EXAMINATION FOR THE CERTIFICATE OF COMPETENCY IN ENGLISH
SIDE 1 PRINT YOUR NAME IN THE BLOCKS PROVIDED, BLACKEN THE CORRESPONDING CIRCLE.
FULL NAME (PRINT)
LAST NAME
TEST CENTER
FIRST
MI
LAST NAME
FIRST NAME
NATIVE LANGUAGE
EXAMPLES 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
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
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
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
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
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
K
WRONG WRONG WRONG 3 RIGHT 4
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
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
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
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
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
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
V
W
W
W
W
W
W
W
W
W
W
W
W
W
W
W
W
W
W
W
W
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
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
Z
5
OR
6
JAN
DAY
YEAR
FEB
a r
P r
o F CENTER NO.
LANG. F S O E R X M
REG. NO.
c i t c
A B C
A B C A B C
MAR
0
0
0
0
M
0
0
A
0
0
0
0
0
0
0
0
0
APR
1
1
1
1
1
1
B
1
1
1
1
1
1
1
1
1
MAY
2
2
2
2
2
2
C
2
2
2
2
2
2
2
2
2
JUN
3
3
3
3
M A L E
3
3
D
3
3
3
3
3
3
3
3
3
JUL
4
4
4
F
4
4
4
4
4
4
4
4
4
4
4
AUG
5
5
5
5
5
5
5
5
5
5
5
5
5
5
SEP
6
6
6
6
6
6
6
6
6
6
6
6
6
6
OCT
7
7
7
7
7
7
7
7
7
7
7
7
7
7
NOV
8
8
8
F E M A L E
8
8
8
8
8
8
8
8
8
8
8
DEC
9
9
9
9
9
9
9
9
9
9
9
9
9
9
1+
A B C
2-
A B C 10
654321
ED06
A B C D
A B C D 49
A B C D
A B C D 40
2+
Mark Reflex® forms by Pearson NCS MM248324-1
48
39
30
A B C D
A B C D
A B C
A B C 20
47
38
29
A B C D
A B C D
A B C
A B C 19
46
37
28
A B C D
A B C D
A B C
A B C
A B C 9
2
27
18
8
45
36 A B C
A B C
A B C D
A B C D
A B C
17
44
35
26
A B C D
A B C D
A B C
A B C
A B C D 43
34
25
16
42 A B C D
A B C
A B C
A B C D
A B C D
33
24
15
41
32 A B C
A B C 14
A B C
7
A B C
23
A B C D
A B C D 31
22
A B C
13
A B C
4
21
A B C
12
A B C
3
A B C
A B C
11
A B C
2
USE A #2 (SOFT) PENCIL ONLY BIRTHDATE
e T e
LISTENING
1
s t s
• Use a #2 (soft) pencil only. • Do NOT use ink or ballpoint pens. • Make heavy black marks that fill the circle completely. • Erase cleanly any answer you wish to change. • Make no stray marks on the answer sheet. • Do not fold or crease the answer sheet. • The examiner will tell you how to grid in the identification section.
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