BEA Form 3

Republic of the Philippines

Department of Education
NATIONAL EDUCATION TESTING AND RESEARCH CENTER
Pasig City
Name of School: ___________________ Address of School: ______________________ Name of Chief Examiner: _____________ Date of Test: ______________
TEST MATERIALS ACCOUNTING FORM
INSTRUCTIONS:
Place issued ___________________
Time/Date Issued ______________________ 1. The Chief Examiner fills up the information required in each column.
2. All Examiners are required to affix their signature in Column 6 as they re
This is to certify that I received _______________ carton(s)/ package(s) for their respective examination rooms.
which contain Test booklets (TBs) and Answer Sheets (ASs). The seals of these are all 3. The duly accomplished form is to be placed inside the Chief Examiner's
intact. Envelope (CETRE) for transmittal to the BEA, Pasig City.
4. Note down under "Remarks" the total number of defective and replaced
Name and Signature of RS: ___________________________ Test Booklets.
5. At the time when the examinees are accomplishing the last subtest,Colu
should be filled out and all unused Scannable Answer Sheets should be
Distribution Phase Retrieval Phase
Exam Room No. of No. of Serial Number(s)
No. Name in Print of Examiner No. No. of TB Inclusive Serial Numbers Signature of Examiner of Unused TB
Signature of Examiner
Used TB Unused TB
1 2 3 4 5 6 7 8 9 10
1 TB-1
TB-2
2 TB-1
TB-2
3 TB-1
TB-2
4 TB-1
TB-2
5 TB-1
TB-2
6 TB-1
TB-2
7 TB-1
TB-2
8 TB-1
TB-2
9 TB-1
TB-2
10 TB-1
TB-2
NOTE: Use a separate sheet of paper should there be a long list of Serial Numbers for Unused Test Booklets (TBs). There should be separate list for TB1 and TB2.
Example: Room No.: _______ Unused TB1 SN: ___________________________ Unused TB2 SN: ___________________________
____________________________ ____________________________
 Page _____ of ______ pages

Distribution Phase Retrieval Phase

No. of
Exam No. of Serial Number(s)
No. Name in Print of Examiner No. of TB Inclusive Serial Numbers Signature of examiner Unused Signature of Examiner
Room No. Used TB of Unused TB
TB
1 2 3 4 5 6 7 8 9 10
11 TB-1
TB-2
12 TB-1
TB-2
13 TB-1
TB-2
14 TB-1
TB-2
15 TB-1
TB-2
16 TB-1
TB-2
17 TB-1
TB-2
18 TB-1
TB-2
19 TB-1
TB-2
20 TB-1
TB-2
21 TB-1
TB-2
22 TB-1
TB-2
23 TB-1
TB-2
24 TB-1
TB-2
25 TB-1
TB-2
26 TB-1
TB-2
27 TB-1
TB-2
Page _____ of ______ pages
lic of the Philippines
tment of Education
TESTING AND RESEARCH CENTER
Pasig City
Date of Test: ______________________
ALS ACCOUNTING FORM
STRUCTIONS:

The Chief Examiner fills up the information required in each column.

All Examiners are required to affix their signature in Column 6 as they receive the materials
for their respective examination rooms.
The duly accomplished form is to be placed inside the Chief Examiner's Transmittal Report
Envelope (CETRE) for transmittal to the BEA, Pasig City.
Note down under "Remarks" the total number of defective and replaced

At the time when the examinees are accomplishing the last subtest,Columns 7, 8 and 9
should be filled out and all unused Scannable Answer Sheets should be collected.
Retrieval Phase
Initial of Room
Supervisor Remarks
11 12
___ of ______ pages

Retrieval Phase
Initial of
Chief Remarks
Examiner
11 12
___ of ______ pages
BEA Form 3
Republic of the Philippines
Department of Education
BUREAU OF EDUCATION ASSESSMENT
Pasig City
Name of School:Bayugan National Comprehensive High School Address of School: Narra Avenue Poblacion Name of Chief Examiner: MINDA I. TEPOSO Date of Test: MARCH 12, 2020
TEST MATERIALS ACCOUNTING FORM
INSTRUCTIONS:
Place issued ___________________
Time/Date Issued ______________________ 1. The Chief Examiner fills up the information required in each column.
2. All Examiners are required to affix their signature in Column 6 as they receive the
This is to certify that I received _______________ carton(s)/ package(s) materials for their respective examination rooms.
which contain Test booklets (TBs) and Answer Sheets (ASs). The seals of these are all intact. 3. The duly accomplished form is to be placed inside the Chief Examiner's Transmittal
Report Envelope (CETRE) for transmittal to the BEA, Pasig City.
4. Note down under "Remarks" the total number of defective and replaced
Name and Signature of RS: ___________________________ Test Booklets.
5. At the time when the examinees are accomplishing the last subtest,Columns 7, 8 and 9
should be filled out and all unused Scannable Answer Sheets should be collected.
Distribution Phase Retrieval Phase
Exam Room No. of No. of Serial Number(s) of Signature of Initial of Room
No. Name in Print of Examiner No. No. of AS/TB Inclusive Serial Numbers Signature of Examiner Unused Unused Supervisor
Remarks
Used Examiner
1 2 3 4 5 6 7 8 9 10 11 12

AS
1 1
TB

AS
2 2
TB

AS
3 3
TB

AS
4 4
TB

AS
5 5
TB

NOTE: Use a separate sheet of paper should there be a long list of Serial Numbers for Unused Test Booklets (TBs). There should be separate list for TB1 and TB2.
Example: Room No.: _______ Unused TB SN: ___________________________
____________________________
 Page _____ of ______ pages

Distribution Phase Retrieval Phase

No. of Initial of
Exam No. of Serial Number(s) of Signature of
No. Name in Print of Examiner No. of TB Inclusive Serial Numbers Signature of examiner Unused Chief Remarks
Room No. Used TB Unused TB Examiner
TB Examiner
1 2 3 4 5 6 7 8 9 10 11 12
11 TB-1
TB-2
12 TB-1
TB-2
13 TB-1
TB-2
14 TB-1
TB-2
15 TB-1
TB-2
16 TB-1
TB-2
17 TB-1
TB-2
18 TB-1
TB-2
19 TB-1
TB-2
20 TB-1
TB-2
21 TB-1
TB-2
22 TB-1
TB-2
23 TB-1
TB-2
24 TB-1
 TB-2
25 TB-1
TB-2
26 TB-1
TB-2
27 TB-1
TB-2

Page _____ of ______ pages