Request edit access
APPLICATION FORM FOR CANDIDATES OF CAMBRIDGE EXAMINATIONS AT ESCS
Please complete the form below. Then click on the submit button at the bottom of the form in order for us to begin the examination entry process. After submitting, please scroll back to the top of the page to see if your submission has been noted. Entry is not binding until you have accepted our quote by making payment. Please refer to our "Due dates" document on the school website.
PREVIOUS EXAMINATION CENTRE CODE (MOST RECENT NO); Leave blank if you have not yet written any Cambridge exams.
e.g. ZA112
Your answer
PREVIOUS CANDIDATE NUMBER (MOST RECENT NO); Leave blank if you have not yet written any Cambridge exams.
e.g. 1136
Your answer
SURNAME *
PLEASE ENTER IN CAPITALS
Your answer
FIRST NAME(S) *
PLEASE ENTER IN CAPITALS (ALL NAMES THAT YOU WISH TO SEE ON YOUR CERTIFICATE)
Your answer
DATE OF BIRTH: *
MM
/
DD
/
YYYY
CANDIDATE'S NATIONAL ID NUMBER: *
If ID number is unavailable, enter date of birth in the following format: YYMMDD e.g. 560602
Your answer
PASSPORT NUMBER IF NOT SA RESIDENT
Your answer
STUDY PERMIT NUMBER IF NOT SA RESIDENT(Leave blank if you do not have a study permit
Your answer
Please email a copy of your ID / PASSPORT / STUDY PERMIT to kanderson@escs.org.za, with the name of the student in the subject line of the email.
GENDER: *
IS ENGLISH YOUR FIRST LANGUAGE? *
EXAMINATION LEVEL: *
You may select both if relevant
Required
SESSION: *
YEAR: *
PRIMARY TELEPHONE NUMBER: *
e.g. (021) 9751980
Your answer
SECONDARY TELEPHONE NUMBER
If different
Your answer
EMAIL ADDRESS OF PARENT PAYING THE FEES - THIS IS FOR ALL ENTRY NOTIFICATIONS FROM US, AS WELL AS RESULTS INFORMATION. *
NB - Check often. This address must work. Kindly check your typing, since every character of your email address must be correct.
Your answer
STREET ADDRESS: *
Your answer
POSTAL ADDRESS:
If different from street address. This is the address we post certificates to - if not resident in Cape Town (all residents in the wider Cape Town area will be expected to arrange for collection from the school, or collect their own certificates)
Your answer
CANDIDATE STATUS *
EXAMINATION SUBJECTS YOU WISH TO BE ENTERED FOR:
Consult your syllabus booklet(s) and show all the required details for each subject you wish to write. We only need the level, subject, syllabus code and the paper numbers that you wish to write. We will add the examination code and will contact you if uncertain.

NB: If any of your subjects are rewrites of those written in the previous session, please type the word "REWRITE" after the applicable subject.

1st SUBJECT *
This is just an example: IGCSE English First Language; 0500; Paper 2 & Paper 3
Your answer
2nd SUBJECT
Example: IGCSE Afrikaans Second Language; 0548; Paper 1 & Paper 2
Your answer
3rd SUBJECT
Example: IGCSE Maths Extended; 0580; Paper 2 & Paper 4
Your answer
4th SUBJECT
Example: IGCSE Biology Extended; 0610; Paper 2, Paper 4 & Paper 6
Your answer
5th SUBJECT
Example: IGCSE History; 0460; Paper 1, Paper 2 & Paper 4
Your answer
6th SUBJECT
Example: AS Level Geography; 9696; Paper 1
Your answer
7th SUBJECT
Example: AS Level Art & Design; 9704; Paper 1 & Paper 2
Your answer
8th SUBJECT
Your answer
Do you have a valid reason for extra time? (15% extra time may be granted - we unfortunately do not have the space to offer other access arrangements; please email the medical / educational psychologist's report to kanderson@escs.org.za) *
Reason for extra time?
Your answer
Signature
By completing this form, your subsequent payment after receiving our quote will indicate a signing and acceptance of our services. Completion of this form also indicates that you give permission for El Shaddai Christian School to release your personal information to Cambridge University, as well as "Universities South Africa" or other applicable educational institutions. Please do not complete this form twice for the same entry, unless you wish to change the information you have entered, in which case we will use the latest entry.
Tick the box *
Required
ADDITIONAL EMAIL ADDRESS IF NECESSARY (different from the one above):
Please check spelling and fullstops. Even a fullstop in the wrong place will result in a reply not reaching you.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service