PDF《2019 年度 ABRSM 术科考试报名表》

Once properly completed and received, this document will be treated as CONFIDENTIAL by HKEAA.

此表格一经填妥及收悉,考评局将以「密件」方式处理. ABRSM Practical Exams Entry Form

2019 2019 年度 ABRSM 术科考试报名表 (Practical Grades

1 C

8 and ARSM) Please read carefully the Notes on Completion of ABRSM Practical Exams Entry Form

2019 and ABRSM Exam Information &

Regulations

2019 before completing this form. 填表前,请仔细阅读「2019 年度 ABRSM 术科考试 - 填写报名表指引」及「2019 年ABRSM 考试资料及规则」 . *Please put a '

?'

where appropriate 请在适当的方格内加上「?」号1Applicant (aged

18 or above) information 申请人(年满

18 岁或以上)资料 Candidates aged below

18 can apply through parent/guardian, teacher or studio/school

18 岁以下考生可以经家长/监护人、老师或乐室/学校报名 Adult candidates can apply themselves or apply through parent/guardian, teacher or studio/school 成年考生可自行报名或经家长/监护人、老师或乐室/学校报名 * Relationship with candidate Teacher 老师 Studio/School 乐室/学校 申请人与考生关系 Candidate 考生本人 Parent/Guardian 家长/监护人 Others 其他

20 *Title 称谓 Dr 博士 Mr 先生 Mrs 太太 Miss 小姐 Ms 女士

21 Please complete this form in BLOCK capital letters 请以英文大楷填写这表格 Surname 姓氏

22 46 *Given name first Given name 名字 名字置於姓氏前

48 72 (Optional 如适用)

47 HKID no. 香港身分证号码 ( ) (Optional 可选择是否填写)

319 327 Other official ID document no. 其他法定身分证明文件号码 (if no HKID, 如没有香港身分证) (Optional 可选择是否填写)

328 347 Telephone no. 电话号码 Mobile phone no. 手提号码 Fax no. 传真号码

77 89

263 270

90 97 E-mail 电邮地址

98 137

2 School/Studio information (optional) 学校/乐室资料 (如适用) Required only if the candidate(s) is presented by a studio or school and wishes the institution to be named on the certificate(s) 只适用 於由乐室或学校保送,并要求将机构的名称列印在合格证书上的考生 School / Studio 学校/乐室

138 177

3 Correspondence address 通讯地址 Flat/Room 室Floor 楼Block 座184

187 189

191 199

202 Line

1 第一行

203 227 Line

2 第二行

228 252 Line

3 第三行

277 301 *Area 地区 Hong Kong 香港 Kowloon 九龙 New Territories 新界 253-255 *Please put a '

?'

where appropriate 请在适当的方格内加上「?」号Reminder 提示 : Have you written down the flat, the floor, the block, the name of house/building, the name of street (where appropriate) and the district of your address? 请问是否已填妥 室号 p楼数 p座号 p大厦名称 p街道名称 (如适用)和 区域名称 ? For Office use only Demand Note No. 内部专用 C 缴费单编号 (1-5) P 1. Enter the number

1 to

8 for different grades. For other levels, please refer to the Notes 根技侗鹛钌鲜1至8,其他等级请参阅报名表指引 2. Candidates entering for Grade 6, 7,

8 must fill in the year they passed the Grade

5 or above Theory Exams. Candidates entering for ARSM must fill in the year they passed the Grade

8 Practical in the instrument being presented (or listed alternative). Candidates must also attach a photocopy of certificate/result slip. 报考6, 7, 8级考生必须填写考生考获5级或以上乐理考试的年份 . 报考ARSM考生必须填写考生考获8级拟报考科目(或其他指定相关科目) 的术科考试的年份.考生亦须附上证书或成绩单的影印本 3. Subject Codes科目(乐器)编号 : Enter the code number (01-83) of the instrument for each candidate填写每名考生所选报的科目(乐器)编号 (01-83)