Bea Form 3 - Natg6

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BEA Form 3

Name of Chief Examiner: Date of Exam: Testing Program:


Testing Center: Address:

TEST MATERIALS ACCOUNTING FORM


INSTRUCTIONS:
Place issued __________________________
Time/Date Issued ______________________ 1. The Chief Examiner fills in the information required in each column.
2. All Room Examiners are required to affix their signature in Column 6 (Signature of Room
This is to certify that I received a total of _______________ sealed carton(s)/ Examiner) as they receive the test materials for their respective examination rooms and
package(s) which contains a total of ______________Test Booklets (TBs) and Column 10 (Signature of Room Examiner) as they retrieve the test materials.
____________ Answer Sheets (ASs) based on the packing guide receipt. The
3. The duly accomplished form is to be placed inside the Chief Examiner's Transmittal Report
seals of these are all intact.
Envelope (CETRE) for transmittal to the DepEd BEA, Pasig City.
_____________________________________ _______ 4. Record in Column 12 (Remarks) the total number of defective and replaced TBs.
Signature over Printed Name of Chief Examiner Date

Distribution Phase Retrieval Phase


Exam No. of Initial of
Name in Print of Room No. of Signature of Room No. of Serial Number(s) of Signature of Room
No. Room Inclusive Serial Numbers Unused Chief Remarks
Examiner TBs Examiner Used TBs Unused TBs Examiner
No. TBs Examiner
1 2 3 4 5 6 7 8 9 10 11 12
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

NOTES:
1. Use a separate sheet of paper should there be a long list of Serial Numbers for unused TBs.
Example: Room No. __________ unused TBs SN: _____________________
2. Form 3 should be fully accomplished at the time when the examinees are accomplishing the last subtest.

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