THIRD PERIODICAL TEST

ENGLISH ENGLISH ENGLISH

1 16 1 16 1 16
2 17 2 17 2 17
3 18 3 18 3 18
4 19 4 19 4 19
5 20 5 20 5 20
6 21 6 21 6 21
7 22 7 22 7 22
8 23 8 23 8 23
9 24 9 24 9 24
10 25 10 25 10 25
11 26 11 26 11 26
12 27 12 27 12 27
13 28 13 28 13 28
14 29 14 29 14 29
15 30 15 30 15 30
ENGLISH ENGLISH ESP
1 16 1 16 1 16
2 17 2 17 2 17
3 18 3 18 3 18
4 19 4 19 4 19
5 20 5 20 5 20
6 21 6 21 6 21
7 22 7 22 7 22
8 23 8 23 8 23
9 24 9 24 9 24
10 25 10 25 10 25
11 26 11 26 11 26
12 27 12 27 12 27
13 28 13 28 13 28
14 29 14 29 14 29
15 30 15 30 15 30
SCIENCE MAPEH
1 11 21 31 1 11
2 12 22 32 2 12
3 13 23 33 3 13
4 14 24 34 4 14
5 15 25 35 5 15
6 16 26 36 6 16
7 17 27 37 7 17
8 18 28 38 8 18
9 19 29 39 9 19
10 20 30 40 10 20
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
NAME OF SCHOOL:
 Republic of the Philippines
Department of Education
REGION IV – A CALABARZON
CITY SCHOOLS DIVISION OF TANAUAN
SAMBAT ELEMENTARY SCHOOL
SAMBAT TANAUAN CITY

ANSWER SHEET

NAME:
LAST NAME FIRST NAME M.I.

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
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
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
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
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
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
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
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 GENDER
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 Boy
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 Girl
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 NUTRITIONAL STATUS
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 Above Normal
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 Normal
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Below Normal

REG DIV SCHOOL ID

LATEST GRADE How many are you in
LEARNER REFERENCE NUMBER (LRN) English Filipino Math Science your class/section? AGE
4A
A 0 0 0 0 0 0 0 0
1

2 B 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 6 0 6 0 6 0 6 0 0 0 0 0

3 C 2 2 2 2 2 2 2 2 1 1 1 1 1 1 1 1 1 1 1 1 7 1 7 1 7 1 7 1 1 1 1 1

4A D1 3 3 3 3 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 8 2 8 2 8 2 8 2 2 2 2 2

4B D2 4 4 4 4 4 4 4 3 3 3 3 3 3 3 3 3 3 3 3 9 3 9 3 9 3 9 3 3 3 3 3

5 E 5 5 5 5 5 5 5 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4

6 F 6 6 6 6 6 6 6 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5

7 G 7 7 7 7 7 7 7 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6

8 H 8 8 8 8 8 8 8 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7

9 I 9 9 9 9 9 9 9 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8

10
J Enrolled in MADRASAH 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9

11 K YES FOR THOSE IN PUBLIC MARKING INSTRUCTIONS

TYPE OF COMMUNITY PANTAWID PAMILYANG
12 L NO SCHOOL ONLY FILIPINO PROGRAM * Use No. 1 or No. 2 pencil only.
(4Ps) RECEPIENT?
NCR
M Do you belong to a section with Urban * Do not use ink, ballpoint or fell tip pens.
CAR
N Special Science Curriculum? Rural YES I DON’T KNOW * Make solid marks that fill the response
AR MM
P YES NO NO completely.
CARAG
A
R NUMBER OF SHIFTS PER DAY (G3) 1 2 3 4 * Erase cleanly any marks you wish to change.
ELEMENTARY SCHOOL TYPE EXAMPLE * Make no stray marks on this form.
Central/Pilot Elementary School Multi-Grade School Private Non-Sectarian RIGHT WRONG
Non-Central Elementary School State College/University BS A B C D A B C D
Primary School Private Sectarian A B C D
A B C D
 THIRD PERIODICAL TEST

ENGLISH ENGLISH ENGLISH

1 16 1 16 1 16
2 17 2 17 2 17
3 18 3 18 3 18
4 19 4 19 4 19
5 20 5 20 5 20
6 21 6 21 6 21
7 22 7 22 7 22
8 23 8 23 8 23
9 24 9 24 9 24
10 25 10 25 10 25
11 26 11 26 11 26
12 27 12 27 12 27
13 28 13 28 13 28
14 29 14 29 14 29
15 30 15 30 15 30
ENGLISH ENGLISH ENGLISH
1 16 1 16 1 16
2 17 2 17 2 17
3 18 3 18 3 18
4 19 4 19 4 19
5 20 5 20 5 20
6 21 6 21 6 21
7 22 7 22 7 22
8 23 8 23 8 23
9 24 9 24 9 24
10 25 10 25 10 25
11 26 11 26 11 26
12 27 12 27 12 27
13 28 13 28 13 28
14 29 14 29 14 29
15 30 15 30 15 30
SCIENCE MAPEH
1 11 21 31 1 11
2 12 22 32 2 12
3 13 23 33 3 13
4 14 24 34 4 14
5 15 25 35 5 15
6 16 26 36 6 16
7 17 27 37 7 17
8 18 28 38 8 18
9 19 29 39 9 19
10 20 30 40 10 20
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
NAME OF SCHOOL: