MAT registration form

This form is designed as an aid for centres making entries via the Admissions Testing Service Entries Extranet. It will NOTbe accepted as an entry by the Admissions Testing Service.

Please refer to the Instructions for completing the registration formwhich appear later in this document.

1. CENTRE DETAILS

Centre name: / BRITISH COUNCIL / Centre number: / N / L / 0 / 0 / 1
Address: / Weteringschans 85a
1017 RZ Amsterdam / Telephone number:
(including country code) / 020-550 6068
Fax number:
(including country code) / 020- 6207 389
Contact name: / Fiona Macdonald / Email address: /

2. CANDIDATE DETAILS

Family name: / First name(s):
Gender: / Male / Female / Date of birth:
(dd/mm/yyyy) / / / /
UCAS ID: / - / -
Candidate’s address: / Candidate’s email:
Telephone number:
Universities applied to / Course code / College code / College name (if applicable)

3. ACCESS ARRANGEMENTS

Not applicable / Modified enlarged A4 question paper / Use of laptop
Maximum of 25% extra time / Reader / Other
(please state in box below)
Braille question papers / Scribe
Supervised rest breaks / Unmodified A3 question paper and answer sheet
Reason for Access Arrangement request (evidence, statement from school/doctor etc.)

4. CANDIDATE’S SIGNATURE

CAMB
DATA PROTECTION NOTICE / CONSENT
Please note that by registering and taking the Mathematics Admissions Test (MAT), you are agreeing that data provided as part of the entry or admission process may be passed to the Admissions Testing Service, the University of Oxford and Imperial College London, and also that your data may be used for research purposes.
If you obtain a place for a course where your MAT result was used in the admissions process, you also agree that the University of Oxford and Imperial College London may supply the Admissions Testing Service with data about your results in subsequent assessments whilst you are studying at the University of Oxford or Imperial College London for the purposes of on-going predictive validity studies. We store personal data securely and will ensure that if your data is used in any publications or research that it is used anonymously. You can withdraw your consent for your data to be used in the evaluation exercise by requesting this in writing from the University of Oxford or Imperial College London.
CENTRE’S TERMS*
Please return this form to the British Council in Amsterdam together with your proof of payment either by email OR post. Money to be transferred to: Account name: British Council | Account number: NL79ABNA054.82.82.811
Amount: €53.50 | Ref: MAT - Your name
SIGNATURE ______DATE ______

*Centres should update this part of the form to suit their centre’s local terms.

PLEASE RETURN THIS FORM TO YOUR CENTRE.

THIS REGISTRATION FORM SHOULD NOT BE RETURNED TO THE ADMISSIONS TESTING SERVICE.

ALL ENTRIES FOR MAT MUST BE MADE BY REGISTERED CENTRES VIA THE ADMISSIONS TESTING SERVICE ENTRIES EXTRANET BY 18.00 BST ON 15 OCTOBER 2015.

Instructions for completing the registration form

Candidate details

Please give your name, gender and date of birth exactly as provided to the universities or UCAS.Please select the universities in the list that you have applied to, and give the course code that you are applying for:

Institution / Course Codes
University of Oxford (O33) / G100 Mathematics
GG14 Mathematics and Computer Science
GV15 Mathematics and Philosophy
GG13 Mathematics and Statistics
G400 Computer Science
IV15 Computer Science and Philosophy
ImperialCollegeLondon (I50) / G100 Mathematics (3-year course)
G103 Mathematics (4-year course)
G125 Mathematics (Pure Mathematics)
GG31 Mathematics, Optimisation and Statistics
G104 Mathematics with a Year in Europe
G1F3 Mathematics with Applied Mathematics/Mathematical Physics
G102 Mathematics with Mathematical Computation
G1G3 Mathematics with Statistics
G1GH Mathematics with Statistics for Finance

For OxfordUniversity, please give the College name from the following list:

Open application / OPEN / Magdalen / MAG / St. John’s / STJ
Balliol / BAL / Mansfield
Merton / MAN
MER / St Peter’s
Somerville / STP SOM
Brasenose
Christ Church / BNC CCH / New College
Oriel / NEW ORL / Trinity
University / TRI
UNI
Corpus Christi / CCC / Pembroke / PBK / Wadham / WAD
Exeter / EXT / Queen’s / QNS / Worcester / WOR
Hertford / HTF / St Anne’s / STA
Jesus / JES / St Catherine’s / STC
Keble / KBL / St Edmund Hall / SEH
Lady Margaret Hall / LMH / St Hilda’s / SHI
Lincoln / LIN / St. Hugh’s / SHU

Please consult the University of Oxford website to ensure that your chosen College is accepting applications for your chosen course.

Access arrangements

If you are normally allowed access arrangements such as extra time or enlarged papers to take public examinations, please note this on your registration form. Please see section 3 of this form for a list of access arrangements available. If your access arrangement is not listed, please provide more detail of it on the registration form. It is your responsibility to make your centre aware of any access arrangements you may need.

Requests for modified question papers (Braille, enlarged paper etc.) must be received by 30th September 2015.

Further information relating to the MAT can be found at