Top Grades Exam Entry Form

Application for Exam Entry

Please complete the application form carefully. You will be able to save your progress and complete the form at a later time if necessary.
How did you hear about us? *

Walking/ driving past the building Google Search Exam board/ JCQ website Friend/ family Home-educator network Distance learning provider
Candidate Details

Section 1
Legal full name *

First Name Middle Name(s) Last Name
Birth Date *

Day Month Year
Legal Gender *

Male Female
Phone Number *
Primary email for communication *
This is the email address to which all communication about exams will be sent
Candidate's Email
If different from primary email above
Address *

Street Address

Street Address Line 2

City

Post Code Country

Candidate Identification

Section 2
Identity verification

Photographic ID is required to verify your identity and your offical ID must be brought to each exam. Your ID must be valid (not expired) until the end of the exam season.
The valid photo ID I that will bring to each exam is my: *

passport driving / provisional licence residence permit citizen card I need to speak to the exams officer about my ID
Photo ID, be sure to include candidate's name in the file name *

Upload a copy of your photo ID. File size limited to 10MB. Accepted file types PDF, JPG, JPEG, PNG
Cancel of
Recent photo, be sure to include candidate's name in the file name *

Upload a passport-style photograph which will be used to identify you in the exam room. File size limited to 10MB. Accepted file types JPG, JPEG, PNG
Cancel of

Subject Details

Section 4
Subject specification and option codes

For help with specification and option codes, please open the links below in a new window:

AQA GCSE, AS and A level

Pearson Edexcel GCSE

Pearson Edexcel International GCSE

Pearson Edexcel AS and A level

If you are not sure which codes to input, we advise contacting your tutor, education provider, or our exams officer.

Spec code

This is a code of 4 characters which awarding bodies use for entries. For example:
- AQA GCSE Maths is 8300
- Edexcel GCSE Maths is 1MA1
Option code/ Tier

This is relevant for subjects with multiple combinations of papers or those which are offered at different levels. For example:
- Edexcel IGCSE Maths can be H (higher) or F (foundation)
- AQA History A level has many option codes depending on your choice of topics. e.g. entry code 7042 with option EM
Subjects (mobile users - rotate screen)
One or more of my exams require Coursework, Practicals, Speaking Assessments and/or Fieldwork *

Yes No I'm not sure and need to speak to the exams officer
I wish to "Opt Out" of the A Level Science Practical and/or GCSE English Speaking Endorsements *

Yes No Does not apply to me
GCSE English Language - Speaking Endorsement Waiver

I confirm that Top Grades gave me the opportunity to complete the spoken endorsement and I understand that:
- Entries for GCSE English Language automatically include the endorsement.
- It will not contribute to my GCSE grade. The endorsement is reported separately on certificates with either a Pass, Merit, Distinction or Not Classified. Those who do not reach the Pass standard are recorded as ‘Not Classified’.
- If I do not complete the speaking assessment, the grade for the endorsement will be displayed as NC (Not Classified) on my certificate.
- If I wish to gain the endorsement in the future, I will need to resit the written papers.
A level Science - Practical Endorsement Waiver

I confirm that Top Grades allows me to complete the practical endorsement with one of their partner centres and I understand that:
- If I wish to gain the endorsement in the future, I will need to resit the written papers.
- If I do not complete the practical activities, the grade for the skills endorsement will be displayed as NC (Not Classified) on my certificate.
- Failure to pass the endorsement could affect my entry to university. It is essential that I speak with them in good time to find out what they require.
- There are areas tested on the written papers that relate to the practical endorsement activities. I may be disadvantaged if I have not undertaken the practical activities.
I have read and understood the disclaimer above and wish to proceed. Please read the disclaimers carefully before agreeing to the information provided: *

I understand and agree to waive my right to complete the endorsement

Bill Payer/ Emergency Contact

Section 5
Who is responsible for the payment of fees? *

The candidate Someone else
Bill Payer's Details
Name *

First Name Last Name
Email *
The invoice will be sent to this address
Contact Number *
Address

Street Address

Street Address Line 2

City County

Post Code Country
Who is your emergency contact? *

The bill payer is also my emergency contact I need to add a separate emergency contact
Emergency Contact
Name *

First Name Last Name
Emergency contact number *
Email or alternative contact number
Email will only be used if the person cannot be reached by phone
Relationship to candidate *

Parent Family member Friend / Partner / Colleague Guardian Other

Declaration *

All of the information provided in this form is true and correct. I have checked that my/ the candidate's details (name, date of birth, gender) match their legal ID and I understand that errors may incur an amendment fee. I understand that this prelimnary entry application does not guarantee a place at the centre. I have read and agree to the centre's terms on fees and the cancellation of exams.
Further notes or questions
Use this space to ask questions or add further information that you think the exams officer ought know about your application.
Final instructions

You will be able to preview your answers before submitting the form. Mobile device users, you may need to rotate your screen in order to see the green "Apply Now" button after checking your responses.
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Application for Exam Entry

Candidate Details

Candidate Identification

Identity verification

Examination Details

UCI

UCI

ULN

ULN

Subject Details

Bill Payer/ Emergency Contact

Bill Payer's Details

Emergency Contact

Access Arrangements/ Special Needs

Final instructions