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

TEACHING KNOWLEDGE TEST (TKT) - Registration form for paper-based exam

Exam session  				Module 1		

 

	
				Module 2			
				Module 3				

CLIL

YL

Gender (Male/Female)		

Please tick which one of the above module(s) you would like to register for

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	

You must have acceptable non-expired original photographic ID for all the tests (e.g. passport or national ID card) otherwise you will not be allowed to take the exam.
Type of ID	 	
Current 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 £46. *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 £25. 

I wish to be admitted to the above examination. I will bring a valid original photo ID with me on the test day. 
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).

Signature 	   If you returning this form by email please tick here [   ]