Application Form for ABRSM Music Theory Course and Exam
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Which Music Theory Course are you booking?:
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Grade 5 - two-stage - part 1
Grade 5 - two-stage - part 2
Grade 5 - 13 week
Grade 5 - 15 week
Grade 5 - 20 week
Grade 5 - 26 week
Grade 5 - 39 week
Grade 6 - 20 week
Grade 6 - 30 week
Grade 8 - 30 week
Where would you like to take the exam?:
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Enfield
Crouch End
Ilford
Hertford
Other
Name of candidate (as it will appear on certificate including middle name):
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Date of birth:
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Postal address:
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Candidate’s gender:
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Male
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Does the Candidate have special needs?:
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If ‘Yes’ please give details below:
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Please give details of current instruments and grades taken:
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Contact email address:
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Contact phone number:
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Contact postal address (if different):
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Parent’s name (if applicable):
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