Lampiran :
LIST of CAMBRIDGE CERTIFICATION CANDIDATE
CIS : YAYASAN PENDIDIKAN SHAFIYYATUL AMALIYYAH (ID237) OCTOBER – NOVEMBER 2016 SERIES
SCHOOL : ………
No Candidate Name Male(M)/Female(F) Date of Birth Level Test Syllabus Name Option Code
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Note : Syllabus name and option code can be found in the letter (point 6) For registration data to CIE, please complete this application
Known by, ……….,……….
Head Master Coordinator
SURAT PERNYATAAN PENDAFTARAN
CAMBRIDGE EXAMINATION
Saya yang bertanda tangan di bawah ini:
Nama Lengkap : ______________________________________________________________________________ (sesuai Paspor/Akta Kelahiran/Ijazah)
Tempat/Tanggal Lahir : ______________________________________________________________________________
Kelas / Unit : ______________________________________________________________________________
Email : ______________________________________________________________________________
Alamat : ______________________________________________________________________________
______________________________________________________________________________
Nama Orangtua : ______________________________________________________________________________
No. Telp. / HP : ______________________________________________________________________________
Nama Ujian yang diambil
(Primary Checkpoint, Checkpoint Sec.1,
O-level / A-Level) : ______________________________________________________________________________
Mata pelajaran yang dipilih : 1. _______________________________ Jumlah : ________________
2. _______________________________
3. _______________________________
4. _______________________________
5. _______________________________
Dengan ini saya menyatakan bahwa data yang saya isi tersebut di atas adalah benar, dan saya tidak akan menuntut kepada pihak penyelenggara ujian jika ada kesalahan dalam pengisian data tersebut di kemudian hari.
Medan, ... Pendaftar Ujian
JADWAL PELAKSANAAN UJIAN
Title
Component
Exam Code
Duration
Date
Session
Mathematics Paper 1 1112 / 01 1h 13-Oct-16 Thursday AM
Mathematics Paper 2 1112 / 02 1h 14-Oct-16 Friday AM
English Paper 1 1111 / 01 1h 10m 17-Oct-16 Monday AM
English Paper 2 1111 / 02 1h 10m 18-Oct-16 Tuesday AM
Science Paper 1 1113 / 01 45m 19-Oct-16 Wednesday AM
Science Paper 2 1113 / 02 45m 20-Oct-16 Thursday AM
CAMBRIDGE FINAL EXAMINATION TIMETABLE, OCTOBER 2016
CAMBRIDGE SECONDARY 1 CHECKPOINT
Title Component Exam Code Duration Date Session
English Language Writing 12 1123/12 1h 30m 4-Oct-16 Tuesday AM
English Language Reading 22 1123/22 1h 45m 17-Oct-16 Monday AM
Mathematics Syllabus D (Calculator) Paper 12 4024/12 2h 26-Oct-16 Wednesday AM
Mathematics Syllabus D (Calculator) Paper 22 4024/22 2h 30m 1-Nov-16 Tuesday AM
Physics Multiple Choice 12 5054/12 1h 6-Oct-16 Thursday AM
Physics Theory 22 5054/22 1h 45m 6-Oct-16 Thursday AM
Physics (Practical in the Laboratory)* Practical 32 5054/32 2h 11-Oct-16 Tuesday AM
Physics (Theory of Practical)* Alternative to Practical 42 5054/42 1h 11-Oct-16 Tuesday AM
Chemistry Multiple Choice 12 5070/12 1h 10-Oct-16 Monday AM
Chemistry Theory 22 5070/22 1h 30m 10-Oct-16 Monday AM
Chemistry (Practical in the Laboratory)* Practical 32 5070/32 1h 30m 13-Oct-16 Thursday AM
Chemistry (Theory of Practical)* Alternative to Practical 42 5070/42 1h 13-Oct-16 Thursday AM
Biology Multiple Choice 12 5090/12 1h 25-Oct-16 Tuesday AM
Biology Theory 22 5090/22 1h 45 m 25-Oct-16 Tuesday AM
Biology (Practical in the Laboratory)* Practical 32 5090/32 1h 15m 18-Oct-16 Tuesday AM
Biology (Theory of Practical)* Alternative to Practical 62 5090/62 1h 18-Oct-16 Tuesday AM
CAMBRIDGE FINAL EXAMINATION TIMETABLE, NOVEMBER 2016
CAMBRIDGE GENERAL CERTIFICATE OF EDUCATION (O LEVEL & AS/A LEVEL)
Note: *) Select one of them for each subject
Title
Component
Exam Code
Duration
Date
Session
English Language Passages 12 9093/12 2h 15m 14-Oct-16 Friday PM
English Language Writing 22 9093/22 2h 18-Oct-16 Tuesday PM
Biology Multiple Choice 12 9700/12 1h 9-Nov-16 Wednesday PM
Biology AS Structured Questions 22 9700/22 1h 15m 17-Oct-16 Monday PM
Biology Practical 33 * 9700/33 2h 18-Oct-16 Tuesday PM
Biology Practical 34 * 9700/34 2h 3-Nov-16 Thursday PM
Chemistry Multiple Choice 12 9701/12 1h 1-Nov-16 Tuesday PM
Chemistry AS Structured Questions 22 9701/22 1h 15m 12-Oct-16 Wednesday PM
Chemistry Practical 33 * 9701/33 2h 20-Oct-16 Thursday PM
Chemistry Practical 34 * 9701/34 2h 27-Oct-16 Thursday PM
Physics Multiple Choice 12 9702/12 1h 4-Nov-16 Friday PM
Physics AS Structured Questions 22 9702/22 1h 19-Oct-16 Wednesday PM
Physics Practical 33 * 9702/33 2h 13-Oct-16 Thursday PM
Physics Practical 34 * 9702/34 2h 25-Oct-16 Tuesday PM
Mathematics Pure Mathematics (PM) 12 9709/12 1h 45m 11-Oct-16 Tuesday PM
Mathematics Pure Mathematics (PM) 22 * 9709/22 1h 15m 21-Oct-16 Friday PM
Mathematics Mechanics (M1) 42 * 9709/42 1h 15m 21-Oct-16 Friday PM
Mathematics Statistics (S1) 62 * 9709/62 1h 15m 14-Oct-16 Friday PM
CAMBRIDGE FINAL EXAMINATION TIMETABLE, NOVEMBER 2016
CAMBRIDGE GENERAL CERTIFICATE OF EDUCATION (O LEVEL & AS/A LEVEL)
Note:
*) Select one of them for each subject
Title Component Exam Code Duration Date Session
English Language Passages 12 9093/12 2h 15m 14-Oct-16 Friday PM
English Language Writing 22 9093/22 2h 18-Oct-16 Tuesday PM
English Language Text Analysis 9093/32 2h 15m 27-Oct-16 Thursday PM
English Language Language Topics 9093/42 2h 15m 17-Nov-16 Thursday PM
Biology Multiple Choice 12 9700/12 1h 9-Nov-16 Wednesday PM
Biology AS Structured Questions 22 9700/22 1h 15m 17-Oct-16 Monday PM
Biology Advanced Practical Skills 33 9700/33 2h 18-Oct-16 Tuesday PM
Biology A2 Structured Questions 42 9700/42 2h 21-Oct-16 Friday PM
Biology Planning, Analysis and Evaluation 52 9700/52 1h 15m 9-Nov-16 Wednesday PM
Chemistry Multiple Choice 12 9701/12 1h 1-Nov-16 Tuesday PM
Chemistry AS Structured Questions 22 9701/22 1h 15m 12-Oct-16 Wednesday PM
Chemistry Advanced Practical Skills 33 9701/33 2h 20-Oct-16 Thursday PM
Chemistry A2 Structured Questions 42 9701/42 2h 26-Oct-16 Wednesday PM
Chemistry Planning, Analysis and Evaluation 52 9701/52 1h 5m 1-Nov-16 Tuesday PM
Physics Multiple Choice 12 9702/12 1h 4-Nov-16 Friday PM
Physics AS Structured Questions 22 9702/22 1h 19-Oct-16 Wednesday PM
Physics Advanced Practical Skills 33 9702/33 2h 13-Oct-16 Thursday PM
Physics A2 Structured Questions 42 9702/42 2h 28-Oct-16 Friday PM
Physics Planning, Analysis and Evaluation 52 9702/52 1h 15m 4-Nov-16 Friday PM
Mathematics Pure Mathematics 1 (PM) 12 9709/12 1h 45m 11-Oct-16 Tuesday PM
Mathematics Pure Mathematics 3 (PM) 32* 9709/32 1h 45m 17-Oct-16 Monday PM
Mathematics Mechanics (M1) 42 * 9709/42 1h 15m 21-Oct-16 Friday PM
Mathematics Mechanics (M2) 52 * 9709/52 1h 15m 14-Oct-16 Friday PM
Mathematics Statistics (S1) 62 * 9709/62 1h 15m 14-Oct-16 Friday PM
Mathematics Statistics (S2) 72 * 9709/72 1h 15m 21-Oct-16 Friday PM
Note: *) Select three of them for each subject
CAMBRIDGE FINAL EXAMINATION TIMETABLE, NOVEMBER 2016
CAMBRIDGE GENERAL CERTIFICATE OF EDUCATION (O LEVEL & AS/A LEVEL)
BIAYA UJIAN
Biaya Administrasi Biaya Ujian Biaya Kirim Biaya Praktikum (khusus O
Level & AS/A Level) Total 1 English 2 Rp 600.000 Rp 573.000 Rp 550.000 - Rp 1.723.000
2 Mathematics 2 Rp 600.000 Rp 573.000 Rp 550.000 - Rp 1.723.000
3 Science 2 Rp 600.000 Rp 573.000 Rp 550.000 - Rp 1.723.000
1 English 2 Rp 600.000 Rp 1.104.000 Rp 550.000 Rp - Rp 2.254.000
2 Mathematics 2 Rp 600.000 Rp 1.104.000 Rp 550.000 Rp - Rp 2.254.000
3 Physics 3 Rp 600.000 Rp 1.104.000 Rp 720.000 Rp 1.000.000 Rp 3.424.000
4 Chemistry 3 Rp 600.000 Rp 1.104.000 Rp 720.000 Rp 1.000.000 Rp 3.424.000
5 Biology 3 Rp 600.000 Rp 1.104.000 Rp 720.000 Rp 1.000.000 Rp 3.424.000
1 English 2 Rp 600.000 Rp 1.261.200 Rp 550.000 Rp 1.000.000 Rp 3.411.200
2 Mathematics 2 Rp 600.000 Rp 1.261.200 Rp 550.000 Rp 1.000.000 Rp 3.411.200
3 Biology 3 Rp 600.000 Rp 1.261.200 Rp 720.000 Rp 1.000.000 Rp 3.581.200
4 Chemistry 3 Rp 600.000 Rp 1.261.200 Rp 720.000 Rp 1.000.000 Rp 3.581.200
5 Physics 3 Rp 600.000 Rp 1.261.200 Rp 720.000 Rp 1.000.000 Rp 3.581.200
1 English 4 Rp 600.000 Rp 1.733.800 Rp 970.000 Rp - Rp 3.303.800
2 Mathematics 4 Rp 600.000 Rp 1.733.800 Rp 970.000 Rp - Rp 3.303.800
3 Biology 5 Rp 600.000 Rp 1.733.800 Rp 1.170.000 Rp 1.000.000 Rp 4.503.800
4 Chemistry 5 Rp 600.000 Rp 1.733.800 Rp 1.170.000 Rp 1.000.000 Rp 4.503.800
5 Physics 5 Rp 600.000 Rp 1.733.800 Rp 1.170.000 Rp 1.000.000 Rp 4.503.800
Note : 1.
Siswa Non YPSA
Biaya yang Dibebankan
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Biaya administrasi meliputi fotokopi past paper 3 tahun terakhir, biaya alat tulis (stationary) dan snack pada saat ujian.
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Cambridge International A Level Cambridge International AS Level
