Examination Syndicates:Cambridge Assessment International Education Pearson Edexcel

REGISTRATION FORM for May June 2021 series

NAME: ______________________________________________________________________

(Full name as per IC in Block Letters)

DATE OF BIRTH: _______________________________________________________________________

Day / Month / Year

NRIC (Malaysians) or

PASSPORT (Foreigners): _______________________________________________________________________

GENDER: ______________________________________________________________________

HEALTH CONCERN(S): ______________________________________________________________________

STUDENT MOBILE: ______________________________________________________________________

PARENT NAME: ______________________________________________________________________

PARENT MOBILE: ______________________________________________________________________

EMAIL*: ______________________________________________________________________

SCHOOL/CENTRE: ______________________________________________________________________

(if not AISS)

*NOTE : Notification of all your exam details will be sent to the email address. This is the only form of communication between

the school and you. So, it is important that you check your mail box (inbox/spam) regularly.

AISS Exam Department

All official exam-related communication will be through this email address only.

We will not be responsible if you send the email to another address.

Email: examcentrejune2021@aspirationis.edu.my

SYLLABUS NAME

Accounting

Additional Mathematics

Arabic

Art and Design

Bahasa Indonesia

Biology

Business Studies

CAMBRIDGE IGCSE SYLLABUSES

(IN ALPHABETICAL ORDER)

SYLLABUS OPTIONS

NUMBER

0452

0606

0544

0400

0538

Extended

0610

Core

0450

Extended

Cambridge International Mathematics 0607

Core

Extended

Chemistry 0620

Core

Chinese as a Second Language 0523

Extended

Combined Science 0653

Core

Computer Science 0478

Extended

Co-ordinated Sciences (Double Award) 0654

Core

Economics 0455

Extended

English as a Second Language 0511 (Count-in Speaking)

Core

Extended

English as a Second Language 0510 (Speaking Endorsement)

Core

Environmental Management 0680

FEE PER Please Tick

SYLLABUS (RM) ( ✓)

640

640

740

2200

740

640

640

640

640

640

640

640

740

640

640

640

1120

1120

640

740

740

740

740

640

CAMBRIDGE IGCSE SYLLABUSES

(IN ALPHABETICAL ORDER) SYLLABUS SYLLABUS

OPTIONS FEE PER Please Tick

NAME NUMBER SYLLABUS (RM)

First Language Chinese 0509 640

With Speaking Test 740

First Language English 0500 (Oral Endorsement)

Without Speaking Test 640

Foreign Language French 0520 740

Foreign Language German 0525 740

First Language Korean 0521 640

First Language Malay 0696 640

Foreign Language Malay 0546 740

Foreign Language Mandarin Chinese 0547 740

Foreign Language Spanish 0530 740

Geography 0460 640

History 0470 640

Indonesian * 0545 740

Information & Communication Technology 0417 840

lslamiyat 0493 640

640

Literature in English 0475 640

640

Paper 1, Paper 2

Paper 1, Paper 3 & Paper 4

Paper 1, Paper 3 & Paper 5

Extended 640

Mathematics (Without Coursework) 0580

Core 640

Extended 640

Physics 0625

Core 640

Sociology 0495 640

Travel & Tourism 0471 640

( ✓)

Total Examination Fees to be paid: RM ________________________________________

Other Fees Applicable

MAY JUNE 2021 Examination Deadlines

31st December 2020: Deadline for access arrangement application 31st January 2021: Deadline for normal submission (for first-time entries )

15th February 2021: Deadline for retake submission (for student who wish to re-take subject )

1) Exam Registration Form

2) A copy of the candidate IC ( Malaysians) /passport (Foreigners)

3) Bank in slip showing the total amount of exam fees

4) Medical letter ( if applicable )

5) Previous Statement of Entry ( for re-take )

Payment Information Cash or Credit Card Please make payment at our accounts office Cheque Please make cheques to “Aspiration Education Services Sdn Bhd”

Direct Debit / Online Tranfer Please email payment receipt as proof of payment to examcentrejune2021@aspirationis.edu.my

Bank Account Details Bank Name Maybank Beneficiary Name ASPIRATION EDUCATION SERVICES SDN BHD Account Number 564801654229

Submit the following documents for exam registration

• Access Arrangement: RM 350 (Special needs)• Alternative Arrangement: RM 100/subject (Emergency requiring alternative arrangement such as personalised

invigilation, etc)• Late penalty fees are payable by the candidate if applicable

RM 280/syllabus - after 31st January 2021RM 280/syllabus - after 15th February 2021(retakes only)RM 600/syllabus - after 28th February 2021

DECLARATION BY CANDIDATES:

i) I certify that the information in my application is complete and accurate to the best of my knowledge and that I

have referred to the syllabus specifications to ensure that I am registering for correct subjects.

ii) I understand that the personal data in my application is collected for the purposes of exams and I consent for this

data to be disclosed to, processed and stored by AISS for the purpose of administration.

iii) I understand that if the details on this form are not completed and full payment is not paid, my application may

not be processed.

iv) I further understand that completing and submitting this registration form does not guarantee registration.

v) I understand that my registration will be confirmed when I receive the Statement of Entry from AISS.

vi) I recognise that I am liable to pay fees for any entry/amendment after the deadline of registration.

vii) I understand that if I am suspected of engaging in any form of malpractice, or do anything that might damage the

integrity and security of exams, I may not receive a test result, my exam fee will not be refunded and I may be

banned from taking the exams in the future.

viii) I understand that if any other person attempts to take the exams in my place, both I and such person will be

liable for prosecution.

ix) I understand that Aspiration International Secondary School (AISS) is not responsible for any clash of timetable

that may arise due to above.

x) I agree to comply with the regulations of International Examination Boards and with the school exam timetable

arrangements

xi) I understand that fees are neither refundable nor able to be carried forward to next examination session.

AISS reserves the right to disallow me to take the examinations if they are not satisfied with the identification

produced at the time of examination.

I have read the information above, I declare that all the fields are true, and I fully understand the terms and

conditions and nature and effects thereof. I hereby expressly confirm my agreement thereto. I further undertake to

perform all such obligations and/or comply with all terms and conditions set out on my part to be performed or

complied with. I understand that Aspiration Education Services Sdn Bhd cannot be held liable for any incidents,

accidents, injury or any form of loss resulting directly or indirectly to the registration or taking of the examinations in

the demised premise.

Candidate’s signature, Parents / Guardian’s signature,

_____________________ ________________________

Date :___________________________

Name : _______________________________

I/C : _______________________________

Date : _______________________________

This completed form and payment receipt are to be emailed to examcentrejune2021@aspirationis.edu.my