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Under 18 Consent Form (FCE / CAE / CPE) : C1 Advanced 12 - 06-2019 Utrecht NL-005 KSG Apeldoorn

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Under 18 Consent Form (FCE / CAE / CPE)

Candidate name:
Candidate
number:
(For Office Use Only)
Candidate date
of birth:
School: KSG Apeldoorn
Exam: C1 Advanced
Exam date: 12 - 06- 2019
Exam centre: Utrecht NL-005

Declaration:

As the parent/legal guardian of the candidate named above I give consent for this person to sit the
Cambridge English exam by signing this form.

I understand that all individuals who want to take a Cambridge English exam are required to agree to
all of the Terms and Conditions (to be found on our website). The candidate will need to bring a valid
photo ID on the test day and consent needs to be given to the candidate having their photo taken by
[1]
British Council staff on the speaking or written exam day . Consent also needs to be given by the
parent/legal guardian for his/her son/daughter to leave the exam premises by themselves at the end
of the test day.

I hereby give consent (please tick the relevant boxes):

For the candidate named above to have their photo taken by British Council staff on the
x speaking or written exam day. I agree for this photo to be held on the secure Cambridge
English Language Assessment Results Verification site and viewed as set out below if I give
[2]
my agreement .

For the candidate to leave the exam premises without their parent/legal guardian at the end
x [3]
of the test .

Full name of candidate: ______________________________________

Signature: Date: __/__/____

Full name of parent / legal guardian: _________________________________

Signature: Date: __/__/____

Important Information:

We inform you that, despite providing a signed consent, under 18 candidates may not leave the premises (either
alone or accompanied) during scheduled breaks, only at the end of the exam day.

[1] The speaking exam may take place on a different date.


[2] The photo shall only be available to organisations/individuals that the candidate gives her/his details to or
have been authorised to view the candidate’s results.
[3] The signature of this consent form includes consent both for the speaking exam and the written exam.

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