Technical Examinations Online Registration Form

Submission of the online registration form requires payment by credit card. If you are not able to pay by credit card, please contact the PEGNL office.

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Candidate Information

First Name(Required)

Middle Name

Last Name(Required)

PEGNL Identification Number(Required)

*PEGNL Application in Process Number

Date of Birth(Required)

Phone(Required)

E-mail(Required)

Examinations Requested (maximum of 4 permitted)

Instruction: Refer to EGBC’s Academic Exams website for a list of technical exams which will be offered in the upcoming sitting. It is important that you confirm the requested exam title is correct. If your requested exam is not listed, please contact PEGNL and the exam(s) will be made available for the next sitting.

Exam 1

Exam 2

Exam 3

Exam 4

Special Accommodation Request

NOTE: Special Accommodation requests must be accompanied by supporting documentation from a health care or education specialist (written within the last three years)

Yes

Nature of Request

Please describe the special accommodations you are requesting for your examination(s)?

Candidate Acknowledgement and Signature

Acknowledgement(Required)

I acknowledge that I have read the information provided in EGBC’s Candidate Guide for Online Examinations in advance of registering for technical examinations.

I agree to the terms

Signature(Required)

Date(Required)

Payment

Exam Fee: $500 (each) + HST = $575 (each)

Examination 1 Fee

Price:

Examination 2 Fee

Price:

Examination 3 Fee

Price:

Examination 4 Fee

Price:

PEGNL Provided Code

If PEGNL has provided a code for you to submit your form, please enter it here

Total

Credit Card(Required)

Card Details

Cardholder Name

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