/ Cambridge Examinations ENROLMENT FORM 2018
Please complete this form carefully using BLOCK CAPITALS
Please attach a copy of a valid passport or national ID / TEG Branch:
Candidate Number:
Title / Mr / ☐ / Miss / ☐ / Mrs / ☐ / Ms / ☐ / Other
First Name(s)1
Surname (Family name)1
Date of Birth (dd/mm/yyyy) / d / d / m / m / y / y / y / y / Nationality
Passport/IDNumber
UK Address
Postcode
Telephone number
Email Address2
PLEASE NOTE:
  1. The given names must be the same as the names on your Passport/National Identity card and must appear in the same order.
  2. The Exam Timetablewill be sent via email usually a few weeks before the actual exam. Please check your email regularly.
  3. For Results and certificates information, PLEASE SEE TEG CAMBRIDGE EXAM DATES 2018 (Available on request).
  4. There is a minimum of 4 candidates required to run the exam.
  5. Terms and conditions apply -

/ Exams will be held at TEGPortsmouth
7-9 Edinburgh Road, Portsmouth, Hampshire PO1 1DE
Directions /
Centre No. 00777
Which Examination do you want to take?Please ✓ / When do you want to take the exam?Please tick the box ✓
Please note any dates listed are for the written section of the exam ONLY)
First Certificate (FCE) / ☐ / Mar / ☐ / Apr / ☐ / May / ☐ / June / ☐ / Aug / ☐ / Dec / ☐ /
Cambridge Advanced (CAE) / ☐ / Mar / ☐ / Apr / ☐ / June / ☐ / Aug / ☐ / Dec / ☐ /
Cambridge Proficiency (CPE) / ☐ / Mar / ☐ / June / ☐ / Dec / ☐ /
Other Exame.g. KET, PET, DELTA Module 1; BEC Preliminary, Vantage or Higher) / ☐ / What date? / Cost:
Examination Fees (a £20.00 late enrolment fee will be added if applications are submitted after the closing date)
First Certificate (FCE) / Cambridge Advanced (CAE) / Cambridge Proficiency (CPE) / Key English Test (KET) - £95
Preliminary English Test (PET) - £110
Business English CertificateP (BEC)-£105
Business English CertificateV(BEC)-£150
Business English CertificateH (BEC)-£155
DELTA Module 1 - £180
TEG Student / External / TEG Student / External / TEG Student / External
£120 / £150 / £125 / £155 / £130 / £160
If there is a Speaking test in your chosen exam, please see the TEG CAMBRIDGE EXAMS CALENDAR 2018for the Speaking test window dates.
Is there another candidate you would like to do the Speaking exam with? Please provide his or her name:
Please give a brief reason for taking the exams:

I understand and accept the Term and Conditions. I confirm that the above details are correct.

Signature: ______Date: ______

Office Use Only / Branch applied from / Date of payment / Method of payment / Amount

Tompkins Educational Group (TEG), 7-9 Edinburgh Road, Portsmouth, Hampshire PO1 1DE

Registered at Companies House as Portsmouth Language College Ltd. No.06181002