COVER SHEET 2016

OVERSEAS: non-diploma entries in Music, Theory or

Drama & Communication
To be used with candidate sheet

SECTION 1: CENTRE & SESSION

Centre name:
Session (please circle):

Spring

Summer

Winter

This form may be used for all grade, leisure play, pre-grade,
early learning, duet, duologue and ensemble entries EXCEPT
all guitar subjects, popular music theory and performance
awards.

SEND THIS COVER SHEET & CANDIDATE SHEET(S) TO THE REPRESENTATIVE OF YOUR CHOSEN EXAM CENTRE.
Please include a cheque to cover all exam fees, made payable to University of West London.

SECTION 2: ENTRY TYPE

SECTION 3: CONTACT DETAILS

Details entered here will be printed on the certificate in the Presented by

section. Tick one box below:

Your centre rep will send exam details

(date/time/venue) and certificate to this address.

Contact name:

Self entry
(Presented by will
not appear)

Please enter candidates

address in section 3

Please enter teachers

address in section 3

Teacher entry

Teacher name:

(e.g. Presented by
Jane Smith ALCM)

Teacher code:

Address (incl. postcode):

(if entered previously)

Qualifications:

School/institution

Please enter school/institution

address in section 3

Telephone:

entry
(e.g. Presented by
ABC School)

School name:
Email:
Code:
(if entered previously)

Exam fees for this entry:

ERIC, our online entry system, is available at:
eric.uwl.ac.uk

Late fees:
Total:

The late fee applies to entries made up to 7 days past the closing date. Entries may be made after this point subject to availability at the
chosen centre and prior approval from the LCM Exams office. The fee for such entries is double the standard fee.

I agree to abide by the LCM Examinations regulations as detailed in the current syllabus.
Signature:

I am attaching

Date:

page(s) of candidate sheets to this cover sheet.

LCM Examinations
University of West London
St Marys Road
Ealing
London W5 5RF

LCME Asia Regional Office

Lui Events Pte Ltd
57 Mohd Sultan Road, #03-05
Sultan-Link, The Tokyo Suite
Singapore 238997

+44 (0)20 8231 2364

+65 6622 5868

lcm.exams@uwl.ac.uk

info@lui.com.sg

uwl.ac.uk/lcmexams

uwl.ac.uk/lcmexams

2016 Theory Examination Dates

SPRING
SUMMER
WINTER

Wednesday 20 April, 2pm

Saturday 18 June, 10am
Saturday 26 Nov, 10am

Ethnic origin classifications

White
01 British
02 Irish
03 Other white background

Mixed
04 White & black Caribbean
05 White & black African
06 White & Asian
07 Other mixed background

Asian or Asian British

08
Indian
09
Pakistani
10
Bangladesh
11
Other Asian background
Black or Black British
12
Caribbean
13
African
14
Other black background

Chinese or other ethnic groups

15 Chinese
16 Other
17

Prefer not to say

CANDIDATE SHEET
Non-diploma entries in Music (practical),
Theory or Drama & Communication
Please group your candidates according to subject and level.
Please attach to a cover sheet. Candidate sheets received without a cover sheet will not be processed.

Subject:

First name(s)

(Indicate exam type:

step, grade or
recital grade, etc)

Level:

Second name

D.O.B.

Gender

(DD/MM/YY)

(M/F)

NCN
(optional)

ULN
(optional)

Specific
needs doc.
attached
(Y/N)

Ethnicity
(see chart on
cover sheet)

Fee

Date requests/dates to avoid

Sub-total fees for this subject & level:

Subject:

First name(s)

(Indicate exam type:

step, grade or
recital grade, etc)

Level:

Second name

D.O.B.

Gender

(DD/MM/YY)

(M/F)

NCN
(optional)

ULN
(optional)

Specific
needs doc.
attached
(Y/N)

Ethnicity
(see chart on
cover sheet)

Date requests/dates to avoid

Sub-total fees for this subject & level:

Fee

Subject:

First name(s)

(Indicate exam type:

step, grade or
recital grade, etc)

Level:

Second name

D.O.B.

Gender

(DD/MM/YY)

(M/F)

NCN
(optional)

ULN
(optional)

Specific
needs doc.
attached
(Y/N)

Ethnicity
(see chart on
cover sheet)

Fee

Date requests/dates to avoid

Sub-total fees for this subject & level:

Subject:

First name(s)

(Indicate exam type:

step, grade or
recital grade, etc)

Level:

Second name

D.O.B.

Gender

(DD/MM/YY)

(M/F)

NCN
(optional)

ULN
(optional)

Specific
needs doc.
attached
(Y/N)

Ethnicity
(see chart on
cover sheet)

Fee

Date requests/dates to avoid

Sub-total fees for this subject & level:

Grand total entry fees:
1.

Please differentiate clearly between grade, recital and leisure play exams.

2.

Singing exams: Please state which singing exam you are entering: popular music vocals, classical singing or music theatre.

3.

NCN: Add the National Centre Number of the school/college if the exam is to count towards Achievement and Attainment Tables (UK only).

4.

ULN: Add the Unique Learner Number if the qualification is to be uploaded to the candidates Personal Learner Record (UK only).

5.

D.O.B. & ethnicity data are collected for statistical purposes only and are not passed to the examiner.

6.

Specific needs: For any candidate with specific needs, a letter giving details and requests for special requirements (e.g. enlarged sight reading), together with
supporting documentation, must be attached.

7.

Please attach as many candidate sheets to a cover sheet as necessary.

8.

Any timetabling requests (e.g. prefer mornings) must be made at the time of entry. LCM will take note of information given but no guarantees can be made
that all wishes will be met.