Piano Exam Registration Form

For Theory Exam Registration, click here.

Exam Date (required)

Exam Centre (required)

Grade / Diploma / Fees (required)

1. Candidate Information

First Name (required)

Last Name (required)

Middle Initial

Address (required)

City (required)

Province (required)

Country (required)

Postal Code (required)

Phone Number (required)

Email (required)

Date of Birth (DD/MM/YY) (required)

2. Teacher Information

Last Name (required)

First Name (required)

Address

City

Province

Postal Code

Phone Number (required)

Email (required)

Teacher ID

3. Payment of Entry Fee

Payment by: (required)

Total Amount (required)

Credit Card Number (no spaces) (required)

Expiry Date (no spaces) (required)

Cardholder's Name (required)