2024 BEA Form 3
2024 BEA Form 3
INSTRUCTIONS:
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NOTES:
1. Use a separate sheet of paper should there be a long list of Serial Numbers for unused TBs. Place issued __________________________
Example: Room No. __________ unused TBs SN: _____________________ Time/Date Issued ______________________
2. Form 3 should be fully accomplished at the time when the examinees are accomplishing the last subtest. This is to certify that I received a total of _______________ sealed carton(s)/ package(s) which
3. Additional sheet may be provided if needed. contains a total of ______________Test Booklets (TBs) and ____________ Answer Sheets (ASs)
based on the packing guide receipt. The seals of these are all intact.
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Signature over Printed Name of Chief Examiner Date
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