BEA Form 1

LIST OF ACTUAL EXAMINEES

(To be accomplished by the Room Examiners)
REGION: ________________ DIVISION: _____________________________
SCHOOL: _______________________________________ SCHOOL ID: ___________________________
ADDRESS: _____________________________________________ Number of Male: _______ Number of Female: ________ Total: __________
GRADE LEVEL: _________________ YEAR LEVEL: ____________________

GASTPE GASTPE
Learner Reference Learner Reference
NAME Grantee NAME Grantee
Number (LRN) Number (LRN)
EVS ECS EVS ECS
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.

IMPORTTANT
1. Name listed as they appeared in the Seat Plan
2. Check if the LRN of each examines listed in Form 1 _________________________________________
Matches with the shaded LRN in the front side of Room Examiner
his/her Scannable Answer Sheet. _________________________________________
School Station where RE teachers