Ashton Sixth Form College External Candidate Registration 2014‐15 Please complete this form in full and return with payment and copies of appropriate ID.
Candidate Details (*indicates a required field) Legal Name
First Name*
Middle Name
Surname*
Date of Birth *
D D M M Y Y Y Y Gender *
Age
Male
Female
Years/months** Address *
House Number
Street
Town/City
County
Post Code
E‐Mail Address*
Telephone *
Daytime:
Mobile:
Exam History If you have undertaken any exams within the past few years, you will have a Unique Candidate Identification code, comprised of 12 digits and 1 letter. The UCI will be detailed on certificate or results statements. My UCI: 1 2 3 4 5 6 7 8 9 1 2 3 A I do not have a UCI My previous school was: I left in:
M M Y Y
Access Arrangements I have contacted the Exams Office to discuss my access
Yes
No
arrangements.* The passcode provided by the college is *:
Do you require access arrangements? If yes, please specify:*
Yes
No