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: A2 KEY (KET) - 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

Type of ID

Please note that you must have your original non-expired ID (e.g. passport or national ID card) for all the tests.
Language school 
	 	
Your postcode (UK)	 	
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 £79. *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. 

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).
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.

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