APPLICATION FORM

AUTUMN 2000

Print off, fill in and return, by the 1st of October, this application form to:

UK Exams/Eureka Competition 69 Markland House, Darfield Way, London W10 6UA.

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first name ............................................................................
second name.........................................................................
age .........
signature .............................................................................
class name ..........................................................................
school name.........................................................................
school postal address...................................................................

Tick one only: ECONOMICS ESSAY ( ) SCIENCE ESSAY ( )

Please set out below your essay plan in no more than 100 words. Readable handwriting please.

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This last section needs to be filled in by one of your teachers who vouches for the fact that you are attending her/his school.

teacher's name..........................................................................
teacher's department................................................................
teacher's signature...................................................................

If your entry has been accepted you will be notified by the 15th of October. You will then have until the 1st of December to write your essay and return it to us. The names of the winners will be posted on the ukexams.com web site on the 1st of January 2001.