Cambridge Assessment International Education

Examination Session: November 2023

GCE AS-/A2-/A-level Nepal

Centre Number and Candidate Number- NP (Official use only) /

This form is to be completed by candidate taking GCE IGCSE- O - A - AS - A2 - Level examinations. One form should be used
for registration of different subjects and levels.
Candidate’s Personal Information (tick as appropriate)
Full name Devanshi Singh D Male  Female
Date of birth 25/07/2005 (dd/mm/yyyy) ID type CtzN School ID

ID number Kindly attach the ID document copy with this form and
11288638
(Mandatory) bring original for all exams
Attach three identical
coloured passport size
Present address Bhotebahal, Kathmandu,Nepal photographs that have
been taken within the
last three months
Telephone
01-5321773 Mobile (Mandatory) 9745604527
(home)
E-mail
devanshisinghs24@gmail.com
(Mandatory)

Examinations Information
You must enter all syllabus codes and options codes you wish to register for this examination session in order to prevent any delays
in the processing. It is Candidate’s responsibility to write the correct syllabus title, syllabus and option code otherwise British Council
will not be responsible if candidate registers for wrong subject or option. The examinations entry details will guide you regarding
available syllabus/option codes and applicable fees. The examinations entry details on pages 4–12 will guide you regarding available
syllabus/option codes and applicable fees.

If the Syllabus is
Penalty/ Late taken in June
Sr Syllabus Option 2023 and want
Syllabus title Level Syllabus fee paid fee paid
No code code to retake in Nov
(if applicable)
2023? (Tick √)
e.g. Biology A 9700 AY 33,280.00 NPR 10920/-
(Late fee)
1 Economics A 9708 AY 28,000.00 N/A √
2

5
NPR…………
Total (syllabus and penalty/Late fee paid) NPR 28,000.………
……
NPR…………
Total fee paid at bank (syllabus fee + penalty fee)
……
Bank deposit slip reference
60507 Date of deposit 0/09/2023
number
Candidates submitting fees at two separate times must attach a copy of their previous bank deposit slip with the
registration forms.
Date of
Previous bank deposit slip reference number
deposit

Previous candidate details

Candidates appearing for A2 level must provide the following information:
 Note: A2 -level subject entry will only be eligible if AS-level has been taken in Nov 2022 or June 2023, attach a copy of previous
Statement of Entry or Statement of Result with this registration form.
Candidate number Centre number Syllabus title Syllabus code Option code

0042 NP704 ECONOMICS 9708 AY

The United Kingdom’s international organisation for cultural relations and educational opportunities. A registered charity: 209131 (England and Wales) SC037733 (Scotland).
Retake Option (Applies in November session only)

Candidates are eligible for Retake Option if they have registered for previous June session and are willing to re-take the same syllabus
(may choose different option code) after getting the provisional result can register for November session without any late fee.
Candidates must attach copy of SOE or Provisional Certificate with the form. Failure to attached previous sessions details will be
consider as fresh candidate and late fee will be applicable if deadline crossed.

Fair collection notice

The British Council will use the information that you are providing for the administration of your examinations. We shall pass this
information on to Cambridge Assessment International Education (CAIE) only that will also need it in connection with the examinations.
We will use the mobile number given above to subscribe you to our free SMS Alert service. Please advise us immediately if you
change your mobile number. This service will only be used to SMS you regarding any important security update that affect your
examination.
Additionally, we may want to use your information to send you details of British Council activities, services and events which you might
find of interest.
You have a right to ask for a copy of the information we hold on you, for which we may charge a fee, and the right to ask us to correct
any inaccuracies in that information. If you do want to see a copy of your information, please contact the British Council in Nepal.

Child Protection Policy

The British Council believes that all children have potential and that every child matter – 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, UNCRC1989.

Disclaimer
The British Council and the examining boards take all reasonable steps to provide continuity of service. We feel sure you will
understand, however, that we cannot be held responsible for any interruptions caused by circumstances beyond our control.
If examinations or their results are disrupted, cancelled or delayed, every effort will be made to resume normal service as soon as
possible. The British Council’s liability will be limited to the refund of the registration fee and Cambridge’s decision will be final.

In case of cancellation of physical exam due to different circumstances, Cambridge’s decision will be final and British Council is not
liable to make provision of transfer of candidate to any A-Level school.

Neither British Council nor University of Cambridge International Examinations can be held responsible for any loss or damage or injury
or death caused to any candidate at the examination venue during examination due to any act of terrorism or otherwise.

Declaration
 I declare that the information I have provided in this application form is, to the best of my knowledge and belief, correct and
complete.
 I recognise that I am liable to pay fees for any entry amendment made after the British Council entry deadline.
 I understand that I shall be allowed to sit only for those subjects and papers for which I have entered on this form.
 I have not submitted a Cambridge IGCSE/GCE exam entry at any other centre/school except for the above GCE exam entry
through the British Council.
 I understand that it is my responsibility not to register for two exams from different examining boards on the same day at the same
time, and that I must tell my centre/school if I am taking any other exams beyond those for which I have entered by the
centre/school.
 I also understand that the British Council is not responsible for resolving any clash papers between/of two different boards.
 I understand my obligation to report for any morning or afternoon examination paper at least one hour before the scheduled
examination start time as is required by British Council administrative arrangements.
 Please ensure that your name and age are the same on your GCE/IGCSE certificates as it is on your Ctz ID/Passport document.
Failure to do, British Council reserves the right to refuse equivalence to your GCE/IGCSE certificates.

By submitting this application for examination entries, I agree to comply in full with all of the UK awarding body regulations for the
above GCE examination(s) and with all of the arrangements made by the British Council being the Overseas Authority on behalf of the
UK examining board. I understand that any failure on my part to comply with the relevant examination regulations will be treated as
malpractice and could potentially lead to my disqualification from the examination(s) in question.
Your signature Devanshi Singh Date 04/09/2023

Full name will be considered as signature in case of absence of signature. Only forward the first two pages of the form and
detach the information sheet before submitting the form to the British Council office.
Parental / Guardians Consent Form

A Level November 2023 Session

The information contained in this Parental / Guardian Consent form will be kept
confidential and shared with British Council staff and representatives of partner
organisations only on a “need to know” basis. If you do not fully understand any of
the following questions/statements, require further information or wish to discuss any
of your answers, please contact the team organising the event immediately at
roshani.thapa@britishcouncil.org.np.

These questions are not designed to exclude your child. The intention is to ensure
that you are fully aware of the arrangements for the programme, any special risks or
concerns and that we are aware of any extra support that may need to be put in
place for your child. The information you provide will help us in ensuring the safety
and welfare of your child at all times.

1. DECLARATION

1. I hereby give consent to my child to take part in the above-mentioned event,

including activities in Nepal

2. I agree that he/she will be under the authority of, and responsible to, the British
Council organising team.

2. ESSENTIAL INFORMATION
Child’s Full Name Devanshi Singh
Country of Residence Nepal
Address Bhote bahal, Kathmandu
Telephone Numbers Home 01-5321773
Work N/A
Mobile 9745604527
Age 18
Date of Birth 25/07/2005

1
Gender Female
Name of friend attending (if N/A
relevant)
Emergency telephone 1.9851023098
numbers 2.9851038672
If unavailable, contact Name Prakash Man SIngh
Relationship to Child Father
Telephone Numbers 9851023098

3. MEDICAL INFORMATION (please provide all relevant details, using a

separate sheet if necessary)
Doctor’s Name N/A
Doctor’s Telephone Number N/A
Details of any known special N/A
dietary requirements.
Details of any known N/A
allergies.
Details of any medical N/A
condition and treatment
required.
What type of pain/flu relief N/A
medication may your child be
given if required?
Date of your child last
tetanus injection.
To the best of your YES/NO delete as appropriate
knowledge, has your child NO
been in contact with any If yes, please give details.
contagious or infectious
diseases or suffered from
any illness in the past 4

2
weeks that may be
contagious or infectious?

Has your child been YES / NO delete as appropriate

receiving treatment or NO
counselling for any emotional If yes, please give details.
or psychiatric condition?
(Please note: having a
condition may not exclude
your child from participation,
but accurate information is
necessary to ensure their
safety and proper support.)
Has your child had any recent injuries?
YES / NO delete as appropriate
Injuries? NO
If yes, please give details.

Any other special needs, N/A

requirements, directions, that
would be helpful for us to
know about.

I will inform the organising team if there is any important changes to my child’s health,
medication or needs and also of any changes to our address or phone numbers
given between the date this form is signed and the beginning of the event.

In the event of illness, having parental responsibility for the above-named child, I give
permission for medical treatment to be administered where considered necessary by
a nominated first aider, or by suitably qualified medical practitioners. If I cannot be
contacted and my child should require emergency hospital treatment, I authorise a
qualified medical practitioner to provide emergency dental, medical or surgical
treatment, including anaesthetic or blood transfusion, considered necessary by the
medical authorities present.

3
4. CHILD PROTECTION
I have been made aware that the British Council has a child protection policy and is
committed to ensuring the safety of my child by having:
• Staff code of conduct;
• Recruitment policy;
• Speaking out policy;
• Risk assessment
• Disciplinary procedures
• A designated person for child protection

5. DATA PROTECTION
The British Council is committed to ensuring that any information gathered in relation
to this event meets the specific responsibilities as set out in the Data Protection Act
1998. We store the above information on your child for a maximum of 12 months and
then securely destroy it.

6. SIGNATURE
I confirm that all details are correct to the best of my knowledge and I am able to give
parental consent for my child to participate in the event and travel to all activities.

Signature of Child Devanshi Singh

Signature of
Parent/Guardian
Print Name Prakash Man Singh
Date 04/09/2023