CANDIDATE REGISTRATION FORM Level 2 Award in Wines, Academic Year 2019/20 APP NAME APP NUMBER EXAMINATIONS OFFICER EXAM DATE George Brown College 1633 Adrian Caravello December 18th – 1:00 pm FAMILY NAME NAME ON CERTIFICATE (Complete only if FAMILY NAME is first)* CANDIDATE NO. FIRST NAME(S) MIDDLE NAME(S) 101213764 Duc Chung Pham 101196628 Bhavishya Premsai 101259567 Ja Seng Khan 101049002 Wang Junqiu 101228295 Baljeetsingh Sardar 101242600 100555962 Zhuo Jin Antonio Sabato 101258110 Pandora Segue 101237891 Hadley Dsouza GENDER EMAIL DATE OF BIRTH (DDMMYYYY) RE-SIT? *IMPORTANT: Certificates will be printed with the names entered into the ‘First Name(s)’, ‘Middle Name(s)’ and the ‘Family Name’ columns, unless indicated otherwise in the Name on certificate column. The candidates first name (s) and family name(s) must match the name on their photo ID. Please return this completed form along with your Examination Order to [email protected]. Exam Orders must be placed a minimum of 10 UK working days before the exam date with the qualification level in the subject line. If you need to submit an exam order outside of the 10 UK working day requirement, please email your Exam Order Form and Candidate Registration List to WSET Assessments ([email protected]). Such orders will be considered late and will incur surcharges. WSET cannot guarantee that late orders will be fulfilled. You must make your candidates aware that their e-mail addresses may be used by WSET to contact them directly. Version 3 – 1/8/18 PLEASE NOTE: WSET Awards should be informed of any candidates requiring reasonable adjustment at least 4 weeks prior to the examination. Requests should be accompanied by relevant supporting documentation as set out in the APP Handbook. Data protection statement: The information supplied on this form and any supporting documentation will be treated as confidential and processed by WSET Awards in accordance with its Data Protection Policy, a copy of which is available on request. Version 3 – 1/8/18