3 第三行 277 301 *Area 地區 Hong Kong 香港 Kowloon 九龍 New Territories 新界 253-255 *Please put a ‘’ where appropriate 請在適當的方格內加上「」號 Reminder 提示 : Have you written down the flat, the floor, the block, the name of house/building, the name of street (where appropriate) and the district of your address? 請問是否已填妥 室號 ﹑樓數 ﹑座號 ﹑大廈名稱 ﹑街道名稱 (如適用)和 區域名稱 ? For Office use only Demand Note No. 內部專用 繳費單編號 (1-5) P4/5-2017

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  • Once properly completed and received, this document will be treated as CONFIDENTIAL by HKEAA. ABRSM Practical Exams Entry Form April/May 2017 2017 4 5 ABRSM (Practical Grades 1 8 and ARSM) Please read carefully the Notes on Completion of ABRSM Practical Exams Entry Form April/May 2017 and ABRSM Exam Information & Regulations 2017 before completing this form. 2017 4 5 ABRSM - 2017 ABRSM *Please put a where appropriate

    1 Applicant (aged 18 or above) information ( 18 ) Candidates aged below 18 can apply through parent/guardian, teacher or studio/school

    18 // Adult candidates can apply themselves or apply through parent/guardian, teacher or studio/school //

    * Relationship with candidate

    Teacher

    Studio/School /

    Candidate Parent/Guardian /

    Others 20

    *Title Dr Mr Mrs Miss Ms 21

    Please complete this form in BLOCK capital letters

    Surname 22 46 *Given name first

    Given name 48 72 (Optional ) 47 HKID no. ( ) 319 327 Other official ID document no. (if no HKID, )

    328 347

    Telephone no.

    Mobile phone no.

    Fax no.

    77 89 263 270 90 97

    E-mail 98 137

    2 School/Studio information (optional) / () Required only if the candidate(s) is presented by a studio or school and wishes the institution to be named on the certificate(s)

    School / Studio / 138

    177

    3 Correspondence address

    Flat/Room Floor Block

    184 187 189 191 199 202

    Line 1 203 227

    Line 2 228 252

    Line 3 277 301

    *Area Hong Kong Kowloon New Territories 253-255

    *Please put a where appropriate

    Reminder : Have you written down the flat, the floor, the block, the name of house/building, the name of street (where appropriate) and the district of your address? ?

    For Office use only Demand Note No.

    (1-5) P4/5-2017

  • 1. Enter the number 1 to 8 for different grades. For other levels, please refer to the Notes 18 2. Candidates entering for Grade 6, 7, 8 must fill in the year they passed the Grade 5 or above Theory Exams. Candidates entering for ARSM must fill in the year they passed the Grade 8 Practical in the instrument being presented (or listed alternative). Candidates must also attach a photocopy of certificate/result slip. 6, 7, 85ARSM8() 3. Subject Codes() : Enter the code number (01-83) of the instrument for each candidate() (01-83)

    01 Piano 05 Cello 11 Clarinet 36 Alto Saxophone 03 Violin 07 Guitar 14 Trumpet 40 Singing 04 Viola 09 Flute 32 Trombone 44 Percussion

    Please see the attached Notes for other subject codes 4. Exam area codes : Enter the exam area code (01-11) for each candidate (01-11)

    Code Preferred Area 01 KLN (E) Tseung Kwan O, Kwun Tong, Wong Tai Sin, etc 02 KLN (S&W) Lok Fu, Kowloon Tong, Yau Tsim Mong, Shamshuipo, Kowloon City, etc 03 HK (C&W) Causeway Bay, Happy Valley, Wan Chai, Central, Sai Wan, etc 04 HK (E) Shau Kei Wan, Tai Koo Shing, North Point, etc 05 NT (N&TP) Fanling, Sheung Shui, Tai Po, etc 06 NT (ST) Shatin, Ma On Shan, Fo Tan, etc 07 NT (W) Kwai Tsing, Tsuen Wan, Lai King, Mei Foo, etc 08 NT (T) Tuen Mun 09 NT (Y) Yuen Long, Tin Shui Wai, etc 10 NT (TC) Tung Chung (Candidates choosing this area may be allocated to area 07. 07)

    11 HK (S) Aberdeen, Ap Lei Chau, Stanley, etc (Candidates choosing this area may be allocated to area 03. 03) 5. Provide English/Cantonese interpreter service to candidate (HK$151 per candidate per exam) /(151)

    6. Candidate can choose to take the exam in AM session (not applicable to bulky instrument candidates) () 7. Please refer to the Notes for the arrangements for candidates with special needs

    4 Candidate information 1 Surname Given name 11 30 31 50 1 Grade Given name first (Optional )

    or blank

    54 51 2 Year passing Gr.5 or above Theory (for Gr.6 to 8 candidates)

    / Year passing Gr. 8 Practical (for ARSM candidates) Date of birth / /

    (DD/MM/YYYY //)

    () /

    (ARSM )

    61 68 128 131 HKID no. ( )

    3 Subject code () 69 77 52 53 Other official ID document no. (if no HKID, ) 4 Interpreter *

    55 106 125 5 Exam area code Candidates contact tel. no.

    57 58 78 85 6 Exam in AM * Preferred exam months one box only RV No. (For Office Use Only )

    * or blank

    59 60 April / August 2016 APR to

    MAY 4 5

    AUG 8

    AUG to SEP 8 9

    SEP to OCT 9 10

    OCT to EARLY/MID-NOV 10 11 /

    7 Special needs

    (except time & place,)

    132 139 Fill in B, R, L or S only 56 2 Surname Given name 11 30 31 50 1 Grade Given name first (Optional )

    or blank

    54 51 2 Year passing Gr.5 or above Theory (for Gr.6 to 8 candidates)

    / Year passing Gr. 8 Practical (for ARSM candidates) Date of birth / /

    (DD/MM/YYYY //)

    () /

    (ARSM )

    61 68 128 131 HKID no. ( )

    3 Subject code () 69 77 52 53 Other official ID document no. (if no HKID, ) 4 Interpreter *

    55 106 125 5 Exam area code Candidates contact tel. no.

    57 58 78 85 6 Exam in AM * Preferred exam months one box only RV No. (For Office Use Only )

    * or blank

    59 60 April / August 2016 APR to

    MAY 4 5

    AUG 8

    AUG to SEP 8 9

    SEP to OCT 9 10

    OCT to EARLY/MID-NOV 10 11 /

    7 Special needs

    (except time & place,)

    132 139 Fill in B, R, L or S only 56

  • I declared that I am aged 18 or above. I agree that the candidate(s) presented by me can directly make application to the Authority for change of applicant (i.e. change from teacher /studio /school / others as applicant to candidate/parent/guardian as applicant). I accept the responsibility for distributing examination related documents to candidate(s) entered by me as effectively as possible. I accept that neither the ABRSM nor HKEAA shall be responsible for any non performance of duties where such non performance has been caused by an act of God, labour strike, natural disaster, governmental action or intervention, riot, or any other cause not reasonably foreseeable and beyond the reasonable control of the ABRSM or HKEAA. I understand that the HKEAA, including their contractors and subcontractors, shall not be liable to anyone claiming for any damages which are caused by, arising from or otherwise related to the failure of staff members, examination personnel or the examination centres to comply with the examination regulations, policies or procedures. I understand that the ABRSM Interpreter Service in Hong Kong provides for full spoken English/Cantonese translation throughout the Graded and Diploma examinations. Interpreters communicate with Examiners fully in English and with candidates fully in Cantonese. Musical terms are also spoken in a standardized Cantonese format, unless these musical terms are Italian, French or German in which case they are not translated to either English or Cantonese, but spoken in the original language. Interpreters are unable to accede to any personal requests, beyond their brief, as set out above. I understand and undertake to abide by the current regulations of ABRSM listed in ABRSM Exam Information & Regulations 2017 that are applicable to the ABRSM Practical Exams held in Hong Kong, and the conditions set out in the Notes on Completion of ABRSM Practical Exams Entry Form April/May 2017, including those in relation to the use of my personal data. Any issues about the examination must be raised in writing within seven days after the examination. * The ABRSM and the HKEAA wish to use your personal data for marketing the services and products of the ABRSM (including examination services, courses, events, publications, and other examination materials or resources). If you object to such use, please tick this box . (318)

    / /

    ABRSM ABRSM ABRSM

    ABRSM

    2017 ABRSM 2017 2017 4 5 ABRSM -

    * ABRSM ABRSM (318) No. of supplementary sheet(s) attached :

    : #Maximum no. of candidates per entry form : 99 99

    Level/Grade

    No. of cand(s)

    Exam fee / cand.(HK$) / ()

    Total exam fee

    HK$ ()

    Grade 1 1,110

    Grade 2 1,270

    Grade 3 1,370

    Grade 4 1,510

    Grade 5 1,610

    Grade 6 1,790

    Grade 7 2,040

    Grade 8 2,450

    ARSM 3,430

    Prep Test

    880

    Performance Assessment

    1,610

    #Total no. of cand(s)

    Interpreter Service 151

    Ensembles (including piano duet) (

    )

    Instrument :

    Primary @1,800

    Intermediate @2,050

    Advanced @2,450

    Total Amount (exam fee + interpreter fee) ( + )

    271 276

    5 Summary of fees 6 Applicants signature Please calculate the examination fee you need to pay

    IMPORTANT NOTICE Please ensure the information supplied on the entry form is accurate, including candidates name spelling, grades and exam subjects, and any specific needs. Once an application has been accepted by the Authority or the registration data have been confirmed (on-line registration), a supplementary fee will be collected if the application of the following is approved: - late entry / late payment - addition of interpreter service - change of subject / change of grade - re-scheduling of examination (within the same administration) - change of applicant Please note that ABRSM and HKEAA are unable to become involved in any arrangements between exam studios and applicants/parents/candidates with regard to pre-exam preparation. / - / - - / - -

    ABRSM

    REMINDER For each candidate you present, please remember to enclose a photocopy of candidates ID document a photocopy of certificate / result slip (for Grade 6-8 and ARSM candidates) ( ARSM ) a stamped, self-addressed envelope (for postal registration) () If you apply by yourself in person, you may bring original document(s) , Before handing in the form, please check you have completed / done the following: , / : Completed applicant information Completed correspondence address Completed candidate information Calculated examination fee Signed the entry form Enclosed the necessary document(s)

    For Office Use Only RV Amount ( - ) .

    302 307 308 309 CT Amount ( + ) .

    312 315 316 317 DN Amount .

    Please tear off along this page

    Applicants signature : Date :

  • Supplementary Sheet

    4 Candidate information 1 Surname Given name 11 30 31 50 1 Grade Given name first (Optional )

    or blank

    54 51 2 Year passing Gr.5 or above Theory (for Gr.6 to 8 candidates)

    / Year passing Gr. 8 Practical (for ARSM candidates) Date of birth / /

    (DD/MM/YYYY //)

    () /

    (ARSM )

    61 68 128 131 HKID no. ( )

    3 Subject code () 69 77 52 53 Other official ID document no. (if no HKID, ) 4 Interpreter *

    55 106 125 5 Exam area code Candidates contact tel. no.

    57 58 78 85 6 Exam in AM * Preferred exam months one box only RV No. (For Office Use Only )

    * or blank

    59 60 April / August 2016 APR to

    MAY 4 5

    AUG 8

    AUG to SEP 8 9

    SEP to OCT 9 10

    OCT to EARLY/MID-NOV 10 11 /

    7 Special needs

    (except time & place,)

    132 139 Fill in B, R, L or S only 56 2 Surname Given name 11 30 31 50 1 Grade Given name first (Optional )

    or blank

    54 51 2 Year passing Gr.5 or above Theory (for Gr.6 to 8 candidates)

    / Year passing Gr. 8 Practical (for ARSM candidates) Date of birth / /

    (DD/MM/YYYY //)

    () /

    (ARSM )

    61 68 128 131 HKID no. ( )

    3 Subject code () 69 77 52 53 Other official ID document no. (if no HKID, ) 4 Interpreter *

    55 106 125 5 Exam area code Candidates contact tel. no.

    57 58 78 85 6 Exam in AM * Preferred exam months one box only RV No. (For Office Use Only )

    * or blank

    59 60 April / August 2016 APR to

    MAY 4 5

    AUG 8

    AUG to SEP 8 9

    SEP to OCT 9 10

    OCT to EARLY/MID-NOV 10 11 /

    7 Special needs

    (except time & place,)

    132 139 Fill in B, R, L or S only 56

    3 Surname Given name 11 30 31 50 1 Grade Given name first (Optional )

    or blank

    54 51 2 Year passing Gr.5 or above Theory (for Gr.6 to 8 candidates)

    / Year passing Gr. 8 Practical (for ARSM candidates) Date of birth / /

    (DD/MM/YYYY //)

    () /

    (ARSM )

    61 68 128 131 HKID no. ( )

    3 Subject code () 69 77 52 53 Other official ID document no. (if no HKID, ) 4 Interpreter *

    55 106 125 5 Exam area code Candidates contact tel. no.

    57 58 78 85 6 Exam in AM * Preferred exam months one box only RV No. (For Office Use Only )

    * or blank

    59 60 April / August 2016 APR to

    MAY 4 5

    AUG 8

    AUG to SEP 8 9

    SEP to OCT 9 10

    OCT to EARLY/MID-NOV 10 11 /

    7 Special needs

    (except time & place,)

    132 139 Fill in B, R, L or S only 56

    This form may be photocopied

  • Notes on Completion of ABRSM Practical Exams Entry Form April/May 2017

    General information

    The entry form should be completed in BLOCK capitals with a pen or ball pen. One letter for each box and leave a blank box between words. Do not exceed the boxes provided. There are separate entry forms for Diploma Examinations (DipABRSM, LRSM and FRSM). Personal data of applicants/candidates are used by the HKEAA and the Examination Board for delivery of examination and assessment services. Whether you provide the requested personal data is voluntary. However, if you fail to provide all the data, or if any of the data are inaccurate or incomplete, the HKEAA may not be able to accept your entry or provide all or part of the examination and assessment services. The personal data submitted may also be used for:

    (a) assisting tertiary institutions and other government/public organisations in their admission processes; (b) assisting tertiary institutions and other government/public organisations in respect of their requests for information in granting

    scholarships; (c) assisting tertiary institutions and other government/public organisations to confirm the candidates eligibility for financial assistance or

    other forms of subsidization, in which case, the necessary personal data of the candidates may have to be disclosed to the concerned organisations for verification;

    (d) certifying candidates examination results in response to legitimate requests; (e) processing any refund or payment in relation to the examination; (f) conducting educational research and analysis in an anonymous format in which the identities of candidates are not traceable; and (g) marketing the services and products of the Examination Board (including examination services, courses, events, publications, and

    other examination materials or resources) subject to the consent of the applicants/candidates. The HKEAA may also transfer the personal data of applicants/candidates to third parties for use for the above purposes or other directly related purposes, including government/public organisations, schools and educational institutions, banks (for processing refund or payment), and service providers providing various administrative or technical services to facilitate the delivery of the examination and assessment services including but not limited to data punching, registration process, despatch of examination documents, and the capture, disposal or other processing of data. In compliance with the Personal Data (Privacy) Ordinance, access to all personal data will be made available, on payment of a fee, to anyone who can establish his/her right to be informed of such data as are retained by the HKEAA. Please also note that applicants/candidates personal data/correspondence/other information received by the HKEAA may be transferred to the Examination Board concerned for delivery of examination and assessment services and for any of the abovementioned purposes or other directly related purposes. In general, upon completion of an examination or examination series and all the connecting examination services, the HKEAA will transfer all such data to the Examination Board who will then assume full control of such data. By then, applicants/candidates should approach the Examination Board direct for their personal data/information handling policies if necessary. If you have given consent but wish to withdraw your consent for your personal data to be used for this purpose, please send a letter of request to the Registration Centre (Ref to Section 7).

    1 Applicant (aged 18 or above) information notes

    The term applicant on the entry form refers to the person who accepts the responsibilities for: a. reading and undertaking to abide by these Exam Regulations, ensuring that those connected with the exam are

    aware of relevant matters; b. entering candidates, ensuring the accuracy of the information supplied, including name spellings, grades and

    exam subjects, and any specific needs; c. explaining to the candidates that:

    i. they may enter themselves for examinations or may be entered by a parent/guardian, a school, or a teacher of music;

    ii. the applicants name will appear on the candidates certificate if awarded; d. notifying the candidate of the exam date, time and venue; e. receiving all communications regarding the entries made (including exam mark form/certificate) and disseminating

    all such communications to the candidates as effectively as possible. Relationship

    with candidate If the applicant is the candidate, please choose candidate. Title/Surname/

    Given name The Applicants full name will be shown on the certificate as being the person who presented the candidate(s) unless it is indicated in Section 2 that the name of an institution (e.g. a school or a studio) should be shown instead. If given name appears first on your identification document, please put a in the box. If you need more space for Given name, please make use of the space of Surname by writing part of your given name in the Surname field and vice versa.

    HKID no./ Other official

    ID document no. Please enter the applicants HKID card number. If you do not have a HKID card, please enter other official identification document number.

    Telephone no./ Mobile phone no./

    Fax no./E-mail Please give your daytime contact telephone number, including mobile phone number, fax number and e-mail address.

    2 School/Studio information notes If the candidate(s) is presented by an institution (e.g. a school or a studio), please write its full name in this section.

    The institution will then be named on the certificates of the candidates presented. If this section is left blank, the applicants name as given in Section 1 will be shown on the certificate.

    3 Correspondence address notes

    Line 1 Line 2 Line 3

    Area

    Please give the full address in the following order. Do not break up words at the end of the line of boxes. Flat/Room, Floor, Block Name of House/Building, Estate Number and Name of Road/Street District Please put a where appropriate

    Please note that the candidates presented by teacher/studio/school/others as applicant can directly make application to the Authority for change of applicant (i.e. change the applicant to candidate/parent/guardian), subject to the payment of the related fee.

    The ABRSM/Authority reserves the right to allocate candidates to any examination session/venue within the examination period and cannot undertake to alter the appointments as specified on the admission forms. All candidates are required by ABRSM to be present for examination at the time/venue specified on the admission forms. ABRSM also reserves the right not to accept any entry. (See ABRSM Exam Information & Regulations 2017)

  • 4 Candidate information notes

    Surname/ Given name

    Care must be taken to ensure that the name entered agrees with that on the candidates Hong Kong Identity Card, Passport or Birth Certificate. If given name appears first on the identification document to be presented, please put a in the box. If you need more space for Given name, please make use of the space of Surname by writing part of your given name in the Surname field and vice versa.

    Subject code/ Instrument

    Write the subject code and instrument for every candidate. A list of codes is given below. Some subjects are offered at certain levels only. Please check the 2017 syllabuses for details.

    Code Subject Code Subject Code Subject 01 Piano 14 Trumpet 38 Descant Recorder (not ARSM) 02 Organ 20 Bb Cornet (not ARSM) 39 Treble Recorder (not ARSM) 03 Violin 21 Eb Cornet (not ARSM) 40 Singing 04 Viola 22 Flugelhorn 41 Harpsichord 05 Cello 23 Eb Horn 42 Practical Musicianship 06 Double Bass 24 Baritone 44 Percussion 07 Guitar 31 Ensembles 54 Soprano Saxophone (not ARSM) 08 Harp 32 Trombone 55 Baritone Saxophone (not ARSM) 09 Flute 33 Bass Trombone 63 Saxophone (ARSM only) 10 Oboe 34 Tuba 80 Cornet (ARSM only) 11 Clarinet 35 Euphonium 83 Recorder (ARSM only) 12 Bassoon 36 Alto Saxophone (not ARSM) 13 Horn 37 Tenor Saxophone (not ARSM)

    Grade Enter the Level/Grade for every candidate. A list of codes is given below

    Code Level/Grade Code Level/Grade T Prep Test 7 Grade 7 1 Grade 1 8 Grade 8 2 Grade 2 A ARSM 3 Grade 3 R ##Performance Assessment 4 Grade 4 P Ensembles - Primary 5 Grade 5 I Ensembles - Intermediate 6 Grade 6 V Ensembles - Advanced

    ##Candidates who take Performance Assessment should refer to specific entry requirements stipulated in the Syllabus.

    Interpreter All examinations will be conducted in English. Put a for candidates who need an interpreter (English/Cantonese only) for Prep Tests, Grades 1 to 8. An additional fee of HK$151 per candidate per examination entry will be payable. The request must be made at the time of registration. This box should be left blank if the service of an interpreter is not required. There are no tests in the ARSM which require a candidate to respond to questions from the examiner, so an interpreter is unlikely to be needed. However, ARSM candidates may apply for the ABRSM interpreter service if they wish. ABRSM Interpreter Service in Hong Kong provides for full spoken English/Cantonese translation throughout the examinations. Interpreters communicate with Examiners fully in English and with candidates fully in Cantonese. Musical terms are also spoken in a standardized Cantonese format, unless these musical terms are Italian, French or German in which case they are not translated to either English or Cantonese, but spoken in the original language. Interpreters are unable to accede to any personal requests, beyond their brief, as set out above.

    Special needs A written request for the special arrangements should be submitted with a doctors certificate at the time of registration. Candidates who need special arrangements for the examination may enter the code as appropriate. Please refer to ABRSMs website (www.abrsm.org) for details. This box should be left blank if no special arrangements are required.

    Code Nature Special Arrangements Code Nature Special Arrangements B Blind Braille memory test L Partially sighted Large notation

    R Blind Aural repetition test S Deaf/Partially deaf Special test

    (in place of standard aural test)

    For special requests other than those listed above (e.g. using pedal extender), please contact our staff at 3628 8721 before the registration closing date. Please do not enclose any letters or write on the form any notes, requests, etc.

    Preferred area Indicate the area where you would prefer your candidates to be examined according to the list of codes tabled at the candidate information page of the entry form. Your preference will be considered if given here. As the number of candidates and the capacity of examination centres in a particular area never exactly match, there can be no guarantee that your preference will be met.

    Exam in AM This field is not applicable to candidates taking bulky instrument examinations. Only those who prefer to be examined in the morning are requested to complete this part by putting a in the appropriate box. As the demand for PM session is normally much higher (about 4 times) than that for the AM session, AM timeslots will first be allocated to those who prefer AM session, and the remaining timeslots (both AM and PM) will be allocated at random to the rest of the candidates. Still there can be no guarantee that the choice for AM session will be met. Please note that AM sessions normally refer to the examinations taking place between 9:00am and 12:30pm while PM sessions refer to the examinations between 1:45pm and 5:15pm.

    Preferred months

    Please put a ' in the appropriate box to indicate the exam period that the candidate prefers to be examined. Candidates will be assigned to take the examination at a specified time between 9:00am and 5:15pm on any dates (normally from Tuesday to Saturday, excluding general holidays) during the entire examining period of the April/May 2017 administration. Month preference of examination will be considered if given here. It should be noted that appointments may be given for any time within the entire examining period subject to the availability of ABRSMs examiners. There can be no guarantee that your preference will be met. ABRSM requires all candidates to be present for examination according to the date, time and place specified on the admission forms. Please note that the examination will normally start from the first or second week of April.

    Date of birth Enter the date in the format of DD/MM/YYYY and attach a photocopy of the candidates Identity Card/Passport/Birth Certificate with the entry form. These documents will be destroyed by the Authority after verification.

    HKID no./ Other official

    ID document no.

    Please enter the candidates HKID card number. If he/she does not have a HKID card, please enter other official identification document number.

  • Candidates

    contact tel. no. Please enter the candidates daytime contact telephone number, preferably mobile phone number. This should be different from the one given in Section 1 unless the candidate is entered by himself/herself/parent/guardian.

    Year of passing Grade 5 Theory

    (for Grade 6 to 8 candidates) /

    Year of passing Grade 8 Practical

    (for ARSM candidates)

    For candidates entering for Grade 6 8, please enter the year of passing the qualifying grade 5 or above Theory, Practical Musicianship or solo Jazz subject examination and attach a photocopy of the candidates relevant certificate or result slip. If the Authority is requested to check if a candidate has met the entry requirements by retrieving the result of a Theory Examination (excluding the October 2016 Theory Examinations for candidates entering for the April/May 2017 administrations) from its records, an additional fee of HK$58 per candidate will be levied for checking the examinations held in one calendar year (e.g. January and June 2016 administrations). This fee will be charged even if no such record can be retrieved or the result is a fail. For candidates entering for ARSM, please enter the year of passing the grade 8 Practical in the instrument being presented (or listed alternative) and attach a photocopy of the candidates relevant certificate or result slip. If the Authority is requested to check if a candidate has met the entry requirements by retrieving the result of a Practical Examination from its records, an additional fee of HK$58 per candidate will be levied for checking the examinations held in one calendar year (e.g. April/May and August to early/mid November 2016 administrations). This fee will be charged even if no such record can be retrieved or the result is a fail.

    No. of supplementary

    sheets attached

    If more than 2 candidates are entered, supplementary forms should be used. Please state the number of supplementary forms attached and staple them to the entry form.

    5 Summary of fees notes Please state here the total number of entries in each Level/Grade or Division and the total fees. Applicants will receive a demand note after submitting entry forms. Method of payment is printed on the front and/or reverse side of the demand note issued. Payment of examination fees must be made on or before 12 January 2017 for the April/May 2017 administrations (except for on-line registration where applicants will be asked to make payment on-line as part of the registration process.) Entry to the examination will be invalidated if payment of examination fees is not made on or before this date. All fees paid are not refundable and not transferable from one examination to another or from one candidate to another or for any other purposes. NO LATE PAYMENT WILL BE ACCEPTED. Please keep your original receipts as evidence of payment.

    Note: Total Exam Fee More Than $5,000 Total Exam Fee Equal To / Less Than $5,000

    Payment Methods

    - Payment at Hang Seng Bank in Hong Kong - Payment by PPS - Payment by ATM - Internet Banking - Phone Banking

    - Cash payment at 7-Eleven or Circle-K convenience store in Hong Kong

    - Payment by PPS - Payment by ATM - Internet Banking - Phone Banking

    6 Applicants signature notes The applicant submitting the entry form should sign and date it after checking the correctness of the entries. This constitutes an undertaking to abide by the current regulations of ABRSM listed in ABRSM Exam Information & Regulations 2017 that applicable to the ABRSM Practical Exams held in Hong Kong, and the conditions set out in the Notes on Completion of ABRSM Practical Exams Entry Form April/May 2017.

    7 Registration dates Applications must reach the Authority on or before the closing date.

    April to May Administration

    By post ** : In person ^ / By a representative^ : On-line ++ : (Re-entry voucher is not applicable)

    12 December 2016 16 December 2016

    4 January 2017 7 January 2017 (9:00am 5:00pm)

    (Excluding Sundays and General Holidays)

    12 December 2016 16 January 2017 (8:30am) (5:00pm)

    Last day of payment (Not applicable to on-line registration)

    12 January 2017

    ** ^

    For postal registration, applicants must note that their entries will not be accepted if any of the requested attachments have not been enclosed. A stamped, self-addressed envelope (size : 9 x 4) must be enclosed for the Authority to return a demand note for settlement of examination fees at a later stage. Do not enclose any cheque or cash. Please ensure that sufficient postage is paid to avoid unsuccessful delivery. The sender will bear any consequences arising from not paying sufficient postage. The Authority cannot accept the responsibility for any delay/loss in mail service. If a demand note is not received by 5 January 2017 for the April/May administrations, the applicant should submit another application in person/by a representative/on-line on or before the respective closing dates. Supporting documents produced by applicants at the time of registration in person/by a representative should either be the originals or hard copies. Soft copies of supporting document are NOT accepted.

    ++ On-line registration will be available at online.hkeaa.edu.hk during the specified period. The applicant should SCAN and save the image file(s) of the requested attachments for each of the candidate(s). The Authority cannot accept any responsibilities for unsuccessful registration because of technical/network failure. For enquiries about hardware and software requirements, please contact hotline (8107 0068) for details. This registration method is not available to candidates entering for the Diploma or Ensembles Examinations, or using re-entry vouchers.

    Registration centre: International and Professional Examinations Division (ABRSM) Hong Kong Examinations and Assessment Authority 17 Tseuk Luk Street, San Po Kong, Kowloon

    Telephone: 3628 8721 / 3628 8787

  • Post-registration communication Please note that the exam related documents will be sent to the applicant according to the following schedule. If they are not received before the designated dates, please contact ABRSM Team at 3628 8721 or 3628 8787. Applicants should inform ABRSM Team in writing if their address or contact telephone number has been changed. It is not necessary for the candidates to notify the Authority of their change of addresses. April to May Administration

    Candidate Entry Information Checklist will be sent by post to applicants in late February 2017

    Admission Form & List of candidates will be sent by post to applicants in late March 2017

    Exam Result will be sent by post to applicants about 7 weeks after the exam date

    Certificate*** will be sent by registered post / local courier to applicants in early August 2017

    *** Applicants who have not received their candidates certificates should contact ABRSM Team within five months after the issue of certificates. Otherwise, the certificates will be regarded as successfully received by the applicants. Uncollected certificates will be destroyed five months after the issue of certificates. After that, requests for uncollected certificates will be regarded as applications for replacement of certificates and supplementary fees will be levied.

    Syllabuses & regulations Attention is drawn to the requirements in the current syllabuses and the Exam Information & Regulations booklet.

    Limited free copies of the syllabuses are available at the International and Professional Examinations Division of the Authority. They may also be sent to candidates upon request and provision of a stamped (postage: HK$4.50) and self-addressed A5 sized envelope. They can also be downloaded from ABRSMs website (www.abrsm.org).

    General Any issues about the examination must be raised in writing within seven days after the examination.

    The examination data including entry records, question papers, answer scripts and results, if any, will normally be destroyed and erased from the computer system 6 months after the examination date. Therefore, all examination documents including candidate information checklists, admission forms and mark forms, if any, cannot be re-issued after destroy and erase of data.

    Playing one or more of the prepared pieces from memory is optional. Candidates playing from memory must bring copies of the pieces for the examiner's use. No one is allowed to listen outside the examination room, nor is anyone allowed to remain near the door except the waiting room supervisors or other representatives of the ABRSM. Candidates may not bring any unauthorized material or equipment into the examination room. Any candidate infringing this rule may be disqualified. Examinations will be conducted in English.

    Photocopies Examiners in the past reported cases of candidates playing their pieces from photostat copies. Candidates are reminded that the copyright law forbids the reproduction of published materials and action may be taken against those who present themselves for examinations using photostat copies of the test pieces. Examiners have been asked to report any such cases which come to their notice. Examiners may refuse to examine candidates who do not observe this regulation.

    Wrong music pieces

    Candidates offering a wrong piece or study or not being prepared to perform the whole of the work specified in the current or previous year's syllabus for the Grade under examination will be liable to disqualification. Teachers and candidates are requested to pay particular attention to Regulations of the current Exam Information & Regulations booklet.

    Accompanists Candidates must provide their own accompanist in instruments where an accompaniment is required. Their teacher may act as the accompanist but the examiner will not do so. Accompanists must therefore be punctual. Particular attention should be paid to the capability of the accompanist. A poor accompanist can jeopardize the success of a soloist particularly in the higher grades where the set pieces call for a high degree of technical proficiency from both players.

    Stringed & wind instruments

    Candidates examined in stringed or wind instruments are reminded that their instruments need to be tuned to the piano in the examination room immediately before the examination either by themselves or the accompanist. According to the syllabus, in Grades 1-5 the teacher or accompanist may tune the candidates instrument (or advise on tuning) before the exam begins. The examiner will not do so. In Grades 6-8 candidates must tune their instruments themselves.

    Aural test Candidates should refer to the current (i.e. 2017) syllabuses.

    Bulky instruments

    Applicants and candidates examined in the following subjects should make their own arrangements for their exam venue. Their instruments should be set in a suitable room, which is easily accessible and free from noise and other disturbances. Transportation for the examiners must be provided without cost to ABRSM or the Authority. Please refer to the syllabus for details. Applicants will be contacted later to provide details of the examination venue.

    As stipulated in ABRSM Exam Information & Regulations, applicants hosting a Visit have a duty of care towards examiners as well as candidates and their escorts and, as such, they are advised to carry out a risk assessment and to make appropriate arrangements to comply with health and safety legislation. ABRSM or HKEAA cannot accept liability for any damage, injury, expense or loss (including consequential loss) incurred during the course of a Visit.

    02 Organ 06 Double Bass 08 Harp 31 Ensembles 41 Harpsichord 44 Percussion

    Note : The Entry Forms for ABRSM Practical Examinations August to early/mid November 2017 will be available for collection in February 2017 at our following offices: San Po Kong Office : 3/F, 17 Tseuk Luk Street, San Po Kong, Kowloon Wanchai Office : 12/F Southorn Centre, 130 Hennessy Road, Wanchai, HK Entry forms may also be downloaded from the Authoritys website ( www.hkeaa.edu.hk/abrsme ) around the same time as specified above.

  • 2017 4 5 ABRSM -

    ABRSM / ABRSM ( 2017 ABRSM )

    (DipABRSMLRSM FRSM)

    //

    () () ()

    () () () () / /()()

    ()////

    ()

    1 ( 18)

    ()

    () () () :

    i. ii.

    () () (/)

    Relationship with candidate

    (candidate)

    Title/Surname/ Given name

    /

    (Given name)(Surname)

    HKID no./ Other official ID

    document no.

    Telephone no./ Mobile phone no./

    Fax no./E-mail

    2 /

    3

    Line 1 Line 2 Line 3

    Area

  • 4

    Surname / Given name

    (Given name)(Surname)

    Subject code / Instrument

    () 2017

    Subject Codes ()

    () () () 01 14 38 ( ARSM) 02 20 Bb ( ARSM) 39 ( ARSM) 03 21 Eb ( ARSM) 40 04 22 41 05 23 Eb 42 06 24 44 07 31 54 ( ARSM) 08 32 55 ( ARSM) 09 33 63 ( ARSM) 10 34 80 ( ARSM) 11 35 83 ( ARSM) 12 36 ( ARSM) 13 37 ( ARSM)

    Grade

    T 7 1 8 2 A ARSM 3 R ## 4 P 5 I 6 V

    ##

    Interpreter () 151

    ARSM ABRSM

    ABRSM

    Special needs (www.abrsm.org)

    B Braille memory test L Large notation R Aural repetition test S / Special test (in place of standard aural test)

    (:)(: 3628 8721)

    Preferred area

    Exam in AM

    1 4 9 12 30 1 455 15

    Preferred months

    2017 4 5 () 9 5 15 ABRSM

    ABRSM /( 2017)

    4

  • 5

    / 2017 4 5 2017 1 12

    : $5,000 $5,000

    - - - - -

    - 7-Eleven Circle-K - - - -

    6 2017 ABRSM 2017 4 5 ABRSM -

    7

    17

    3628 87213628 8787

    Date of birth

    HKID no./ Other official ID

    document no.

    Candidates contact tel. no.

    ()//

    Year of passing Grade 5 Theory

    (for Grade 6 to 8 candidates) /

    Year of passing Grade 8 Practical

    (for ARSM candidates)

    6 8 5 Solo Jazz subject 58

    2016 1 6

    2016 10 2017 45

    ARSM 8() 58

    2016 4/5 8 11/

    No. of supplementary

    sheets attached

    2 2

    4 5

    **

    ^

    ++

    ()

    2016 12 12 2016 12 16

    2017 1 4 2017 1 7

    9 5

    2016 12 12 8 30

    2017 1 16 5

    ()

    2017 1 12

    ** 9 X 4 2017 1 5 4 5

    ^

    ++ (online.hkeaa.edu.hk)/ 8107 0068

  • 3628 8721 3628 8787

    4 5

    2017 2

    2017 3

    7

    *** 2017 8 *** ()

    ()

    A5 4.5

    (www.abrsm.org)

    6

    ABRSM 1-5 6-8

    2017

    /

    ABRSM ABRSM /ABRSM()

    02 06 08 31 41 44

    : 2017 8 11/ ABRSM 2017 2:

    : 17

    : 130 12

    / 2017 2 ( www.hkeaa.edu.hk/abrsm )

    SurnameGiven nameE-mailSchool / Studio/ 138

    ADP5E5.tmpNotes on Completion of ABRSM Practical Exams Entry Form April/May 2017Relationshipwith candidateTitle/Surname/Given nameHKID no./Telephone no./Mobile phone no./Fax no./E-mailLine 1 Line 2Line 3AreaSurname/Given nameSubject code/InstrumentGradeInterpreterSpecial needsPreferred areaExam in AMPreferredmonthsDate of birthHKID no./Other official ID document no.No. of supplementary sheets attached

    ADP561B.tmpRelationshipwith candidateTitle/Surname/ Given nameTelephone no./Mobile phone no./Fax no./E-mailSubject CodesGradeInterpreter Special needsPreferred area

    Exam in AMPreferred

    ADPBD58.tmpThis form may be photocopied

    Telephone no: Mobile phone no: Teacher: School/Studio: Candidate: Parent: Others: Dr: Mr: Mrs: Miss: Ms: Given name first (applicant): HK: KLN: NT: Surname (applicant): Given name (applicant): HKID no-1: HKID no-2: HKID no-3: Other offical ID doc no: Fax no: Email: School/Studio name: Flat/room: Floor: Block: Line 1: Line 2: Line 3: Surname1: Given name1: Date of birth (day)1: Date of birth (month)1: Date of birth (year)1: No of candidate - Grade 1: No of candidate - Grade 2: No of candidate - Grade 3: No of candidate - Grade 4: No of candidate - Grade 5: No of candidate - Grade 6: No of candidate - Grade 7: No of candidate - Grade 8: No of candidate - ARSM: No of candidate - Prep test: No of candidate - performance assessment: Total no of candidate: No of candidate - interpreter: No of candidate - Ensembles Primary level: No of candidate - Ensembles Intermediate level: No of candidate - Ensembles Adanced level: Instrument (Ensembles): Total exam fee - Grade 1: Total exam fee - Grade 2: Total exam fee - Grade 3: Total exam fee - Grade 4: Total exam fee - Grade 5: Total exam fee - Grade 6: Total exam fee - Grade 7: Total exam fee - Grade 8: Total exam fee - ARSM: Total exam fee - Prep test: Total exam fee - Performance assessment: Total exam fee - Interpreter: Total exam fee - Ensembles Primary level: Total exam fee - Ensembles Intermediate level: Total exam fee - Ensembles Advanced level: Total amount: Date: No of supplementary sheet attached: Surname 1: Given name 1: Given name first 1: Date of birth (day) 1: Date of birth (month) 1: Date of birth (year ) 1: HKID no 1-1: HKID no 2-1: HKID no 3-1: Other official ID doc no 1: Candidate tel no 1: April to May 1: Grade 1: year of pass G5 theory/G8 practical 1: Subject 1: Interpreter 1: Exam area 1: Exam in AM 1: Special needs 1: Given name first1: HKID no1-1: HKID no2-1: HKID no3-1: Other offical ID doc no1: Candidate tel no1: April to May1: Grade1: year of pass G5 Theory/G8 Practical1: Subject1: Interpreter1: Exam area1: Exam in AM1: Special needs1: Surname2: Given name2: Grade2: year of pass G5 Theory/G8 Practical2: Subject2: Interpreter2: Exam area2: Exam in AM2: Special needs2: Given name first2: Date of birth (Day)2: Date of birth (Month)2: Date of birth (year)2: HKID no1-2: HKID no2-2: HKID no3-2: Other offical ID doc no2: Candidate tel no2: April to May2: Surname 2: Given name 2: Grade 2: year of pass G5 theory/G8 practical 2: Subject 2: Exam area 2: Given name first 2: Date of birth (day) 2: Date of birth (month) 2: Date of birth (year) 2: HKID no 1-2: HKID no 2-2: HKID no 3-2: Other official ID doc no 2: Candidate tel no 2: Exam in AM 2: April to May 2: Special needs 2: Surname 3: Given name 3: Given name first 3: Date of birth (day) 3: Date of birth (month) 3: Date of birth (year) 3: HKID no 1-3: HKID no 2-3: HKID no 3-3: Other official ID doc no 3: Candidate tel no 3: April to May 3: Grade 3: year of pass G5 theory/G8 practical 3: Subject 3: Interpreter 2: Interpreter 3: Exam area 3: Exam in AM 3: Special needs 3: