This application form can be completed and submitted without obligation. Examination entry commitment is only effective upon receipt of payment.Candidate InformationExam Series:*Oct/Nov 2017January 2018May/Jun 2018Title:*Choose TitleMissMsMrsMrDrFirst Name :* Surname:* Address:* Address Postcode:* Telephone:* Mobile: Date of Birth:*Gender:*MaleFemaleE-mail:Have you taken exams with MTC before?*YesNoIf Yes, Dates: Unique Candidate Identifier (UCI) - 12 digits plus one letter:Unique Candidate Identifier (UCI):Number0123456789Unique Candidate Identifier (UCI):(1)Number0123456789Unique Candidate Identifier (UCI):(2)Number0123456789Unique Candidate Identifier (UCI):(3)Number0123456789Unique Candidate Identifier (UCI):(4)Number0123456789Unique Candidate Identifier (UCI):(5)Number0123456789Unique Candidate Identifier (UCI):(6)Number0123456789Unique Candidate Identifier (UCI):(7)Number0123456789Unique Candidate Identifier (UCI):(8)Number0123456789Unique Candidate Identifier (UCI):(9)Number0123456789Unique Candidate Identifier (UCI):(10)Number0123456789Unique Candidate Identifier (UCI):(11)Number0123456789Unique Candidate Identifier (UCI):(12)LetterABCDEFGHIJKLMN0PQRSTUVWXYZPlease check this box if you do not have a UCI number and need MTC to create one for youCheckIf following a distance learning course:Organisation Name Centre Number Special Requirements (Access Arrangements, Extra Time, Wheelchair User etc): SubjectsSubject 1Add SubjectSubject 1Please complete the following section for each subject entered.Subject Title:* Level:*--Please Choose An Option--Functional skillsGCSEIGCSEGCE AS LevelGCE A LevelBoard:*--Please Choose An Option--AQACambridge International ExamsEdexcelOCRWJECIs this a resit?*--Please Choose An Option--YesNoTitle and Codes of All Units or Modules:* Title and Codes of All Units or Modules To Be Carried Forwards: Tier/Level of Entry:*--Please Choose An Option--HigherFoundationNot ApplicableSubject Award (Cash-In) Code if Final Grade/Certificate is Required Is This Subject Available to Private Candidates?*--Please Choose An Option--YesNoAre You Expecting Any Pre-Release Material?*--Please Choose An Option--YesNoIf yes, Date: Are you entering a subject which involves any form of coursework, including controlled test, science practical or language oral test?*--Please Choose An Option--YesNoSubject Title/Name: Levels:--Please Choose An Option--Functional SkillsGCSEIGCSEGCE AS LevelGCE A LevelTitle 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?--Please Choose An Option--YesNoWill you be asking MTC to provide supervised sessions for controlled tests?--Please Choose An Option--YesNoIs this coursework option available to private candidates?--Please Choose An Option--YesNoSubject Title: Level: --Please Choose An Option--Functional skillsGCSEIGCSEGCE AS LevelGCE A LevelBoard: --Please Choose An Option--AQACIEEdexcelOCRWJECIs this a resit? --Please Choose An Option--YesNoTitle and Codes of All Units or Modules: Title and Codes of All Units or Modules To Be Carried Forwards: Tier/Level of Entry: --Please Choose An Option--HigherFoundationNot ApplicableSubject Award (Cash-In) Code if Final Grade/Certificate is Required Is This Subject Available to Private Candidates? --Please Choose An Option--YesNoAre You Expecting Any Pre-Release Material? --Please Choose An Option--YesNoIf yes, Date: Are you entering a subject which involves any form of coursework, including controlled test, science practical or language oral test? --Please Choose An Option--YesNoSubject Title/Name: Levels: --Please Choose An Option--Functional SkillsGCSEIGCSEGCE AS LevelGCE A LevelTitle 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? --Please Choose An Option--YesNoWill you be asking MTC to provide supervised sessions for controlled tests? --Please Choose An Option--YesNoIs this coursework option available to private candidates? --Please Choose An Option--YesNoDeclarationIn 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:--Please Choose An Option--ParentCarerGuardianCandidate Email:Candidate Address: Post Code: Home Telephone: Candidate Mobile: Signed: Declaration Date:Submit ApplicationReset