11.07.2015 Views

3(June)_______4(Nov) On Demand Private Candidate Entry Form ...

3(June)_______4(Nov) On Demand Private Candidate Entry Form ...

3(June)_______4(Nov) On Demand Private Candidate Entry Form ...

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Series 3 2009 (World Paper) <strong>Private</strong> <strong>Candidate</strong> <strong>Entry</strong> <strong>Form</strong>Personal Particulars (Please fill in BLOCK Letters)Name(as per National ID)NRIC/Passport No.(Photocopy of National ID is required)Date of BirthNationality Gender ( Please tick) Male FemaleDo you have any physical disabilities that mayaffect you in the examination?Yes/No (If yes please indicate)FullAddress(Please make sure that someone will be at home to acknowledge the certificate when delivered through courier service)PostcodeStateTel No.CityEmail AddressMobile No.** Please state preferred town for your exam venue:Examination Entries (Please circle the correct subject code and/or exam code)Level 1 Level 2Subject Title Subject Code Exam Fee Subject Title Subject Code Exam FeePreliminary English forBusinessASE1044 RM117.00 English for Business (Written) ASE2041 RM123.00English for Business (Written) ASE1041 RM117.00 Book-keeping & Accounts ASE2007 RM159.00Book-keeping ASE1017 RM138.00 Business Statistics ASE2009 RM159.00Business Administration ASE1027 RM138.00 Business Calculations ASE2003 RM159.00Business Practice ASE2309 RM159.00Business Administration ASE2407 RM159.00Subject TitleExamCodeLevel 3Single Subject 1 st Group Diploma 2 nd Group DiplomaSubjectCodeExam CodeSubjectCodeExam CodeSubjectCodeExam FeeAccounting ASE3012 ASE3012 DIPACC07 ASE3012 DIPACC07 ASE3012 RM175.00Accounting (IAS) ASE3902 ASE3902 DIPACC07 ASE3902 DIPACC07 ASE3902 RM175.00Cost Accounting ASE3017 ASE3017 DIPCOSTACC07 ASE3017 DIPCOSTACC07 ASE3017 RM175.00Management Accounting ASE3024 ASE3024 DIPMANACC07 ASE3024 DIPMANACC07 ASE3024 RM175.00Business Statistics ASE3009 ASE3009 - ASE3009 - ASE3009 RM175.00Advanced Business Calculations ASE3003 ASE3003 - ASE3003 - ASE3003 RM175.00English for Business (Written) ASE3041 ASE3041 - ASE3041 - ASE3041 RM138.00Advertising ASE3002 ASE3002 ASEHGDADV ASE3002 ASEHGDADV ASE3002 RM175.00Public Relations ASE3029 ASE3029 ASEHGDPUB ASE3029 ASEHGDPUB ASE3029 RM175.00Marketing ASE3025 ASE3025 ASEHGDMAR ASE3025 ASEHGDMAR ASE3025 RM175.00Selling & Sales Management ASE3030 ASE3030 ASEHGDSEL ASE3030 ASEHGDSEL ASE3030 RM175.00Business & IndustrialAdministrationASE3008 ASE3008 ASEHGDBAD ASE3008 - - RM175.00Business Practice ASE3309 ASE3309 - - - - RM159.00Principles & Practice ofManagementASE3128 ASE3128 - - - - RM175.00Customer Service ASE3014 ASE3014 - - - - RM175.00Business Administration ASE3407 ASE3407 - - - - RM175.00Others (Please specify)Page 1 of 2


IMPORTANT NOTEPlease take note that new subject codes have been assigned to the subjects with the new syllabi. Please ensurethat you use the CORRECT SUBJECT CODE when registering for your examination.Please contact your centre to check on the syllabus you studied. Alternatively, you may contact LCCI Malaysiaoffice for further clarification.1. Please ensure that the correct subject code is circled as no amendment will be allowed after theExam <strong>Entry</strong> <strong>Form</strong> has been submitted to LCCI office.2. A photocopy of the National Identity Card should be enclosed.3. Please write the preferred state/town for the location of exam venue should the current address differsfrom your national ID. If the preferred state/town is not applicable in our exam venue list, we will allocatethe next nearest state/town.4. Examination Docket will be mailed to the address provided in the Exam <strong>Entry</strong> <strong>Form</strong> approximately 2weeks before the start of the examination. If you did not receive your exam docket by then, please callto LCCI Malaysia office.5. Please ensure that the correct name of LCCI INTERNATIONAL QUALIFICATIONS(MALAYSIA) SDN BHD is printed or written on the Bank Draft or Wang Pos.I DECLARE THAT THE INFORMATION GIVEN IS CORRECTTotal ExamFeesRM_________________________________________________CANDIDATE SIGNATUREPeninsularMalaysiaSabah/SarawakDATE_______________________________Postage(Compulsory)RM8.00RM14.00“Please note that your details might be used for marketingpurposes”Payment by bank draft or Wang Pos to be made payable to:LCCI INTERNATIONAL QUALIFICATIONS(MALAYSIA) SDN BHDPlease include bank charges for outstation cheques.Payment ByCash, Bank Draft or Wang PosonlyAll fees are NOT REFUNDABLEFor LCCI Office Use onlyReceipt NoCentre Code<strong>Candidate</strong> NoLCCI International Qualifications, Suite 10.01, 10 th Floor, Menara Yayasan Selangor, 18A, Persiaran Barat, 46000 P. Jaya, Selangor, MalaysiaTel: +603-76206366 Fax: +603-76206338 Email: infomy@lcciasia.com Website: www.lcciasia.comPage 2 of 2

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