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Preparation Form 3 Modified question papers Complete the relevant sections of this form and return it to [email protected]. Include your centre number, exam series and ‘Modified question papers’ in the email subject line. To help us to process your modified paper request quickly, do not send access arrangement and modified question paper requests in the same email. You must submit final entries and applications for modified question papers by the deadline. If we receive final entries and applications after the deadline, we may not be able to send you the modified question papers you need. The deadlines for requesting modified question papers are: May test series (Checkpoint) and June exam series 21 January October test series (Checkpoint) and November exam series 1 July I confirm, as Head of Centre or exams officer, that our centre will uphold the integrity of Cambridge International exams and that we hold appropriate evidence for these modified question papers. I understand that if we do not meet Cambridge International regulations, you may consider this to be malpractice. This is an interactive PDF. To complete it on screen we recommend you use Adobe Reader 9 or later or Adobe Acrobat. If you use a lower version of Adobe Reader your data will not be saved. You can download Adobe Reader for free at http://www.adobe.com/products/reader.html Centre number Exam series Centre name Name Date (DD/MM/YY) Signature Job title

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Page 1: Modified question papers - cambridgeinternational.org

Preparation – Form 3

Modified question papers Complete the relevant sections of this form and return it to [email protected]. Include your centre number, exam series and ‘Modified question

papers’ in the email subject line. To help us to process your modified paper request quickly, do not send access arrangement and modified question paper

requests in the same email.

You must submit final entries and applications for modified question papers by the deadline. If we receive final entries and applications after the deadline, we

may not be able to send you the modified question papers you need.

The deadlines for requesting modified question papers are:

May test series (Checkpoint) and June exam series

21 January

October test series (Checkpoint) and November exam series

1 July

I confirm, as Head of Centre or exams officer, that our centre will uphold the integrity of Cambridge International exams and that we hold appropriate evidence for these modified question papers. I understand that if we do not meet Cambridge International regulations, you may consider this to be malpractice.

This is an interactive PDF. To complete it on screen we recommend you use Adobe Reader 9 or later or Adobe Acrobat. If you use a lower version of Adobe Reader your data will not be saved. You can download Adobe Reader for free at http://www.adobe.com/products/reader.html

Centre number Exam series

Centre name

Name

Date (DD/MM/YY)

Signature

Job title

Page 2: Modified question papers - cambridgeinternational.org

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Preparation – Form 3

Modified question papers

You must apply for the modified question papers you need by completing the relevant boxes below. Centre number

Candidate number Candidate name

Standard modification

Syllabus number Syllabus title Component number Type of modified question paper Coloured paper (if relevant)

If you are requesting modified materials for any speaking tests/oral exams, use the boxes below to tell us when you plan to conduct the test within the relevant

testing window.

Syllabus

number

Component

number Test date Test day