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Trinity Entry Form Solo Music - Grade & Certificate-3 PDF
Trinity Entry Form Solo Music - Grade & Certificate-3 PDF
Trinity College London is a charitable company registered in England. Company no: 02683033. Charity no: 1014792.
Registered office: Blue Fin Building, 110 Southwark Street, London SE1 0TA.
* We respect your privacy. Information is held in accordance with Trinitys data protection policy, available at www.trinitycollege.com [15]
C Name of teacher or school Notes
Name of teacher or school
Complete this section if you want the name of the teacher or school on certificates.
Include here the name of the teacher if
required on certificates.
Teacher
Please show the teachers qualifications in
the order required on certificates. Up to 50
Teachers qualifications characters letters (upper and lower case,
as appropriate), spaces and punctuation,
School including parentheses can be included.
Give the name of the candidates school,
if required on the certificate.
D Total fees and applicants signature Total fees and your signature
Write here the total fees covered by all entry
Payment of enclosed for total fees. forms being submitted. Cheques should be
made payable to Trinity College London.
I agree to abide by the regulations of Trinity College London as published in the The person named in Section A must sign and
Information & Regulations booklet and also available at www.trinitycollege.com date each form. This constitutes an agreement
to abide by Trinity College Londons exam
Signature Date regulations which are published in the
Information & Regulations booklet and
also available at www.trinitycollege.com
Candidates with special needs
E Candidates with special needs Please indicate the requirements of
candidates with special needs. Please be
Candidates name
aware that no concession can be made in
the marking of the exam.
Special needs (e.g. partially sighted)
If the candidate is under 16 years of age the
Special Needs Provision form will have to be
Requirement (e.g. large-print sight reading) signed by a parent/guardian of the candidate
or a duly authorised agent.
Braille certificate required? Yes / No (Please circle your answer, e.g. Yes )
The Special Needs Provision form and
proof of the special needs must accompany
Please include a Special Needs Provision form for each candidate with your entries to explain
the entry.
the nature of the special needs in as much detail as possible. This is available to download
Receipt
from www.trinitycollege.com, from your Local Area Representative, or from Trinitys central
If a receipt is required, please fill in your
office. First-time entries for dyslexic candidates must be accompanied by a copy of a current name on the receipt at the bottom of this
psychologists report. If candidate has been entered previously, please supply details of any page. Receipts will be issued only if your
special provisions required. name is filled in and a stamped-addressed
envelope is sent with the entries.
RECEIPT A receipt will be issued only if your name is filled in here and a stamped addressed envelope is enclosed with your entry.
Name
For Trinity College London use only
Received the sum of
Date Signed
F Candidates details Notes
Candidates details
For each candidate, please give the full name as it should appear on the certificate.
Write in the instrument or subject as it
Underline the FAMILY NAME clearly below the line. appears in the relevant syllabus (e.g. Solo
Piano, E flat Bass).
Candidate 1 Please tick if this is the candidates first entry Write in the grade for each candidate see
table on previous page.
Full name Write in the subject code for each candidate
see table on previous page.
Date of birth Male / Female Special needs?
D D M M Y Y M or F (Please tick, then give details in Section E) N.B. No codes have been given for Piano
Subject Duet or other group exams: you must use the
Subject Grade code Fee Fee type separate group and pair exams entry form for
these candidates.
For drum kit only. Tick if left handed set-up is required Show the fee for each candidate, and indicate
the type of fee:
Unique learner number (see note) NCN (see note) F Full fee
H Half-fee re-entry (this must be
Candidate 2 Please tick if this is the candidates first entry accompanied by a valid re-entry permit)
L (see late-entry procedure in the
Full name Information & Regulations booklet and
also available at www.trinitycollege.com)
Date of birth Male / Female Special needs?
D D M M Y Y M or F (Please tick, then give details in Section E) Write in each candidates date of birth
Subject and gender. We are required to collect
Subject Grade code Fee Fee type this information for various education
and government bodies. This information
For drum kit only. Tick if left handed set-up is required is not communicated to examiners or to
any third party.
Unique learner number (see note) NCN (see note) Tick the box if the candidate has any special
needs requirements. Further details must be
Candidate 3 Please tick if this is the candidates first entry given in Section E.
Cheques should be made payable to
Full name Trinity College London.
Full name
Full name
If you are entering more than six candidates, please tick here and continue on the back page.
Add up the total fees for this form and insert the amount here:
(Remember to include the entries on the back page.) TOTAL FEES
F Candidates details Notes
For each candidate, please give the full name as it should appear on the certificate. Candidates details
Underline the FAMILY NAME clearly below the line. Write in the instrument or subject as it
appears in the relevant syllabus (e.g. Solo
Candidate 7 Please tick if this is the candidates first entry Piano, E flat Bass).
Write in the grade for each candidate see
Full name table on second page.
Write in the subject code for each candidate
Date of birth Male / Female Special needs?
D D M M Y Y M or F (Please tick, then give details in Section E) see table on second page.
Subject N.B. No codes have been given for Piano
Subject Grade code Fee Fee type Duet or other group exams: you must use the
separate group and pair exams entry form for
For drum kit only. Tick if left handed set-up is required these candidates.
Show the fee for each candidate, and indicate
Unique learner number (see note) NCN (see note) the type of fee:
F Full fee
Candidate 8 Please tick if this is the candidates first entry H Half-fee re-entry (this must be
accompanied by a valid re-entry permit)
Full name
L (see late-entry procedure in the
Date of birth Male / Female Special needs? Information & Regulations booklet and
D D M M Y Y M or F (Please tick, then give details in Section E) also available at www.trinitycollege.com)
Subject Write in each candidates date of birth
Subject Grade code Fee Fee type and gender. We are required to collect
this information for various education
For drum kit only. Tick if left handed set-up is required and government bodies. This information
is not communicated to examiners or to
Unique learner number (see note) NCN (see note) any third party.
Tick the box if the candidate has any special
Candidate 9 Please tick if this is the candidates first entry needs requirements. Further details must be
given in Section E.
Full name
Date of birth Male / Female Special needs? If you are entering more than
D D M M Y Y M or F (Please tick, then give details in Section E)
12 candidates, please use
Subject
Subject Grade code Fee Fee type additional entry forms. These
should be stapled to the first
For drum kit only. Tick if left handed set-up is required
form and sent together to your
Unique learner number (see note) NCN (see note) Local Area Representative.
Full name
Full name
Add up the total fees for these entries and carry forward the amount to the inside page. c/fwd