TSA Candidate Application For Test Date: Wednesday 2 November 2016

Information required: First name

Surname

Date of birth

Gender Name of university applied to 10-digit UCAS reference number (if known)

Course and Course Course Code course code(s)

Please indicate which College

Address, house nr: Contact Address Postal code, city: Country: Telephone number

Email address

Please enclose or transfer 75 Euros to cover Applications can only be accepted if the fee (standard administration costs admission fee of 75 Euros) is transferred before Friday, 14 October 2016 - after this no entries can be made. Bank Details WEBERBANK This form and the fee transfer details should be mailed Konto : IBAN DE78101201001004005168 to: [email protected] or sent to SWIFT CODE: WELA DE D1 WBB Head of Secondary School Verwendungszweck/Reference – TSA - BBS Exams and Berlin British School name Am Postfenn 31 14055 Berlin