Preparation Centre Application form

Preparation Centre Application form2021-09-20T13:50:07+00:00

    Please read the following before you proceed

    Completing and submitting this form DOES NOT mean that you will automatically registered as a Cambridge Assessment English Preparation Centre. Once submitted, it will be reviewed internally. If successful, GPEX will notify the centre manager within 14 working days.

    I have read and understood the above policy.

    Section 1 - Centre Details

    Registered Centre Name

    Centre Brand Name

    Centre Manager Name

    Address Line 1

    Address Line 2

    Town/City

    Post/Zip code

    Country

    Telephone

    Email Address

    Section 2 - Misc

    1. Was this centre previously registered as a Cambridge Assessment English Preparation Centre?
    YesNo

    If yes, please state the name of the exam centre:

    2. Is this centre currently attached to any Cambridge Assessment English Exam Centre?
    YesNo

    If yes, please state the name of the exam centre:

    3. Have you ever run any preparatory classes to prepare your students for Cambridge Assessment English Exams?
    YesNo

    If yes, please state the level(s):

    4. Please choose your institution type from the below options.

    Specify here if others:

    5. Please state the number of students in your centre according to the age(s) below:

    Age 4

    Age 5

    Age 6

    Age 7

    Age 8

    Age 9

    Age 10

    Age 11

    Age 12

    Age 13

    Age 14

    Age 15

    Age 16

    Age 17

    Age 18 & above

    6. Please state the targeted number of students in taking the Cambridge English Assessment English Exams from your centre in year 2021:

    Section 3 - Applicant Declaration

    By clicking 'Submit', I/we declare that all the information entered in this preparation centre application form is correct and valid. I/We hereby allow GPEX Central Sdn. Bhd. to verify any information in this application form with the centre or any other relevant third parties. I/We agree that I/we am/are responsible to update any changes of the centre's information if any, after registration. If I/we fail to do so, then GPEX Central Sdn. Bhd. may cancel the registration or take other forms of actions as needed. I/We understand that in the case of failure to comply with exam centre's rules and regulations, GPEX Central Sdn. Bhd. has the right to reject the centre's application. If the application is rejected, all the data submitted and any documents relevant and pertaining to said application will be destroyed.

    I have read and understood the above policy.