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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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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