This application form can be completed and submitted without obligation. Examination entry commitment is only effective upon receipt of payment.

Candidate Information

Exam Series:*
Title:*
First Name :*
Surname:*
Address:*
Postcode:*
Telephone:*
Mobile:
Date of Birth:*
Gender:*
E-mail:
Have you taken exams with MTC before?*
If Yes, Dates:

Please check this box if you do not have a UCI number and need MTC to create one for you
Organisation Name
Centre Number
Special Requirements (Access Arrangements, Extra Time, Wheelchair User etc):

Subjects

Subject 1

Please complete the following section for each subject entered.

Subject Title:*
Level:*
Board:*
Is this a resit?*
Title and Codes of All Units or Modules:*
Title and Codes of All Units or Modules To Be Carried Forwards:
Tier/Level of Entry:*
Subject Award (Cash-In) Code if Final Grade/Certificate is Required
Is This Subject Available to Private Candidates?*
Are You Expecting Any Pre-Release Material?*
If yes, Date:
Are you entering a subject which involves any form of coursework, including controlled test, science practical or language oral test?*
Subject Title/Name:
Levels:
Title and Codes of the Coursework Module/Unit:
Who is Supervising Your Coursework?
Who is Assessing Your Coursework?
For Science Practicals: Where will the practical be conducted?
For Science Practicals: Will you require any practice sessions at MTC?
Will you be asking MTC to provide supervised sessions for controlled tests?
Is this coursework option available to private candidates?
Subject Title:
Level:
Board:
Is this a resit?
Title and Codes of All Units or Modules:
Title and Codes of All Units or Modules To Be Carried Forwards:
Tier/Level of Entry:
Subject Award (Cash-In) Code if Final Grade/Certificate is Required
Is This Subject Available to Private Candidates?
Are You Expecting Any Pre-Release Material?
If yes, Date:
Are you entering a subject which involves any form of coursework, including controlled test, science practical or language oral test?
Subject Title/Name:
Levels:
Title and Codes of the Coursework Module/Unit:
Who is Supervising Your Coursework?
Who is Assessing Your Coursework?
For Science Practicals: Where will the practical be conducted?
For Science Practicals: Will you require any practice sessions at MTC?
Will you be asking MTC to provide supervised sessions for controlled tests?
Is this coursework option available to private candidates?

Declaration

In submitting this application for examination entry, I agree to accept the terms and conditions of Macclesfield Tutorial College detailed in the MTC Examinations Brochure.
Signed (Examinee):*
Date:*

For candidates under 18 years of age, the next section must also be completed by a responsible adult.

In submitting this application for examination entry, I agree to accept the terms and conditions of Macclesfield Tutorial College detailed in the MTC Examinations Brochure.

Candidate Name:
Relationship to Examinee:
Candidate Email:
Candidate Address:
Post Code:
Home Telephone:
Candidate Mobile:
Signed:
Declaration Date: