Transcription of EXAM REGISTRATION FORM - lyceum.co.za
1 EXAM REGISTRATION FORM For which Examination do you wish to register for: Examination Month Year May _____ or October _____ Personal details Surname Initials First name Student Number Mr/Ms/Mrs/Miss/Other Postal address Town/City Post code Country Telephone (home) Telephone (work) Cell phone Fax E-mail address Identity number or passport number Name of the programme you are registered for Code Preferred examination venue (Refer to the provisional list of examination venues in the exam guide.) Examination venue name Code This form must reach Lyceum College, together with proof of payment for students with extended exam opportunity or writing exams for the 2nd time.
2 Note: Private invigilation will only be allowed in limited circumstances. Please refer to the Exam Guide. REGISTRATION FORM EXAMINATIONS Page 2 Subjects to be written Fees (R) 1. Subject code Subject name 2. Subject code Subject name 3. Subject code Subject name 4. Subject code Subject name 5. Subject code Subject name 6.
3 Subject code Subject name 7. Subject code Subject name I enclose a deposit slip for my exam fees totalling On acceptance of your examination REGISTRATION , you will be sent a Personal Timetable DECLARATION BY STUDENT: I agree to abide by the rules and procedures governing the Lyceum College examinations. I understand that I must take my identity document and Personal Timetable with me to write my examination and that I have 14 consecutive days from the Examination REGISTRATION Closing Date to follow up on my examination REGISTRATION status. I also declare that I have successfully completed the compulsory assignments for the above subject(s).
4 D D M M Y Y Y Y Signature of student Date
