BEA Form 1

LIST OF ACTUAL EXAMINEEES

(To be accomplished by the room Examiner)

REGION: VII DIVISION: Cebu

SCHOOL: Boljoon National High School SCHOOL ID: 302942
ADDRESS: Lower Becerril, Boljoon, Cebu Number of Male: _______ Number of Female: _____ Total: ______
GRADE LEVEL: _________ YEAR LEVEL: __________

Learner Reference Learner Reference

NAME GAS TPE Grantee NAME GAS TPE Grantee
Number (LRN) Number (LRN)
1. EVS ECS 1. EVS ECS
2. 2.
3. 3.
4. 4.
5. 5.
6. 6.
7. 7.
8. 8.
9. 9.
10. 10.
11. 11.
12. 12.
13. 13.
14. 14.
15. 15.

IMPORTANT
1. Names listed as they appeared in the Seat Plan.
2. Check if the LRN of each examinee listed in Form 1 _______________________________________
Matches with the shaded LRN in the front side of Room Examiner
His/her Scannable Answer Sheet
3. Leave the space blank if not a GASTPE grantee.
EVS – Education Voucher System Boljoon National High School_________
ECS – Education Contracting Service School