GA010 Ver7.0 Cambridge English Exam Registration Form

(for CEFL Students)

Name*

Date Of Birth*

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DD/MM/YYYY

Gender*

AMale

BFemale

Nationality*

Malaysian

MyKad (Use: 999999-99-9999)*

If you are a Malaysian, enter your MyKad number

Age Malaysian*

If you are a Malaysian, enter your age

Non-Malaysian

Passport No Non-Malaysian*

If you are a non-Malaysian, enter your Passport number

Age Non-Malaysian*

If you are a non-Malaysian, enter your age

CEFL Centre*

Address1*

Address2*

Email address*

Telephone No.*

Exam Level*

YLE courses*

Main Suite Courses*

BEC Courses*

YLE-01

YLE-02

YLE-03

BEC-01

Exam Period

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MS-01*

MS-02*

MS-03*

MS-04*

MS-05*

MS-06*

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