Republic of the Philippines

Department of Education
BUREAU OF EDUCATION ASSESSMENT
EARLY LANGUAGE, LITERACY, AND NUMERACY ASSESSMENT (ELLNA)
SY 2023 - 2024
LAST NAME FIRST NAME MI
ELLNA
EXAMINEE NO.

A A A A A A A A A A A A A A A A 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 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 C C C C C C C C C C C C C C C C B
D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D
A
E E E E E E E E E E E E E E E E 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 F F F F F F F F F F F F F F F F
R
G G G G G G G G G G G G G G G G 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 H H H H H H H H H H H H H H H H C
I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I O
J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J
D
K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K
L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L E
M M M M M M M M M M M M M M M M M 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 N N N N N N N N N N N N N N N N
Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ
O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O MARKING INSTRUCTIONS
P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P
• Use No. 1 or 2 pencil
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q only.
R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R • Do not use ink, ball
point, or felt tip pens.
S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S
• Make solid marks that fill
T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T the response
U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U
completely.
U U
• Erase clearly any marks
V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V you wish to change.
W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W • Make no stray marks on
this form.
X X X X X X X X X X X X X X X X 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 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 Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z INCORRECT:

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

REGION DIVISION LEARNER REFERENCE NUMBER BIRTH DATE How many are you THIRD QUARTER GRADES
1 AGE
A (LRN) MONTH DAY YEAR in your class? English Filipino MTBL Math
2 B JAN
3 C 0 0 FEB
4A D1 1 1 MAR 0 0 0 0 0 0 0 0 6 0 6 0 6 0 6 0
0 0 0 0 0 0 0 0 0 0 0 0
4B D2 2 2 APR 1 1 1 1 1 1 7 1 7 1 7 1 7 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1
5 E 3 MAY 2 2 2 2 2 2 8 2 8 2 8 2 8 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2
6 F 4 JUN 3 3 3 3 3 3 9 3 9 3 9 3 9 3
3 3 3 3 3 3 3 3 3 3 3 3 3 3
7 G 5 JUL 4 4 4 4 4 4 4 4 4
4 4 4 4 4 4 4 4 4 4 4 4 4 4
8 H 6 AUG 5 5 5 5 5 5 5 5 5
5 5 5 5 5 5 5 5 5 5 5 5 5 5
9 I 7 SEP 6 6 6 6 6 6 6 6 6
6 6 6 6 6 6 6 6 6 6 6 6 6 6
10 J 8 OCT 7 7 7 7 7 7 7 7 7
7 7 7 7 7 7 7 7 7 7 7 7 7 7
11 K 9 NOV 8 8 8 8 8 8 8 8 8
8 8 8 8 8 8 8 8 8 8 8 8 8 8
12 L DEC 9 9 9 9 9 9 9 9 9
9 9 9 9 9 9 9 9 9 9 9 9 9 9
NCR M
SCHOOL ID TYPE OF SCHOOL Do you belong to any of the following
CAR N
Central / Pilot Elementary School classes / program? Shade if Yes.
BARMM P
Non-Central Elementary School Special Science Elementary School (SSES)
CARAGA R
0 0 0 0 0 0 Primary School Bangladesh Rural Advancement Committee (BRAC)
SEX 1 1 1 1 1 1 Integrated School Learning Center
MALE 2 2 2 2 2 2 State and Local Universities and Colleges (SUCs/LUCs) Special Program in Arts (SPA)
FEMALE 3 3 3 3 3 3 Special Program in Sports (SPS)
NAME AND ADDRESS OF SCHOOL
4 4 4 4 4 4 Special Program in Journalism (SPJ)
Are you a member 5 5 5 5 5 5 Is your family a recipient of Homeschooling Program
of an IP Group? 6 6 6 6 6 6 Pantawid Pamilyang Pilipino Multigrade Program
YES 7 7 7 7 7 7 Program (4Ps)? ALIVE / MADRASAH Education Program (MEP)
NO 8 8 8 8 8 8 YES Gifted and Talented Program
I Don't Know 9 9 9 9 9 9 NO
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 Akeanon / Akianon
Ibanag / Ybanag Kinaray-a Sambal Tausug
MOTHER TONGUE Bikol (Naga)
Ilokano / Iloko Maguindanaon Sinugbuanong Binisaya / Cebuano Waray
LANGUAGE Chavacano / Chabacano
Ivatan Maranao Surigaonon Yakan
TESTED IN ELLNA Hiligaynon
Kapampangan Pangasinan / Pangasinense Tagalog none of the above