NATIONAL EDUCATION TESTING & RESEARCH CENTER

LANGUAGE ASSESSMENT FOR PRIMARY GRADES

Answer Sheet
DEPARTMENT OF EDUCATION

NAME:
LAST NAME FIRST NAME MI EXAMINEE NO.

A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A
B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B
C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C
A
D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D
E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E R
F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F
G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G
H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H C
I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I O
J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J
K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K
D
L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L E
M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M
N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N
O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O
P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R
S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S
T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T
U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U
V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V
W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W
X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X
Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y
Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z
GENDER
Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Boy
-- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- Girl

REG DIV SCHOOL ID LATEST

BIRTHDATE
LEARNER REFERENCE NUMBER (LRN) GRADE AGE
MONTH DAY YEAR English Filipino
1 A 0 0 0 0 0 0 0 0 JAN
2 B 1 1 1 1 1 1 1 1 FEB
3 C 2 2 2 2 2 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 MAR 0 0 0 0 6 0 6 0 0 0
4A D1 3 3 3 3 3 3 3 1 1 1 1 1 1 1 1 1 1 1 1 APR 1 1 1 1 7 1 7 1 1 1
4B D2 4 4 4 4 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 MAY 2 2 2 2 8 2 8 2 2 2
5 E 5 5 5 5 5 5 5 3 3 3 3 3 3 3 3 3 3 3 3 JUN 3 3 3 3 9 3 9 3 3 3
6 F 6 6 6 6 6 6 6 4 4 4 4 4 4 4 4 4 4 4 4 JUL 4 4 4 4 4 4 4
7 G 7 7 7 7 7 7 7 5 5 5 5 5 5 5 5 5 5 5 5 AUG 5 5 5 5 5 5 5
8 H 8 8 8 8 8 8 8 6 6 6 6 6 6 6 6 6 6 6 6 SEP 6 6 6 6 6 6 6
9 I 9 9 9 9 9 9 9 7 7 7 7 7 7 7 7 7 7 7 7 OCT 7 7 7 7 7 7 7
10 J 8 8 8 8 8 8 8 8 8 8 8 8 NOV 8 8 8 8 8 8 8
11 K
Is your family a 9 9 9 9 9 9 9 9 9 9 9 9 DEC 9 9 9 9 9 9 9

12 L
recipient of Pantawid
NCR M FOR THOSE IN PUBLIC TYPE OF How many are
Pamilya Pilipino MARKING INSTRUCTIONS
CAR N SCHOOLS ONLY: COMMUNITY you in your
ARMM P
Program? Do you belong to a class/section? ● Use No. 1 or No. 2 pencil only.
CARAGA R YES DONT KNOW section with Special U Urban ● Do not use ink, ballpoint or felt tip pens.
NO Science Curriculum? R Rural ● Make solid marks that fill the response
YES NO 0 0 completely.
1 1 ● Erase cleanly any marks you wish to change.
NUMBER OF SHIFTS PER DAY (G3) 1 2 3 4 2 2 ● Make no stray marks on this form.
3 3 EXAMPLE
4 4
ELEMENTARY SCHOOL TYPE 5 5 RIGHT WRONG
6 6 A B C D A B C D
Central / Pilot Elementary School Multi-Grade School 7 7 A B C D
Non-Central Elementary School State College/University ES 8 8 A B C D
Primary School Madaris School 9 9

EXAMINEE'S DESCRIPTIVE QUESTIONNAIRE (EDQ)

1. A B C D E F G H I J K L M N O P Q R S T 6. A B C D E F G H
2. A B C D E F G H I J K L M N O P Q R S T 7. A B C D E F G H
3. A B C D E F G H I J K L M N O P Q R S T 8. A B C D E
4. A B C D E F G H I J K L M N O P Q R S T 9. A B C D E
5. A B C D E F G H 10. A B C
11. A B C D E F G
   Check
ENGLISH FILIPINO MOTHER TONGUE

1. A B C D 1. A B C D 1. A B C D
Mother Tongue
2. A B C D 2. A B C D 2. A B C D
Tested:
3. A B C D 3. A B C D 3. A B C D
_________________
4. A B C D 4. A B C D 4. A B C D

5. A B C D 5. A B C D 5. A B C D

6. A B C D 6. A B C D 6. A B C D Ilokano
7. A B C D 7. A B C D 7. A B C D Pangasinan
8. A B C D 8. A B C D 8. A B C D Ibanag
9. A B C D 9. A B C D 9. A B C D Ivatan
10. A B C D 10. A B C D 10. A B C D Botolan Sambal
11. A B C D 11. A B C D 11. A B C D Kapampangan
12. A B C D 12. A B C D 12. A B C D Bikol
13. A B C D 13. A B C D 13. A B C D Hiligaynon
14. A B C D 14. A B C D 14. A B C D Kinaray-a
15. A B C D 15. A B C D 15. A B C D Akeanon
16. A B C D 16. A B C D 16. A B C D Sinugbuanong Binisaya
17. A B C D 17. A B C D 17. A B C D Waray
18. A B C D 18. A B C D 18. A B C D Chavacano
19. A B C D 19. A B C D 19. A B C D Surigaonon
20. A B C D 20. A B C D 20. A B C D Maguindanaon
21. A B C D 21. A B C D 21. A B C D Meranaw
22. A B C D 22. A B C D 22. A B C D Tausug
23. A B C D 23. A B C D 23. A B C D Yakan
24. A B C D 24. A B C D 24. A B C D

25. A B C D 25. A B C D 25. A B C D

26. A B C D 26. A B C D 26. A B C D

27. A B C D 27. A B C D 27. A B C D

28. A B C D 28. A B C D 28. A B C D

29. A B C D 29. A B C D 29. A B C D

30. A B C D 30. A B C D 30. A B C D

31. A B C D 31. A B C D 31. A B C D

32. A B C D 32. A B C D 32. A B C D

33. A B C D 33. A B C D 33. A B C D

34. A B C D 34. A B C D 34. A B C D

35. A B C D 35. A B C D 35. A B C D

36. A B C D 36. A B C D 36. A B C D

37. A B C D 37. A B C D 37. A B C D

38. A B C D 38. A B C D 38. A B C D

39. A B C D 39. A B C D 39. A B C D

40. A B C D 40. A B C D 40. A B C D

41. A B C D 41. A B C D 41. A B C D

42. A B C D 42. A B C D 42. A B C D

43. A B C D 43. A B C D 43. A B C D

44. A B C D 44. A B C D 44. A B C D

45. A B C D 45. A B C D 45. A B C D

I HEREBY RECOGNIZE THE AUTHORITY OF THE

SECRETARY OF EDUCATION TO EVALUATE MY ANSWER
SHEET IN ACCORDANCE WITH ITS IMPLEMENTING
RULES, REGULATIONS AND PUBLIC POLICY. EXAMINEE'S SIGNATURE

SCHOOL:

March 2015