A&E TEST REGISTRATION FORM
A&E TEST REGISTRATION FORM
Region Division
Learning Center
Proof of Identity
Testing Center
Contact Number
I Certify that I validated the information supplied by the I certify that all information in this form are TRUE and CORRECT.
applicant in this form based on the required attachments.
________________________________ ______________________________________
Registration Officer's Signature Over Printed Name Applicant's Signature Over Printed Name
Region Division
Learning Center
Proof of Identity
Testing Center
Contact Number
I Certify that I validated the information supplied by the I certify that all information in this form are TRUE and CORRECT.
applicant in this form based on the required attachments.
________________________________ ______________________________________
Registration Officer's Signature Over Printed Name Applicant's Signature Over Printed Name
Required Attachments Proof of Identity Portfolio Rating Certification
ALS Program Certification (If any) Proof of Birth (NSO, Passport, Any legal Documents)