Application Form As A Level - November 2021 Series

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 7

Advanced Subsidiary and Advanced Levels (AS & A Levels)

November 2021 Examination Session

STANDARD REGISTRATION PERIOD

25 June 2021 to 11 August 2021

LATE REGISTRATION PERIOD

12 August 2021 to 17 September 2021


(Late fee of IDR 1,638,300, per subject applies during this period)

IMPORTANT REMINDER

Please note that NO refund, transfer or postponement is allowed after registration

Centre Name Board Code ID400

Full Name as in KTP (National ID for Indonesian)/ Passport

(Please attach a copy of your KTP or Passport for International Student)

KTP / Passport No Previous Candidate Number

Gender (please circle) Male / Female Previous Centre Number

Date of birth (dd) (mm) (yyyy) English first language? Yes / No

Full Address

Contact Numbers
(Home) (Mobile) (Email)

Application for Access Arrangements


[1] Place a tick (✓) in the box against the requested access arrangement.
[2] Attach the mandatory supporting documents (e.g. comprehensive medical report).
[3] June series application deadline is 30 June 2021.

25% Extra Time Others (specify) : ______________________

British Council Indonesia Foundation is an Indonesian registered foundation for cultural relations and educational opportunities
established by British Council Holdings UK. Approved by the Minister of Law and Human Rights under Decree No: AHU-6501.AH.01.04 Year 2013.
Page 1 of 7 (as at 17 June 2021)
Advanced Subsidiary and Advanced Levels (AS & A Levels)
November 2021 Examination Session

Please select subjects and appropriate option codes by placing a (✓) in the boxes below.

Code Subject Paper No & Component Information Option Level ✓


Fee (IDR)

AY 12, 22, 32 A 4,899,000


12: AS Level Multiple Choice 12 BY 32, 88 A2 2,754,000
22: AS Level Structured Questions 22
32: A Level Structured Questions 32 CY 32, 98 A2 2,754,000
9706 Accounting*
88: June AS Mark (12, 22) Carried Forward
98: November AS Mark (12, 22) Carried DY 12, 22, 32, A
4,899,000
Forward 88, 98

SY 12, 22 AS 3,656,000

22: Reading & Writing 22


32: Essay 32 AS
Arabic
8680 AY 22, 32 3,656,000
Language (Candidates may not sit this syllabus in the
same series as 9680)

42: A Level Structured Questions 42


52: Planning, Analysis & Evaluation 52 A2
85: June AS Mark (12, 22, 33) Carried BY 42, 52, 85, 88 3,656,000
Forward
88: June AS Mark (12, 22, 34) Carried
9700 Biology* Forward
95: November AS Mark (12, 22, 33) Carried
Forward A2
98: November AS Mark (12, 22, 34) Carried CY 42, 52, 95, 98 3,656,000
Forward

AY 12, 22, 32 A 4,899,000


12: Short Answer and Essay 12
22: Data Response 22 BY 32, 88 A2 2,754,000
32: Case Study 32 A2
9609 Business* CY 32, 98 2,754,000
88: June AS Mark (12, 22) Carried Forward
98: November AS Mark (12, 22) Carried DY 12, 22, 32, A
4,899,000
Forward 88, 98
SY 12, 22 AS 3,656,000

42: A Level Structured Questions 42


52: Planning, Analysis & Evaluation 52 BY 42, 52, 85, 88 A2 3,656,000
85: June AS Mark (12, 22, 33) Carried
Forward
88: June AS Mark (12, 22, 34) Carried
9701 Chemistry*
Forward
A2
95: November AS Mark (12, 22, 33) Carried CY 42, 52, 95, 98 3,656,000
Forward
98: November AS Mark (12, 22, 34) Carried
Forward
22: Reading & Writing 22
32: Essay 32
Chinese AS
8681 Y 22, 32 3,656,000
Language (This syllabus is only available as an AS
Level. Candidates may not sit this syllabus in
the same series as 9715)

A
AY 12, 22, 32, 42 5,350,000

12: Greek Civilisation 12 A2


22: Roman Civilisation 22 CY 32, 42, 98 3,656,000
Classical 32: Classical History: Sources & Evidence 32
9274
Studies* 42: Classical Literature: Sources & Evidence A
DY 12, 22, 32,
98: November AS Mark (12, 22) Carried 5,350,000
42, 98
Forward
AS
SY 12, 22 3,656,000

A
12: Theory Fundamentals 12 AY 12, 22, 32, 42 5,350,000
22: Fundamental Problem-Solving and
Programming Skills 22 A2
BY 32, 42, 88 3,656,000
32: Advanced Theory 32
42: Further Problem-Solving & Programming
Computer A2
9608 Skills 42 3,656,000
Science* CY 32, 42, 98
88: June AS Mark (12, 22) Carried Forward
98: November AS Mark (12, 22) Carried A
DY 12, 22, 32, 5,350,000
Forward
42, 88, 98

(Candidates may not sit this syllabus in the AS


SY 12, 22 3,656,000
same series as 9618 or 9626)

22: The Four Gospels 22

8041 Divinity Y 22 AS 2,754,000


(This syllabus is only available as an AS
Level. Candidates may not sit this syllabus in
the same series as 9011)
A
AY 12, 22, 32, 42 5,350,000

12: AS Level Multiple Choice 12 A2


22: AS Level Data Response and Essay 22 BY 32, 42, 88 3,656,000
32: A Level Multiple Choice 32
9708 Economics* A2
42: A Level Data Response & Essays 42 CY 32, 42, 98 3,656,000
88: June AS Mark (12,22) Carried Forward
98: November AS Mark (12,22) Carried DY 12, 22, 32, A
5,350,000
Forward 42, 88, 98
AS
SY 12, 22 3,656,000

12: Essay 12
English
8021 22: Comprehension 22 Y 12, 22 AS 3,656,000
General Paper

A
AY 12, 22, 32, 42 5,350,000
12: Reading Paper 12
22: Writing Paper 22 A2
32: Language Analysis Paper 32 BY 32, 42, 88 3,656,000
42: Language Topics Paper 42
A2
English 88: June AS Mark (12, 22) Carried CY 32, 42, 98 3,656,000
9093
Language* Forward
98: November AS Mark (12, 22) A
DY 12, 22, 32,
5,350,000
Carried Forward 42, 88, 98

AS
(Candidates may not sit this syllabus in the SY 12, 22 3,656,000
same series as 8695)
22: Reading & Writing 22
First
42: Texts 42 AS
8665 Language Y 22, 42 3,656,000
Spanish (Candidates may not sit this syllabus in the
same series as 8673, 8685 or 9719)
A
AY 12, 22, 32, 42 5,350,000

12: Further Pure Mathematics 12 A2


BY 22, 42, 85 3,656,000
22: Further Pure Mathematics 22
32: Further Mechanics 32 A2
CY 22, 32, 88 3,656,000
42: Further Probability & Statistics 42
A
85: June Further Mechanics AS Mark (12, 32) DY 22, 42, 95 4,448,000
Further Carried Forward
9231
Mathematics* 88: June Further Statistics AS Mark (12, 42) A
EY 22, 32, 98 4,448,000
Carried Forward
95: November Further Mechanics AS Mark FY 12, 22, 32, A
5,350,000
(12, 32) Carried Forward 42, 85, 88, 95, 98
98: November Further Statistics AS Mark (12,
AS
42) Carried Forward S3 12, 32 3,656,000

AS
S4 12, 42 3,656,000

A 5,350,000
12: Core Physical Geography 12 AY 12, 22, 32, 42

22: Core Human Geography 22 A2


BY 32, 42, 88 3,656,000
32: Advanced Physical Geography Option 32
A2 3,656,000
9696 Geography* 42: Advanced Human Geography Options 42 CY 32, 42, 98
88: June AS Mark (12, 22) Carried Forward A
DY 12, 22, 32, 5,350,000
98: November AS Mark (12, 22) Carried 42, 88, 98
Forward
AS 3,656,000
SY 12, 22

01: Written Paper 1 A


A 01, 02, 03, 04 4,448,000
02: Written Paper 2
9487 Hinduism* 03: Written Paper 3
AS
04: Written Paper 4 S 01, 02 4,448,000

12: Document Question 12 A


AY 12, 22, 32, 42 5,350,000
22: Outline Study 22
A2
32: Interpretations Question 32 BY 32, 42, 88 3,656,000

9489 History* 42: Depth Study 42


A
88: June AS Mark (12, 22) Carried Forward DY 12, 22, 32, 5,350,000
42, 88

(Candidates may not sit this syllabus in the AS


SY 12, 22 3,656,000
same series as 9389)
A
9488 Islamic 12: Written Paper 12 AY 12, 22, 32, 42 4,448,000
Studies* 22: Written Paper 22
32: Written Paper 32 AS
SY 12, 22 3,656,000
42: Written Paper 42
* Indicate that the syllabus contains options which can be entered as part of a Staged Assessment.

British Council Indonesia Foundation is an Indonesian registered foundation for cultural relations and educational opportunities
bliestabesta blished by British Council Holdings UK. Approved by the Minister of Law and Human Rights under Decree No: AHU-
6501.AH.01.04 Year 2013. Page 4 of 7 (as at 17 June 2021)
Advanced Subsidiary and Advanced Levels (AS & A Levels)
November 2021 Examination Session

Please select subjects and appropriate option codes by placing a (✓) in the boxes below.

Code Subject Paper No. & Component Information Option Level


Fee (IDR) ✓

12: Writing Paper 12


Language & 22: Drama, Poetry & Prose Paper 22
8695 AS
Literature in AY 12, 22 3,656,000
English (Candidates may not sit this syllabus in the
same series as 9093 or 9695)
A
AY 12, 22, 32, 42 5,350,000
12: Paper 12
A2
22: Paper 22 BY 32, 42, 88 3,656,000
32: Paper 32 A2
9084 Law* CY 32, 42, 98 3,656,000
42: Paper 42
DY 12, 22, 32, A
88: June AS Mark (12, 22) Carried Forward 5,350,000
42, 88, 98
98: November AS Mark (12, 22) Carried
Forward AS
SY 12, 22 3,656,000

A
AY 12, 32, 42, 52 5,350,000

CY 12, 32, 52, 62 A 5,350,000


12: Pure Mathematics 1 (12)
22: Pure Mathematics 2 (22) A2
DY 32, 52, 85 3,656,000
32: Pure Mathematics 3 (32)
42: Mechanics (42) EY 32, 42, 88 A2 3,656,000
52: Probability & Statistics 1 (52) A2
GY 32, 62, 88 3,656,000
62: Probability & Statistics 2 (62)
85: June Mechanics AS Mark (12, 42) Carried HY 32, 52, 95 A2 3,656,000
Forward
9709 Mathematics* IY 32, 42, 98 A2 3,656,000
88: June Statistics AS Mark (12, 52) Carried
Forward
KY 32, 62, 98 A2 3,656,000
95: November Mechanics AS Mark (12, 42)
Carried Forward
LY 12, 32, 42, A
98: November Statistics AS Mark (12, 52) 5,350,000
52, 85, 88, 95, 98
Carried Forward
NY 12, 32, 52, A 5,350,000
62, 88, 98
(Option S4 cannot be used as part of a S4 12, 22 AS 3,656,000
staged assessment)
S5 12, 42 AS 3,656,000

S6 12, 52 AS 3,656,000

42: A Level Structured Questions 42


52: Planning, Analysis & Evaluation 52 A2
BY 42, 52, 85, 88 3,656,000
85: June AS Mark (12, 22, 33) Carried
Forward
9702 Physics* 88: June AS Mark (12, 22, 34) Carried
Forward
A2
95: November AS Mark (12, 22, 33) CF CY 42, 52, 95, 98 3,656,000
98: November AS Mark (12, 22, 34) Carried
Forward
A2
32: Specialist Options: Theory 32 BY 32, 42, 88 3,656,000
42: Specialist Options: Application 42
9990 Psychology* 88: June AS Mark (12, 22) Carried Forward
98: November AS Mark (12, 22) Carried A2
Forward CY 32, 42, 98 3,656,000

A
AY 12, 22, 32, 42 5,350,000

12: Socialisation, Identity and Methods of A2


Research 12 BY 32, 42, 88 3,656,000
22: The Family 22
32: Education 32 A2
9699 Sociology* CY 32, 42, 98 3,656,000
42: Globalisation, Media, Religion 42
88: June AS Mark (12, 22) Carried Forward
DY 12, 22, 32, A
98: November AS Mark (12, 22) Carried 5,350,000
42, 88, 98
Forward
AS
SY 12, 22 3,656,000

42: Texts 42
Spanish AS
8673 (This syllabus is only available as an AS Y 42 2,754,000
Literature
Level. Candidates may not sit this syllabus in
the same series as 8665 or 9719)

22: Reading & Writing 22


32: Essay 32 AS
Tamil
8689 Y 22, 32 3,656,000
Language
(Candidates may not sit this syllabus in the
same series as 9689)

A
AY 12, 22, 32, 42 5,350,000

12: Problem Solving 12 A2


BY 32, 42, 88 3,656,000
22: Critical Thinking 22
32: Problem Analysis & Solution 32
Thinking A2
9694 42: Applied Reasoning 42 CY 32, 42, 98 3,656,000
Skills*
88: June AS Mark (12, 22) Carried Forward
98: November AS Mark (12, 22) Carried DY 12, 22, 32, A
Forward 5,350,000
42, 88, 98

AS
SY 12, 22 3,656,000

02: Reading & Writing


03: Essay AS
SB 02, 03 3,656,000
(Candidates may not sit this syllabus in the
Urdu same series as 9676)
8686 Language
* Indicate that the syllabus contains options which can be entered as part of a Staged Assessment.

British Council Indonesia Foundation is an Indonesian registered foundation for cultural relations and educational opportunities
established by British Council Holdings UK. Approved by the Minister of Law and Human Rights under Decree No: AHU-6501.AH.01.04 Year 2013.
Page 6 of 7 (as at 17 June 2021)
Advanced Subsidiary and Advanced Levels (AS & A Levels)
November 2021 Examination Session

Examination Fee calculation in Rupiah (IDR)

Fee (IDR) No. of subjects Amount


No. of subjects @ 2,754,000 2,754,000 x

No. of subjects @ 3,656,000 3,656,000 x

No. of subjects @ 4,448,000 4,448,000 x

No. of subjects @ 4,899,000 4,899,000 x

No. of subjects @ 5,350,000 5,350,000 x


Final Stage Late fee
1,638,300 x =
(12 August to 17 September 2021)
Total amount for the examination fee IDR

Declaration

▪ I certify that the information given on this form is complete, true and accurate
▪ I understand that I shall be allowed to sit only for the subjects that I entered
▪ I understand that there will be NO transfer or postponement of examination
▪ I understand that there will be NO refund of the fees if I decide to withdraw from the examinations
▪ I acknowledge receipt of Information for candidates & the examination timetable
▪ I understand that I shall not register for Cambridge AS/A-Level examinations/syllabuses with two examination centres
in a particular session

 (please tick ✓ ) For candidates 18 years old and above

Candidate’s Signature: Date:

 (please tick ✓ ) For candidates below 18 years old

Guardian’s Signature: Date:


Official Use

Administrator’s initials Sequence Number Receipt number E

Your privacy is important to British Council Indonesia Foundation. British Council Indonesia Foundation is committed to preserving the confidentiality of students’
personal information and undertakes not to divulge any of the students’ personal information to any third party without the prior consent of the student. Our privacy
policy can be found on our website.

Under UK Data Protection law and the Indonesia Data Protection Act you have the right to ask for a copy of the information we hold on you, and the right to ask us to
correct any inaccurate information. If you want to find out more about this please contact your local British Council office.

The British Council believes the all children have potential and every child matters – everywhere in the world. The British Council affirms the position that all children
have the right to be protected from all forms of abuse as set out in article 19, UNRC, 1989.

British Council Indonesia Foundation is an Indonesian registered foundation for cultural relations and educational opportunities
established by British Council Holdings UK. Approved by the Minister of Law and Human Rights under Decree No: AHU-6501.AH.01.04 Year 2013.
Page 7 of 7 (as at 17 June 2021)

You might also like