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BEA FORM 1

LIST OF ACTUAL EXAMINEES

REGION: __________________________________________ DIVISION: ____________________________________________


SCHOOL: _____________________________________________________ SCHOOL ID: _______________________
ADDRESS: ____________________________________________________ Number of Males: ______ Number of Females: ______ Total: ______
YEAR LEVEL: __________

GASTPE Grantee Learner NAME GASTPE Grantee Learner


NAME Reference Reference
EVS ECS Number (LRN) EVS ECS Number (LRN)
1 16
2 17
3 18
4 19
5 20
6 21
7 22
8 23
9 24
10 25
11 26
12 27
13 28
14 29
15 30

IMPORTANT
-To be accomplished by the Room Examiner.
-List names as they appear in the Seat Plan. Room Examiner (RE)
- Leave the space blank if not a GASTPE grantee.
EVS - Education Voucher System
ECS - Education Contracting Service School Station where RE teaches

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