Predicted GCE Advanced Level Grades

Student Last Name or Surname: Student First name or Given Name:
Western Student Number: OUAC Reference Number:

Students completing General Certificate of Education (GCE or IGCE), may qualify for admission based on their predicted results. If you think you may qualify for admission based on your GCE results, please complete and submit this form.

Note: Please include all final AS and A-Level results if AS and A-Level exams have been completed to date.

GCE Advanced Level Results

Subject Level
Grade Final/Predicted Expected Month/Year
of Completion
Exam Centre

GCSE Ordinary Level Results

SUBJECT Final Grade Expected Month/Year
of Completion

Select this box if the applicant did not complete GCSE Ordinary Level and upload a .PDF copy of their prior transcript using the Browse button below.

School Information

Counsellor/Principal Name:
Official School Email Address:

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The personal information on this form is collected under the authority of The University of Western Ontario Act 1982, as amended. To view the complete Personal Information Collection Notice visit the online Academic Calendar at: