The Generic Forms

Form 1
NETRC FORM 1
LIST OF ACTUAL EXAMINEES
(To be accomplished by the Room Examiner)
REGION: __________________________________________

DIVISION: ____________________________________________

SCHOOL: _____________________________________________________

SCHOOL ID: _______________________

ADDRESS: ____________________________________________________

Number of Male: ______

GRADE LEVEL : _________

NAME

Number of Female: ______

Total: ______

YEAR LEVEL: __________

GASTPE Grantee Learner Reference
Number (LRN)
EVS
ECS

16

17

18

19

20

21

22

23

24

10

25

11

26

12

27

13

28

14

29

15

30

IMPORTANT
1. Names listed as they appeared in the Seat Plan.
2. Check if the LRN of each examinee listed in Form 1
matches with the shaded LRN in the front side of
his/her Scannable Answer Sheet.
3. Leave the space blank if not a GASTPE grantee.
EVS - Education Voucher System
ECS - Education Contracting Service

GASTPE Grantee Learner Reference

Number (LRN)
EVS
ECS

NAME

Room Examiner

School

Form 2
SEAT PLAN

NETRC Form 2

Testing Program: ________________________________

REGION: ____________________

SCHOOL NAME/TESTING CENTER: __________________________________

DATE OF EXAM. _____________

DIVISION: ___________________

SCHOOL ADDRESS: _______________________________________________

ROOM NO. __________________

Name

Name

Name

Name

Name

Name

Exam. No.
TB No.

Exam. No.
TB No.

Exam. No.
TB No.

Exam. No.
TB No.

Exam. No.
TB No.

Exam. No.
TB No.

Name

Name

Name

Name

Name

Name

Exam. No.
TB No.

Exam. No.
TB No.

Exam. No.
TB No.

Exam. No.
TB No.

Exam. No.
TB No.

Exam. No.
TB No.

10

11

12

Name

Name

Name

Name

Name

Name

Exam. No.
TB No.

Exam. No.
TB No.

Exam. No.
TB No.

Exam. No.
TB No.

Exam. No.
TB No.

Exam. No.
TB No.

13

14

15

16

17

18

Name

Name

Name

Name

Name

Name

Exam. No.
TB No.

Exam. No.
TB No.

Exam. No.
TB No.

Exam. No.
TB No.

Exam. No.
TB No.

Exam. No.
TB No.

19

20

21

22

23

24

Name

Name

Name

Name

Name

Name

Exam. No.
TB No.

Exam. No.
TB No.

Exam. No.
TB No.

Exam. No.
TB No.

Exam. No.
TB No.

Exam. No.
TB No.

25

26

Exam. No. - Examinee Number in the Answer Sheet

TB No. - Test Booklet Number

27

28

29

30

ROOM EXAMINER'S SIGNATURE OVER PRINTED NAME

SCHOOL where Room Examiner teaches

Note: Only twenty seaters for Grade 3.

Form 3
NETRC FORM 3
Republic of the Philippines
Department of Education
NATIONAL EDUCATION TESTING AND RESEARCH CENTER
TEST MATERIALS ACCOUNTING FORM
Name of School: ___________________

Address of School: ______________________

Name of Chief Examiner: _____________

Testing Program: _______________

INSTRUCTIONS:
This is to certify that I received _______________ carton(s)/ package(s) which
contain Test booklets (TBs) and Answer Sheets (ASs). The seals of these are all
Intact.

1.
2.

Each carton/package is sealed. Only the Chief Examiner is authorized to

break the seal in the presence of the examiner.
The Chief Examiner fills up the information required in each column.

3.

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

Signature: ___________________________
Date:

Distribution Phase
No.
1

Name in Print of Examiner

2

Exam
Room
No.
3

No. of TB

Inclusive Serial Numbers

Retrieval Phase
Signature of Examiner
6

No. of
Used TB
7

No. of
Unused
TB
8

Serial Number(s)
of Unused TB
9

Signature of Examiner
10

Remarks
11

1
2
3
4
5
6
7
8
9
10
11
12
NOTE:
Each carton/package is sealed. Only the Chief Examiner is authorized
to break the seal in the presence of the examiners

Page _____ of ______ pages

Form 4
Post Test

NETRC Form 4

Chief Examiners Report Form

Testing Program: ___________
Region: _____ Division: ___________ Date of Testing: ________

Describe the procedure adopted by the Examiner in the retrieval of test

booklets and Answer Sheets
1. Examiners required each examinee to insert first the Answer Sheet in the test
booklet before he/she submits to the examiner ......................................................
2. Examiners checked the number of test booklets and Answer Sheets before
he/she dismisses the examinees .
3. Examiners arranged the TBs and ASs according to serial numbers
4. Examiners placed the used Answer Sheets in original plastic bags.
5. Examiners sealed the ETRE while still inside the examination room ..

Testing Center: ______________

Directions: Please complete/answer truthfully and objectively all the subsequent indicators.
A.

Fill in the blanks

1. Number of testing rooms : Morning session _____ Afternoon session ______
2. Total enrolment/registrants of (grade/year) _______
Male ______ Female _____ Total _______
3. Total number of examinees: AM Session: ______ PM Session: ______
4. Total number of absences: AM Session: ______ PM Session: ______
5. Time when the test materials were distributed to Room Examiners
AM Session :
From ________ to ________
PM Session :
From ________ to ________

B. Pre-test Activities on Examination Day

Describe the pre-test activities in terms of the
following:
1. Sufficiency of Test Materials:
1.1 Test booklet
1.2 Scannable Answer Sheet
1.3 Accounting Form ..
1.4 CETRE & ETRE
1.5 Seat Plan
1.6 Examiners Handbook.

Sufficient

Insufficient

.
.
.
.
.
.

.
.
.
.
.
.

Number of
Needed
Additional
Copies

Room
Number with
Insufficiency

.
.
.
.
.
.

.
.
.
..
.
.

Yes
2. Was there a problem met on the used school ID in the packing of test
materials?
If yes, state the problem met _______________________________________

....................
Evident

3. Testing rooms are ready:

3.1 The first and the last rows of seats are close as possible to the walls to
allow enough space
3.2 Lists of Examinees at the door of each Testing Room are posted already
C.

None

Evident

Not Evident

................

In good condition
Not in good condition
-with misprints
-with same serial numbers
-with blurred serial numbers
-without serial numbers
Other Problems:
____________________________
____________________________

Room Numbers with TBs

Not in Good Condition

....................

....................

.
.
.
.

Specify the problem(s) encountered, solution(s) you gave and recommend measures to
improve the conduct of future national test.

Problem 1: ___________________________________________________________________________
______________________________________________________________________________________
Solution/s made: ______________________________________________________________________
______________________________________________________________________________________
Recommendation/s: ___________________________________________________________________
______________________________________________________________________________________

Problem 2: ___________________________________________________________________________
______________________________________________________________________________________
Solution/s made: ______________________________________________________________________
______________________________________________________________________________________
Recommendation/s: ___________________________________________________________________
______________________________________________________________________________________

Problem 3: ___________________________________________________________________________
______________________________________________________________________________________
Solution/s made: ______________________________________________________________________
______________________________________________________________________________________
Recommendation/s: ___________________________________________________________________
______________________________________________________________________________________

Not Evident

Condition of the Test Booklets (TBs)

No. of
Rooms

Not Evident

Test Proper

Rate the examiners based on the following aspects:

1. Testing discipline is imposed strictly.
1.1 No unnecessary noise while the exam is in progress . . . . .
1.2 Cheating in any form is strictly prohibited (e.g. talking to cotestees, use of dictionary, cell phone, calculator, and the like)
2. Refraining from the following are strictly followed:
2.1 reading/copying test items in the test booklet.
2.2 explaining/translating to the examinees certain word/s used
in the item...
3. Examiners keep custody on the TBs and ASs

E.

Evident

Serial Numbers of TBs Not in

Good Condition

Problem 4: ___________________________________________________________________________
______________________________________________________________________________________
Solution/s made: ______________________________________________________________________
______________________________________________________________________________________
Recommendation/s: ___________________________________________________________________
______________________________________________________________________________________

Prepared by:

Attested by:

_______________________________
Name of the Chief Examiner
(Signature over Printed Name)

_________________________________
Name of the Monitor (NETRC Rep.)
(Signature over Printed Name)

________________________________
School
_________________________
Designation/Position

__________________________
Designation/Position

Forms 5 and 6
NETRC Form 5

NETRC Form 6

TEST BOOKLET QUANTITY and COMPLETENESS

VERIFICATION SHEET

ANSWER SHEET QUANTITY and COMPLETENESS

VERIFICATION SHEET

Name of School: _____________________ Region: ____________

School ID: ______________ __
Division: ___________

Name of School: _____________________

School ID: _________________

PRE-TEST

PRE-TEST

1. How many test booklets were allotted to your testing center as

indicated in the Packing Guide, including buffer? _________
2. Upon opening of boxes, are the test materials:
______ complete
_______ incomplete _______ with excess
3. If incomplete, how many are lacking/missing? _______
4. What is/are the Serial Number/s?
_______________________________________
5. If excess, how many? _______
6. What is/are the Serial Number/s?
_________________________________________
POST-TEST
1. After retrieval, are the test booklets complete? _______
2. If not, how many are missing/lacking? ______
3. What is/are the Serial Number/s? _________________
___________________________________________________
Prepared by:

Region: _____________
Division: _____________

1. How many answer sheets were allotted to your testing center

as indicated in the Packing Guide, including buffer? _________
2. Upon opening of boxes, are the test materials:
________ complete _________ incomplete
_________ with excess
3. If incomplete, how many are lacking/missing? _______
4. What is/are the Serial Number/s?
_______________________________________
5 If excess, how many? _______
6. What is/are the Serial Number/s?
_________________________________________
POST-TEST
1. After retrieval, are the answer sheets complete? _______
2. If not, how many are missing/lacking? ______
3. What is/are the Serial Number/s?
___________________________________________
Prepared by:

_____________________________________________________
Signature over Printed Name of School Testing Coordinator (STC)

_______________________________________________________________
Signature over Printed Name of School Testing Coordinator (STC)

Attested by:

Attested by:

_______________________________________________
Signature over Printed Name of Chief Examiner

______________________________________
Signature over Printed Name of Chief Examiner

_______________________________________________
School

______________________________________
School

NOTE: This form is to be submitted separately to the DTC.

NOTE: This form is to be submitted separately to the DTC.

Form 7
A. Test Proper

NETRC Form 7
Room Examiners Test Administration- Evaluation Report

Testing Program: __________________________ Date: ________________

Region: ____ Division:_________ Testing Center/School: ________________________ Room No. _____
Name of the Room Examiner: _______________________
_______________
Printed Name
Signature
Direction: Please complete/answer truthfully and objectively all the subsequent indicators.
A.

Fill in the blanks:

1.
2.
3.
4.

Number of Registrants in the Exam. Room ____ Actual Examinees ____

Were the following Testing Staff in this testing Center coming from another School?
Room Examiners: ____Yes ____No
Room Supervisors: ____Yes ____ No
From what School are you teaching? _______________
Specifics of the Test Materials Received:

4.1 Test Materials

Quantity

No. of copies needed if

Insufficient

Condition/Remarks

Test Booklets
Answer Sheets
Examiners Handbook
Name Grid Replica
Form 1 and 2
Form 7
ETRE

4.2 Condition of the Test Booklets

In good condition
Not in good condition
- With misprints
- With same Serial Numbers
- With blurred Serial Numbers
- Without Serial Number

5.
6.

Quantity

Serial Numbers

Time when Test Materials were received from the Chief Examiner _______
Number of Times Test Booklets were used: ____ Once ____ Twice ____ Thrice

Problem 1: ____________________________________________________________

B. Pre-test Activities. Describe the pre-test activities in terms of the following:

Evident

Distribution Activities: The Chief Examiner required each

Examiner to count the Test Booklet in sealed plastic bags
in the distribution room.
Testing room was ready.
List of examinees posted at the door
First and last rows close to the walls

Rate yourself based on the following aspects:

Evident
1. Instruction on the accomplishment of name grid, personal
information and shading the chosen answer was followed.
2. Accomplishment of seat plan was well done.
3. Time limit for testing was well adhered to.
4. Testing discipline is imposed strictly.
1.1 No unnecessary noise while the exam was in progress
1.2 Cheating in any form was strictly prohibited (e.g. talking to
classmates, use of dictionary, cell phone, calculator, and the
like).
5. Refraining from the following were strictly followed:
2.1 reading/copying test items in the test
booklet by the room examiner. Note that any violation
has corresponding sanctions stipulated in DECS Order # 85
s. 1999 (found in page ----- in the Examiners
Handbook); and
2.2 explaining/translating to the examinees
certain word/s used in the item.
6. Kept custody on the TBs and ASs while test was in progress
B. Post Test
Describe the procedure adopted in the retrieval of test booklets and Answer
Evident
Sheets
1. Required each examinee to insert first Answer Sheet in the test
booklet before submitting to you, the examiner.
2. Checked the number of test booklets and Answer Sheets before the
examinees were dismissed.
3. Arranged the TBs and ASs according to serial numbers
4. Placed the used Answer Sheets in original plastic bag
5. Sealed the ETRE while still inside the examination room
6. The ETRE contained the following:
used Answer Sheets in plastic bag
Forms 1 & 2 and Form 7 and the Time Record copied from the board
7. The Test Booklets were counted and recounted by the:
Chief Examiner
Room Supervisor
8. Unused Answer Sheets were submitted to the Chief Examiner
9. Retained the Name Grid Replica in the Testing Center
10. Submitted the Examinee Stubs for Grade VI to the Chief Examiner
Specify the problem(s) encountered, solution(s) you gave and the recommendations to
improve the conduct of future national tests.

Not Evident

Solution/s made : _____________________________________________________

________________________________________________________________________
Recommendation/s: __________________________________________________
________________________________________________________________________
Problem 2: ____________________________________________________________

______
______
______
______

______
______
______
______

Solution/s made : _____________________________________________________

________________________________________________________________________
Recommendation/s: __________________________________________________
________________________________________________________________________

Not
Evident

Not
Evident

Room Examiners Transmittal Report

Envelope
Republic of the Philippines
DEPARTMENT OF EDUCATION
NATIONAL EDUCATION TESTING AND RESEARCH CENTER
2nd Floor, Mabini Bldg., DepED Complex, Meralco Avenue, Pasig City

ROOM EXAMINERS TRANSMITTAL REPORT ENVELOPE (ETRE)

(Brown Envelope)
Region: ________ Division: __________________________________________________________

School ID: _____________________

Name of School: ___________________________________________________________________

Type of School: ____________________________________

Address of School: _________________________________________________________________

Street
Barangay
Municipality
Province/City

ROOM NUMBER: ______

No. of Registrants:
No. of Examinees:

Male _____ Female ______

Male _____ Female ______

Total ______
Total ______

1. Arrange the used Answer Sheets consecutively.

2. Double check the number of used SCANNABLE ANSWER SHEETS and fill up the following:
Quantity of used AS: ______ Serial No. ____________ to __________
3. Place inside this ETRE the following contents:
3.1 Used Answer Sheets with serial numbers arranged consecutively placed in the original plastic bag
3.2 One copy of the NETRC Form 1 back to back with NETRC Form 2
3.3 Examiners Narrative Report
3.4 Time started and ended, copied from the board and signed by the Examiner
4. Seal this ETRE with the DepED-NETRC paper tape and sign across while still in the examination room.
* DO NOT PUT UNUSED SCANNABLE ANSWER SHEET/S INSIDE THIS ENVELOPE.
SUBMITTED BY:

___________________________________________
Signature over Printed Name of Room Examiner

_______________________________________
School

Chief Examiners Transmittal Report

Envelope
Republic of the Philippines
DEPARTMENT OF EDUCATION
NATIONAL EDUCATION TESTING AND RESEARCH CENTER
2nd Floor, Mabini Bldg., DepED Complex, Meralco Avenue, Pasig City

CHIEF EXAMINERS TRANSMITTAL REPORT ENVELOPE (CETRE)

(White Envelope)
Region: ________ Division: __________________________________________________________

School ID: _____________________

Name of School: ___________________________________________________________________

Type of School: ____________________________________

Address of School: _________________________________________________________________

Street
Barangay
Municipality
Province/City

NUMBER OF ROOMS: ______

Total No. of Registrants:
Total No. of Examinees:

Male _____
Male _____

Female ______
Female ______

Total ______
Total ______

Place in this Envelope the following:

1.
2.
3.
4.

NETRC Form 3 Test Materials Accounting Form

NETRC Form 4 Chief Examiners Report Form
School Header
Unused Scannable Answer Sheets
Quantity of unused AS: __________

Note: Forms 5 and 6 should not be placed inside this CETRE but to be submitted separately to the DTC.
SUBMITTED BY:

________________________________________
Signature over Printed Name of Chief Examiner

___________________________________________________
School