The London Exam Centre
Tuition House
27-37 St George’s Road, London SW19 4EU
Tel: 020 8971 9342    Fax: 020 89440275
Email: exams@wimbledon-school.ac.uk
www.londonexams.co.uk

CAMBRIDGE ASSESSMENT ENGLISH - C1 ADVANCED (CAE) - Registration Form paper-based exams

Examination date (written tests)		

For the current list of exams, please visit our website: http://www.londonexams.co.uk/dates-fees/
Gender (Male/Female)		

	

These names must be the same as the names on your passport/national Identity card.  You must list all your names in the correct order.

		 
	
Surname(s)	 	
First name(s)	 	
Date of birth	D	D	M	M	Y	Y	Y	Y	

Nationality

Please note that you must have your original non-expired ID for all the tests.

This must be the ID you will bring with you for all the tests.

Type of ID

ID number

Please let us know whether you are taking the exam for the Australian immigration authorities (ADIBP).
If so please make sure you are using the correct ID document.

ID date of expiry
Australia (Yes/No)		

Language school 
	 	
Your postcode	 	
Mobile number	 	
Email	 	

This form must be completed and returned to us by the closing date of the selected session with the registration fee of £135. *Please note that the exam fees will change from August 2018.  Forms received after the closing date will be accepted subject to availability and an additional charge of up to £25. Please note that the exam dates’ details will be emailed to you so you should add “ cambridgeenglishonline@cambridgeenglish.org” to your safe list. 

I wish to be admitted to the above examination at a chosen date. I will bring a valid original photographic ID with me on the test day and I consent to have my photo taken by the centre on the day of the exam (you will be asked to sign a consent form on the exam day).  I agree for this photo to be to be held on the secure Cambridge English Assessment Result Verification site and viewed if I give my agreement.  The photo shall only be available to organisations/individuals that I give my details to or that I authorise to view my result.  
By signing this form I declare that I am aware of and agree to comply with the Terms and Conditions for this exam. I have told the exam centre if I have special requirements of any kind. I accept that once I am registered and it is passed the registration closing dates, refunds can be made only on medical grounds (if accompanied by a medical certificate) or compassionate grounds (if accompanied by a written statement).

Candidate’s signature _________________________________________  If you returning this form by email please tick here [   ]